Publication: Comparing Policy Responses to COVID-19 among Countries in the Latin American and Caribbean Region
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2020-12-16
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2020-12-16
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Latin America and the Caribbean (LAC) accounts for over a quarter of the world's total cases, and a third of the total deaths, from the COVID-19 pandemic (1-3) (4). In the absence of a vaccine to prevent the transmission of the virus, LAC countries have introduced several public health, health system, and economic policies to reduce the spread and impacts of COVID-19 (4,5). However, contextual factors such as fragmented health systems, limited social safety nets, and high levels of informal employment and inequality have further challenged the response to the pandemic in many of these countries (4,6,7). Furthermore, these underlying conditions intensify the impact of COVID-19, particularly for the most disadvantaged, including the unemployed, informal, and low-income workers, many of whom live in overcrowded households (4,7). In this study, we aim to describe policy interventions in 10 LAC countries in response to the COVID-19 pandemic, to compare these responses based on the experiences in two relatively high-performing jurisdictions, South Korea and Uruguay, and to support cross-jurisdictional policy learning for pandemic preparedness in the LAC region through knowledge exchange activities.
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“Allin, S.; Haldane, V.; Jamieson, M.; Marchildon, G.; Morales Vazquez, M.; Roerig, M.. 2020. Comparing Policy Responses to COVID-19 among Countries in the Latin American and Caribbean Region. © World Bank. http://hdl.handle.net/10986/35002 License: CC BY 3.0 IGO.”
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Publication How to Protect and Promote the Nutrition of Mothers and Children in Latin America and the Caribbean(World Bank, Washington, DC, 2012-12-10)The study covered a wide range of topics, making data collection especially challenging. Key informants were sometimes new to their posts and were unable to provide details on specific programs, policies, or coverage rates. Few countries in Latin America and the Caribbean mainstream into their crisis and emergency plans protection of the nutritional status of mothers and children in the first 1,000 days of life. All countries should reinforce the promotion and protection of breastfeeding in emergencies, notably by providing an enabling space for mothers to safely breastfeed their children and by managing the provision of artificial milk formula. It is concerning that during emergencies most countries provide powdered artificial formula instead of ready-to-use artificial milk formula to infants that cannot breastfeed, greatly increasing the risks of illnesses and malnutrition as a result of inappropriate dilution and unsafe water. All countries need to reinforce their monitoring and evaluation systems, including surveillance of food and nutrition insecurity. While most countries have some form of monitoring system, few of those systems are computerized, which impairs timely and informed decision making. Systematic evaluations of emergency and crisis response are seldom performed. A number of countries would benefit from updating their nutrition policy and protocols based on the latest available evidence. Of particular importance are updates to the prevention and treatment of micronutrient deficiencies with micronutrient powders; treatment of acute malnutrition, notably with the use of ready-to-use supplements; and efficient treatment of diarrhea through the use of oral rehydration solution and zinc. Most countries will benefit from adapting the food and water rations given in emergencies to the specific nutritional needs of pregnant and lactating women and children <2 years of age.Publication High Food Prices, Latin American and the Caribbean Responses to a New Normal(Washington, DC, 2014-01)Yet the current situation differs from 2007-2008 in critical respects. First, recent international price increases are more widespread across agricultural commodities than in 2008, when price spikes were led by few grains such as wheat and rice. Second, natural resources are affecting food production: land and water constraints are more binding than in the past and weather induced production shortfalls are more of a factor now than it was 2008. Climate change also adds to this uncertainty, particularly since a larger share of grain exports are being produced in areas more exposed to climate variability. Third, long term structural changes in the markets are more clearly a major factor this time, as demand for feed and income-elastic foods under sustained and widespread income growth in emerging countries is increasing steadily. Fourth, the global stocks/use ratio for major cereals, which used to hover in the range of 30-35 percent in the 1980s and 1990s, has been around 20 percent after 2003 due largely to long-term policy changes in high-income countries; and stocks of some critical players are now at all-time lows. Global markets are currently experiencing the second sharp spike in food prices in the last four years. While no one has a crystal ball to predict with confidence the future prices of food products, there are good reasons to believe that structural factors affecting both supply and demand, discussed in this report, have recently evolved in ways that will increase the average levels and volatility of prices above those of recent decades. Ensuring that the world's populations, and particularly vulnerable groups, are adequately fed is one of the most important contributions of the World Bank to the global public good's agenda. This report describes how the current situation is affecting countries in the Latin America and Caribbean region, including the impact on different groups within countries, and proposes strategies to best assist our client countries in responding.Publication How to Protect and Promote the Nutrition of Mothers and Children in Latin America and the Caribbean(World Bank, Washington, DC, 2012-12-10)This section describes the priority nutrition interventions and cross-cutting approaches that are essential to promote and protect the nutritional status of mothers and children as well as a country's human capital in the short-, medium-, and long-terms. The main thrust of the guidance is that: (1) policies give special attention to the critical 'window of opportunity' represented by the first 1,000 days of life; (2) policies are aligned with the latest international recommendations in nutrition; (3) policies and interventions of key sectors are coordinated to provide synergy of action; and (4) resources allocated for disaster prevention and emergency management are invested in the most cost-effective way. Monitoring is a continuous process of collecting and analyzing information to better understand how well a program is operating against expected outputs and to allow remedial intervention to correct failures. Situation monitoring measures the change or lack of change, in a condition or a set of conditions and includes monitoring of the wider context. Performance monitoring, on the other hand, measures progress in achieving specific results in relation to an implementation plan. Evaluation is a systematic and objective assessment that attempts to determine the worth or significance of an intervention, strategy, or policy. It is used to appraise the effectiveness of an intervention to determine if it meets its goals, to estimate its results or impact, and to identify its costs vs. its benefits. Promote optimal breastfeeding practices. Provide all pregnant women with daily iron-folic acid supplements for at least six months. Provide deforming treatment to pregnant women, preschool-aged children, and school-aged children in areas where hookworms or soil-transmitted helminthes are prevalent. Establish strong links between agricultural, food security, social protection and nutrition policies that can be used to inform a robust communication program regarding maternal diet and critical infant and young child feeding practices. Support diversified agricultural production to increase availability of nutrient-dense foods, particularly those of animal sources.Publication Latin America and the Caribbean Economic Review, April 2025: Organized Crime and Violence in Latin America and the Caribbean(Washington, DC: World Bank, 2025-04-28)The Latin America and Caribbean region faces a very different outlook from what was foreseen six months ago. Despite continued progress on reducing inflation, LAC continues to grow more slowly than any other region of the world and increasing its dynamism and job creation potential faces new and daunting challenges. First, higher and more persistent inflation than anticipated in the advanced countries has slowed global interest rate declines which constrains regional monetary authorities’ ability to loosen monetary policy. Second, higher interest payments on debt consume an increasing share of government revenue impeding progress on reducing deficits and creating fiscal space for necessary public investment. Third, rising tariffs have driven up uncertainty around the nature of the global trade order, threaten market access for exports, and call into question the nearshoring project. Fourth, increased return migration will, in some cases, stress local labor markets and dampen remittances. Fifth, organized crime, and the violence that accompanies it continues to expand, reducing the quality of life of citizens, dampening economic growth, and undermining the integrity of public institutions. Progress on the fiscal front, as well as continued productivity related reforms to make the region more able to negotiate a changing environment are needed.Publication Social Gains in the Balance : A Fiscal Policy Challenge for Latin America and the Caribbean(Washington, DC, 2014-02-24)In 2012, the Latin America and the Caribbean (LAC) region continued its successful drive to reduce poverty and build the middle class. The proportion of the region's 600 million people living in extreme poverty, defined in the region as life on less than $2.50 a day, was cut in half between 2003 and 2012 to 12.3 percent. Reflecting the upward mobility out of poverty, households vulnerable to falling back into poverty became the largest group in LAC in 2005, and represent almost 38 percent of the population. However, in the last two years, the share of vulnerable households has started to decline. The middle class, currently 34.3 percent of the population, is growing rapidly and is projected to replace the vulnerable as the largest economic group in LAC by 2016. The Southern Cone region (including Brazil) continued to be the most dynamic region and the main driver of poverty reduction in LAC, while poverty in Central America and Mexico proved more stubborn. About 68 percent of poverty reduction between 2003 and 2012 was driven by economic growth, with the remaining 32 percent arising from decline in inequality. Overall, equality of access to basic childhood goods and services has improved in recent years. Yet access can be further improved, and serious issues remain concerning the quality of those goods and services, particularly in education and housing infrastructure. Moreover, access increases with parental education and income or assets, reflecting low intergenerational mobility in many countries in the region. As with poverty reduction, most of the progress in equality of access since 2000 has come in the Southern Cone and the Andean regions, while many of Central America's countries managed only small improvements. There are also severe differences at the subnational level and between urban and rural areas, highlighting the need to strengthen the capacity of local governments to deliver high quality basic services to all their citizens.
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