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Estimating Relative Benefits of Differing Strategies for Management of Wastewater in Lower Egypt Using Quantitative Microbial Risk Analysis
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Year: 2012 Publisher: Washington, D.C. : The World Bank,

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The report uses a theoretical model of a typical drainage basin, but the approach could be applied to many of the drainage basins managed by the holding company for water and wastewater in Egypt. This study set out to assess the relative health impacts of different wastewater management strategies on health in the Nile delta region using an approach similar to that used in the Ghana. The ultimate objective was to develop a framework for long-term investment planning based on monitoring of health and productivity impacts of proposed Bank operations which could be included in project Monitoring and Evaluation (M&E) systems. This will equip task teams to assess the risks and opportunities which arise due to the proposed shift from on-site to networked sanitation in four governorates where the Bank has wastewater operations. A secondary objective was to assess the extent to which existing legislation supports health riskbased planning. The conclusions of the study provide an indication of how such methods could increasingly be used to enable the selection of cost-effective and appropriate wastewater management strategies.


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Health Equity and Financial Protection Datasheets : East Asia and Pacific.
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Year: 2012 Publisher: Washington, D.C. : The World Bank,

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The health equity and financial protection datasheets provide a picture of equity and financial protection in the health sectors of low- and middle-income countries. Topics covered include: inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. This report show how health outcomes, risky behaviors and health care utilization vary across asset (wealth) quintiles and periods. Benefit-incidence analysis (BIA) shows whether, and by how much, government health expenditure disproportionately benefits the poor the distribution of subsidies depends on the assumptions made to allocate subsidies to households. This reports whether overall health financing, as well as the individual sources of finance, is regressive (i.e. a poor household contributes a larger share of its resources than a rich one), progressive (i.e. a poor household contributes a smaller share of its resources than a rich one) or proportional.


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Health Equity and Financial Protection Datasheets : Latin America.
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Year: 2012 Publisher: Washington, D.C. : The World Bank,

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The health equity and financial protection datasheets provide a picture of equity and financial protection in the health sectors of low-and middle-income countries. Topics covered include: inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. The tables in this report show how health outcomes, risky behaviors and health care utilization vary across asset (wealth) quintiles and periods. The quintiles are based on an asset index constructed using principal components analysis. Benefit-Incidence Analysis (BIA) shows whether, and by how much, government health expenditure disproportionately benefits the poor. The distribution of subsidies depends on the assumptions made to allocate subsidies to households. Under the constant unit cost assumption, each unit of utilization is assumed to cost the same and is equal to total costs incurred in delivering this type of service divided by the number of units of utilization.


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Health Equity and Financial Protection Datasheets : Middle East and North Africa.
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Year: 2012 Publisher: Washington, D.C. : The World Bank,

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The health equity and financial protection datasheets provide a picture of equity and financial protection in the health sectors of low-and middle-income countries. Topics covered include: inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. Data are drawn from the demographic and Health Surveys (DHS), World Health Surveys (WHS), Multiple indicators cluster Surveys (MicS), living Standards and Measurement Surveys (lSMS), as well as other household surveys where available. The tables in this section show how health outcomes, risky behaviors and health care utilization vary across asset (wealth) quintiles and periods. The quintiles are based on an asset index constructed using principal components analysis. The tables show the mean values of the indicator for each quintile, as well as for the sample as a whole. Also shown are the concentration indices which capture the direction and degree of inequality.


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Health Equity and Financial Protection Datasheets : Europe and Central Asia.
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Year: 2012 Publisher: Washington, D.C. : The World Bank,

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The health equity and financial protection datasheets provide a picture of equity and financial protection in the health sectors of low-and middle-income countries. Topics covered include: inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. The tables in this report show how health outcomes, risky behaviors and health care utilization vary across asset (wealth) quintiles and periods. The quintiles are based on an asset index constructed using principal components analysis. Benefit-Incidence Analysis (BIA) shows whether, and by how much, government health expenditure disproportionately benefits the poor. The distribution of subsidies depends on the assumptions made to allocate subsidies to households. Under the constant unit cost assumption, each unit of utilization is assumed to cost the same and is equal to total costs incurred in delivering this type of service divided by the number of units of utilization.


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Remarks for the Every Woman, Every Child Event, United Nations General Assembly, New York, September 25, 2012
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Year: 2012 Publisher: Washington, D.C. : The World Bank,

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Jim Yong Kim, President of the World Bank Group, discusses children's and women's health as absolutely crucial to the core mission of expanding prosperity and ending poverty. He speaks about helping ensure a continuum of care from family planning to pregnancy and safe delivery, to post-natal care, newborn and child health. He discusses designing innovative programs that link financing to results, producing dramatic gains in both access and quality of health care for poor women and children and, most importantly, helping countries put in place strong health systems. He concludes by saying that donors and development partners have a special obligation to harmonize aid efforts and remove any bottlenecks to effective service delivery.


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PKH Conditional Cash Transfer
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Year: 2012 Publisher: Washington, D.C. : The World Bank,

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This is a first for Indonesia: Program Keluarga Harapan (PKH) is the only household-targeted social assistance initiative to have designed randomized impact evaluation into the initial allocation of the program. This brings three major benefits for policymakers: 1) the evidence available for evaluating the impacts of the PKH program on household welfare is extensive and sound; 2) the program design and the impact analysis design have generated additional excitement, both nationally and internationally, about the program, its goals and social assistance initiatives in general; and 3) the results and underlying data will be made publicly available, which has already spurred interest in additional evaluations that will stock the shelves of social assistance policy research libraries. PKH's success in delivering real benefits to the very poor and in changing behaviors deserves further support and encouragement. PKH's initial weaknesses in implementation and delivery deserve continuing attention and thoughtful solutions for greater effectiveness. The Government of Indonesia (GOI) plans on expanding the PKH program to as many as three million households; while it is doing so, it should continue to refine implementation, coordinate and collaborate with affiliated service providers in health, education, and local government services, and continue developing a corps of organized, enthusiastic, and skilled facilitators who can assist very poor households in achieving healthier behaviors.


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Jamkesmas Health Service Fee Waiver
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Year: 2012 Publisher: Washington, D.C. : The World Bank,

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Macroeconomic growth and incomes have been on the rise since the Asian Financial Crisis (AFC), but health service utilization and health outcomes in Indonesia have been slower to improve. Jamkesmas could provide valuable benefits by allowing cardholders to acquire preventative, curative, and catastrophic health care services without fees. When it promotes healthy households, keeps students active, alert, and participating in their education, returns adults to work sooner, and saves households from the high costs of healthcare, Jamkesmas' sizeable individual benefits should be matched by increased social benefits resulting from a healthy and productive population. Jamkesmas has been provided to poor households, but many non-poor have also received Jamkesmas benefits due to dual central and local targeting processes which have led to frequent mismatches and errors in coverage. Health service providers find Jamkesmas difficult and costly to implement resulting in fewer services provided, and funds spent, on Jamkesmas beneficiaries. Local regulations regarding public health center management often conflict with Jamkesmas mandates, leaving health service providers confused and unwilling to use Jamkesmas funds to provide Jamkesmas beneficiaries with planned services. The future costs of an improved Jamkesmas program have not been adequately publicized and Jamkesmas' financial, fiscal, and political sustainability is uncertain.


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Health Equity and Financial Protection in Zambia
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Year: 2012 Publisher: Washington, D.C. : The World Bank,

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This report analyzes equity and financial protection in the health sector of Zambia. In particular, it examines inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. Data are drawn from the 2007 Zambia demographic and health survey, the 2006 Zambia living conditions monitoring survey, the 2003 Zambia world health survey and the 2003 Zambia national health accounts. All analyses are conducted using original survey data and employ the health modules of the ADePT software. Overall, health care financing in Zambia in 2006 was fairly progressive, id est the better-off spent a larger fraction of their consumption on health care than the poor. The financing sources that contribute to the overall progressivity of health care finance are general taxation, which finances 42 per cent of domestic spending on health, and contributions made by private employers, which finance 9 per cent of spending. An additional contribution to overall progressivity is made through pre-payment mechanisms, but this remains fairly limited given that they only represent 1 per cent of total health finance. Out-of-pocket health payments, which account for 47 per cent of total health financing, appear to be proportional to income, with only slight and not statistically significant evidence of progressivity.


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Health Equity and Financial Protection in Pakistan
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Year: 2012 Publisher: Washington, D.C. : The World Bank,

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The health equity and financial protection reports are short country-specific volumes that provide a picture of equity and financial protection in the health sectors of low-and middle-income countries. Topics covered include: inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. Pakistan's government is committed to improving the equity of health outcomes and the ability to offer financial protection in the health sector through the implementation of the National Health Policy. Pakistan spends 2.62 per cent (2009) of its gross domestic product (GDP) on health. This is far lower than the average spending levels in other countries in the South Asia Region, which have spent an average of 5.3 per cent (2009) of their GDP on health.

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