Publication: Education and Health Services in Kenya : Data for Results and Accountability
Loading...
Published
2013-07
ISSN
Date
2013-11-18
Author(s)
Editor(s)
Abstract
Although Kenya's vision 2030 highlights investment in human development, public spending on health and education in Africa has not guaranteed results. Closing the gap between promises, spending, and results depend on what service providers know and what they do: provider behavior is key. The Service Delivery Indicators (SDI) aim to provide critical information to improve accountability for health and education results. The survey was implemented by the Kenya Institute of Public Policy Research and Analysis (KIPPRA) and Kimetrica with quality assurance and oversight from the World Bank. The surveys provide a representative snapshot of the learning environment and key resources in both public and private schools, and the quality of health service delivery and the physical environment within which services are delivered in public and private (nonprofit) health facilities. Improvements in service quality in Kenya can be accelerated through focused investments on reforms to the incentive environments facing providers, and in the skills of providers to ensure that inputs and skills come together at the same time and at the same place. This will be critical to ensure that Kenya's gains in human development outcomes continue beyond 2015, bringing the country closer to achieving the promises set out in the vision 2030.
Link to Data Set
Citation
“Martin, Gayle H.; Pimhidzai, Obert. 2013. Education and Health Services in Kenya : Data for Results and Accountability. Service Delivery Indicators;. © World Bank. http://hdl.handle.net/10986/16288 License: CC BY 3.0 IGO.”
Digital Object Identifier
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Service Delivery Indicators : Kenya(World Bank, Washington, DC, 2013-07)Without consistent and accurate information on the quality of services, it is difficult for citizens or politicians (the principal) to assess how service providers (the agent) are performing and to take corrective action. The service delivery indicators (SDI) provide a set of metrics to benchmark the performance of schools and health clinics in Africa. The indicators can be used to track progress within and across countries over time, and aim to enhance active monitoring of service delivery to increase public accountability and good governance. Ultimately, the goal of this effort is to help policymakers, citizens, service providers, donors, and other stakeholders enhance the quality of services and improve development outcomes. This report presents the findings from the implementation of the first SDI survey in Kenya. The production of health services requires three dimensions of service delivery: (i) the availability of key inputs such as drugs, equipment and infrastructure; (ii) providers who are skilled; and (iii) providers who exert the necessary effort in applying knowledge and skills. The SDI surveys allow for the assessment of how these elements come together to produce quality health services in the same place at the same time. This paper is structured as follows: section one gives introduction. Section two outlines the analytical underpinnings of the indicators and how they are categorized. Section three presents the methodology of the Kenya SDI education and health surveys. The results are presented and analyzed in section four and section five. The report concludes with a summary of the overall findings and some implications for Kenya.Publication Service Delivery Indicators : Senegal(Washington, DC, 2012-04)The indicators, which were piloted in Senegal, provide a set of metrics to benchmark the performance of schools and health clinics in Africa. The indicators can be used to track progress within and across countries over time, and aim to enhance active monitoring of service delivery to increase public accountability and good governance. The service delivery indicators project takes as its starting point the literature on how to boost education and health outcomes in developing countries. This literature shows robust evidence that the type of individuals attracted to specific tasks at different levels of the service delivery hierarchy, as well as the set of incentives they face to actually exert effort, are positively and significantly related to education and health outcomes. To evaluate the feasibility of the indicators, pilot surveys in primary education and health care were implemented in Senegal in 2010. The results from the pilot studies demonstrate that the indicators methodology is capable of providing the necessary information to construct harmonized indicators on the quality of service delivery, as experienced by the citizen, using a single set of instruments at a single point of collection. This paper is structured as follows: section one gives introduction. Section two outlines the analytical underpinnings of the indicators and how they are categorized. Section three presents the methodology of the pilot surveys in Senegal. The results from the pilot are presented and analyzed in section four. Section five presents results on education outcomes, as evidenced by student test scores. Section six discusses the advantages and disadvantages of collapsing the indicators into one score or index, and provides a method for doing so in case such an index is deemed appropriate. Section seven discusses lessons learned, trade-offs, and options for scaling up the project.Publication Building Evidence, Shaping Policy(World Bank, Dili, 2013-08)Reliable evidence is needed to design policies that will allow overcoming Timor-Leste's remaining challenges in provision of quality education. In recent post-conflict years, aided by availability of oil revenues, Timor-Leste has been able to considerably improve availability of schools and access to education. This report presents findings of the 2012 Education Survey, collaboration between the Ministry of Education, the National Directorate of Statistics, AusAID and the World Bank. The survey collected detailed information at all primary, pre-secondary and secondary schools in the country. Its objectives were to support the improvement of Timor-Leste's education quality and service delivery through building a solid information source and analytical foundation which will allow for sound, evidence-based policy making. The survey results indicate that student absenteeism should be a major cause for concern. More than one third of grade one students were absent from school on the day of the survey, in some districts it was half or even more. Education levels of primary school teachers are low, with the majority only having secondary education. For 71 percent of primary school teachers the highest level of education is secondary school, for 6 percent it is even lower. Both demand and supply side interventions are needed to tackle the challenges faced. Some key policy areas should be: 1) improving school attendance through creating appropriate demand-side incentives; 2) enhancing teacher quality; 3) strengthening instruction language policy; 4) improving education system management; 5) improving school infrastructure and learning environment; and 6) ensuring adequate supply of textbooks.Publication Service Delivery Indicators : Tanzania(Washington, DC, 2012-04)The indicators, which were piloted in Tanzania, provide a set of metrics to benchmark the performance of schools and health clinics in Africa. The indicators can be used to track progress within and across countries over time, and aim to enhance active monitoring of service delivery to increase public accountability and good governance. The service delivery indicators project takes as its starting point the literature on how to boost education and health outcomes in developing countries. This literature shows robust evidence that the type of individuals attracted to specific tasks at different levels of the service delivery hierarchy, as well as the set of incentives they face to actually exert effort, are positively and significantly related to education and health outcomes. To evaluate the feasibility of the indicators, pilot surveys in primary education and health care were implemented in Tanzania in 2010. The results from the pilot studies demonstrate that the indicators methodology is capable of providing the necessary information to construct harmonized indicators on the quality of service delivery, as experienced by the citizen, using a single set of instruments at a single point of collection. This paper is structured as follows: section one gives introduction. Section two outlines the analytical underpinnings of the indicators and how they are categorized. Section three presents the methodology of the pilot surveys in Tanzania. The results from the pilot are presented and analyzed in section four. Section five presents results on education outcomes, as evidenced by student test scores. Section six discusses the advantages and disadvantages of collapsing the indicators into one score or index, and provides a method for doing so in case such an index is deemed appropriate. Section seven discusses lessons learned, trade-offs, and options for scaling up the project.Publication Philippines : Basic Education Public Expenditure Review(World Bank, Pasig City, Philippines, 2012)The 2010 Philippines Basic Education Public Expenditure Review (BEPER) provides an overview of public expenditures and outcomes in the basic education sector since 2000. The PER team intends this analysis to assist the Department of Education (DepED) in setting policy priorities and in making decisions on resource allocation, utilization, and management. In this review, we analyze trends in education performance as they relate to the Philippines' Education for All (EFA) goals and the objectives of the Basic Education Sector Reform Agenda (BESRA). The analysis traces trends in government spending and their impact on basic education inputs and outcomes. It also examines the equity dimensions of the education outcomes and spending across geographic areas, households of different income levels, and gender. It examine in detail the processes for executing DepED's priority programs such as the provision of new teaching posts, school buildings, furniture, and textbooks, and we identify potential bottlenecks that slow implementation. Although the Government of the Philippines has committed to the Millennium Development Goals (MDGs) and EFA goals by 2015, its level of investment in basic education is not sufficient for realizing these commitments. The PER analysis suggests that although the basic education sector needs additional resources for rapidly expanding the supply of key inputs for quality education services, unless efforts are intensified to improve budget execution and even if resources were available, merely increasing allocation would be unlikely to result in actual increases in the larger number of critical inputs and their efficient deployment.
Users also downloaded
Showing related downloaded files
Publication World Development Report 2006(Washington, DC, 2005)This year’s Word Development Report (WDR), the twenty-eighth, looks at the role of equity in the development process. It defines equity in terms of two basic principles. The first is equal opportunities: that a person’s chances in life should be determined by his or her talents and efforts, rather than by pre-determined circumstances such as race, gender, social or family background. The second principle is the avoidance of extreme deprivation in outcomes, particularly in health, education and consumption levels. This principle thus includes the objective of poverty reduction. The report’s main message is that, in the long run, the pursuit of equity and the pursuit of economic prosperity are complementary. In addition to detailed chapters exploring these and related issues, the Report contains selected data from the World Development Indicators 2005‹an appendix of economic and social data for over 200 countries. This Report offers practical insights for policymakers, executives, scholars, and all those with an interest in economic development.Publication Classroom Assessment to Support Foundational Literacy(Washington, DC: World Bank, 2025-03-21)This document focuses primarily on how classroom assessment activities can measure students’ literacy skills as they progress along a learning trajectory towards reading fluently and with comprehension by the end of primary school grades. The document addresses considerations regarding the design and implementation of early grade reading classroom assessment, provides examples of assessment activities from a variety of countries and contexts, and discusses the importance of incorporating classroom assessment practices into teacher training and professional development opportunities for teachers. The structure of the document is as follows. The first section presents definitions and addresses basic questions on classroom assessment. Section 2 covers the intersection between assessment and early grade reading by discussing how learning assessment can measure early grade reading skills following the reading learning trajectory. Section 3 compares some of the most common early grade literacy assessment tools with respect to the early grade reading skills and developmental phases. Section 4 of the document addresses teacher training considerations in developing, scoring, and using early grade reading assessment. Additional issues in assessing reading skills in the classroom and using assessment results to improve teaching and learning are reviewed in section 5. Throughout the document, country cases are presented to demonstrate how assessment activities can be implemented in the classroom in different contexts.Publication Digital Africa(Washington, DC: World Bank, 2023-03-13)All African countries need better and more jobs for their growing populations. "Digital Africa: Technological Transformation for Jobs" shows that broader use of productivity-enhancing, digital technologies by enterprises and households is imperative to generate such jobs, including for lower-skilled people. At the same time, it can support not only countries’ short-term objective of postpandemic economic recovery but also their vision of economic transformation with more inclusive growth. These outcomes are not automatic, however. Mobile internet availability has increased throughout the continent in recent years, but Africa’s uptake gap is the highest in the world. Areas with at least 3G mobile internet service now cover 84 percent of Africa’s population, but only 22 percent uses such services. And the average African business lags in the use of smartphones and computers as well as more sophisticated digital technologies that catalyze further productivity gains. Two issues explain the usage gap: affordability of these new technologies and willingness to use them. For the 40 percent of Africans below the extreme poverty line, mobile data plans alone would cost one-third of their incomes—in addition to the price of access devices, apps, and electricity. Data plans for small- and medium-size businesses are also more expensive than in other regions. Moreover, shortcomings in the quality of internet services—and in the supply of attractive, skills-appropriate apps that promote entrepreneurship and raise earnings—dampen people’s willingness to use them. For those countries already using these technologies, the development payoffs are significant. New empirical studies for this report add to the rapidly growing evidence that mobile internet availability directly raises enterprise productivity, increases jobs, and reduces poverty throughout Africa. To realize these and other benefits more widely, Africa’s countries must implement complementary and mutually reinforcing policies to strengthen both consumers’ ability to pay and willingness to use digital technologies. These interventions must prioritize productive use to generate large numbers of inclusive jobs in a region poised to benefit from a massive, youthful workforce—one projected to become the world’s largest by the end of this century.Publication Lebanon Economic Monitor, Fall 2022(Washington, DC, 2022-11)The economy continues to contract, albeit at a somewhat slower pace. Public finances improved in 2021, but only because spending collapsed faster than revenue generation. Testament to the continued atrophy of Lebanon’s economy, the Lebanese Pound continues to depreciate sharply. The sharp deterioration in the currency continues to drive surging inflation, in triple digits since July 2020, impacting the poor and vulnerable the most. An unprecedented institutional vacuum will likely further delay any agreement on crisis resolution and much needed reforms; this includes prior actions as part of the April 2022 International Monetary Fund (IMF) staff-level agreement (SLA). Divergent views among key stakeholders on how to distribute the financial losses remains the main bottleneck for reaching an agreement on a comprehensive reform agenda. Lebanon needs to urgently adopt a domestic, equitable, and comprehensive solution that is predicated on: (i) addressing upfront the balance sheet impairments, (ii) restoring liquidity, and (iii) adhering to sound global practices of bail-in solutions based on a hierarchy of creditors (starting with banks’ shareholders) that protects small depositors.Publication Argentina Country Climate and Development Report(World Bank, Washington, DC, 2022-11)The Argentina Country Climate and Development Report (CCDR) explores opportunities and identifies trade-offs for aligning Argentina’s growth and poverty reduction policies with its commitments on, and its ability to withstand, climate change. It assesses how the country can: reduce its vulnerability to climate shocks through targeted public and private investments and adequation of social protection. The report also shows how Argentina can seize the benefits of a global decarbonization path to sustain a more robust economic growth through further development of Argentina’s potential for renewable energy, energy efficiency actions, the lithium value chain, as well as climate-smart agriculture (and land use) options. Given Argentina’s context, this CCDR focuses on win-win policies and investments, which have large co-benefits or can contribute to raising the country’s growth while helping to adapt the economy, also considering how human capital actions can accompany a just transition.