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Indian paper industry depends on natural resources for its raw material supply, hence it has to balance both paper production and natural resource consumption for its survival and sustenance. Any imbalance in this regard can pose threat to this industry's survival on one hand and put adverse impact of this industry upon environment on the other. The present paper analyses how some of the paper industries falling under the ambit of CSR clause 135 are taking initiatives for CSR and sustainability in order to have responsible and sustained existence in the corporate world. This study tries to probe into the areas where there is more requirement of CSR expenditure and scalability/replicability of CSR projects. Gap analysis has also been done to see the gaps between the amount allocated for CSR initiatives and the amount actually spent. The paper proposes a logical framework for CSR that is based on Bertelsmann's iooi method with certain modifications by inclusion of moderators like ethics, values, legal obligations, knowledge and skills that influence decision on CSR initiatives. The various efforts taken by paper industries for CSR projects, their monitoring and evaluation shall stand as an answer to CSR clause 135. Though the clause is in its initial phase, but the study shall help analyse if organisations are living up to the spirit of the clause and contributing for the benefit of environment and community. The study concludes that with the coming up of the clause, the focus on CSR has increased. Also, there have been efforts on the part of industries to comply with the clause but standard planning and evaluation frameworks have to be followed. [ABSTRACT FROM AUTHOR]

How much is hegemony and how much is self-determination in the higher education systems in Southeast Asia? This paper argues that while the question of centre and periphery is still relevant to the analysis of international university systems, the analytical frameworks from which it has arisen may lose viability in the long term. Southeast Asian states are making use of higher education to act in ways that will contribute to the altering of their peripheral position in the global economic and political system. While changes in Southeast Asian higher education are closely tied to global markets and follow what sometimes appears to be a dependent pattern of adaptations driven by Western developed economies, the paper argues that there is also a significant amount of resistance. As Southeast Asian countries adapt in ways that help embed economic globalisation within their national landscape, the manner in which the adaptation occurs is more selective, open, and democratic than before. Moreover, while global communication with core (centre) university systems has been more open and transparent, the system is closed to direct intervention from the outside, making hegemony a less plausible explanation for the manner in which the system is reacting within the new global environment of financial interdependency.

A comprehensive case study of Mumbai (Bombay), India was undertaken to investigate the economic, social and environmental impact of international trade of waste paper for recycling purposes between industrialized and developing countries. Analysis of a Western approach vis-a-vis informal policy for waste paper recovery concludes that employment is maximum under informal policy measure and public response playsan important role in maintaining environmental quality. The study further shows that income inequality is more under informal policy, andwithout policy public cost will increase continuously in the future.The net present value of the informal policy is found to be higher than that for the formal policy. Econometric study on input substitution in the Indian paper industry suggests limited substitution possibilities between domestic and imported waste paper. Results from a static material balance flow model indicate that environmental impacts are less with increased trade and economically the paper sector in India benefits from free trade. Based upon the results of the study, somepolicy recommendations have been made that may enhance the efficiency of waste paper recycling in India. [ABSTRACT FROM AUTHOR]

Over the last two decades, education privatization has become a widespread phenomenon, affecting most education systems and giving place to a consistent increase in private school enrolment globally. However, far from being a monolithic phenomenon, privatization advances through a variety of context-sensitive policy processes that translate into multiple policy outcomes. This paper aims at understanding why and how education privatization unfolds in a broad variety of settings and, to this purpose, examines the different manifestations of education privatization on the light of Cultural Political Economy (CPE). The conceptual and analytical tools provided by CPE prove to be particularly well suited to explore such a multi-faceted and multi-scalar phenomenon. CPE has helped us to capture the intersect and tension between different drivers (global and local, material and ideational) of education privatization through the evolutionary mechanisms of variation, selection and retention. On the basis of a systematic literature review methodology, encompassing 227 research papers, the article identifies and systematizes six different paths towards education privatization--understood as groups of frequently associated circumstances, mechanisms and courses of action leading to privatization. Conceived as ideal types, these different paths ultimately allow for a richer understanding of education privatization and show that the international diffusion of education privatization norms and discourses is far from producing policy convergence at a global scale.

The introduction conveys some data on learning in India and on designing Geography textbooks in this country. The present paper is reliant on four Geography textbooks, ranging from the 9th to the 12th grade. As regards each textbook, the study considers their learning units, then analyses their structure, the unitary way of designing them, the components of the panels of authors, the texts, illustrative materials, drills, learning activities, language, the wealth of Geography lexis, and the glossary.

This paper seeks to examine the relationship between competitivenessand environment-friendly behaviour of producers under an economic liberalisation regime. For that purpose, it employs a probit model and estimates the influence of the prime movers of industrial growth suchas technical change and economies of scale on environmental degradation. The empirical results of the study of pulp and paper industry, identified as one of the most polluting industries in India, indicate that these variables, as the key players of competitiveness improvement, have positive influence on environment-friendly behaviour. Such findings, therefore, fail to provide support to a view that articulates ruthless exploitation of the environment under economic liberalisation programme. [ABSTRACT FROM AUTHOR]

Major demographic changes around the world. Disproportionate sovereign debt. A shift from North America, Western Europe, and Japan to emerging economies as centers of growth. Unprecedented levels of market risk and volatility. The structure of the global economy is undergoing significant changes. Michael Oyster, managing principal of Fund Evaluation Group, explored this topic with Sam DeRosa-Farag, principal of the investment team at Morgan Creek Capital Management, and Stephen Wood, chief market strategist at Russell Investments.

The paper argues that access to public infrastructure plays a crucial role on the presence of private schools in a community, as it could not only minimise the cost of production, but also ensure a high return to private investment. Results using community, school and child/household-level PROBE survey data from five north Indian states provide some support to this central hypothesis: even after controlling for all other factors, access to village infrastructural facilities is associated with a higher likelihood of having a private school in the community. This is also corroborated by an analysis of household demand for private schools. The paper concludes by examining the effect of private school presence on year 5 pass rates: while all-school pass rates are significantly higher in villages with a private school, private school presence fails to have significant effect on local state school pass rates.

Only a few studies have assessed the economic outcomes of palliative care in India. The major areas of interest include hospice care, the process and structure of care, symptom management, and palliative chemotherapy compared to best supportive care. At present, there is no definite health-care system followed in India. Medical bankruptcy is common. In situations where patients bear most of the costs, medical decision-making might have significant implications on economics of health care. Game theory might help in deciphering the underlying complexities of decision-making when considered as a two person nonzero sum game. Overall, interdisciplinary communication and cooperation between health economists and palliative care team seem necessary. This will lead to enhanced understanding of the challenges faced by each other and hopefully help develop ways to create meaningful, accurate, and reliable health economic data. These results can then be used as powerful advocacy tools to convince governments to allocate more funds for the cause of palliative care. Eventually, this will save overall costs and avoid unnecessary health-care spending. [ABSTRACT FROM AUTHOR]

The prevalence of poverty has bothered Indian economists, policymakers, and politicians alike. The rapid economic growth was unable to trickle down to the poorest which has led to the persistence of poverty both in urban and rural India even after 75 years of independence. Keeping this in view this paper has tried to examine the regional variations in the spatial pattern of incidence of urban poverty in India across 17 major states using data from the 28th and 68th NSS rounds. It also attempts to isolate the key determinants responsible for these variations. The objective of this paper is twofold; one is to bring out changes in the pattern of regional variations in urban poverty across 17 major states of India from 1973 to 74 to 2011–12 and the second is to identify the determinants responsible for these variations. The selection of regional units is based on the availability of comparable data as well as on theoretical considerations. For this study, therefore, we have considered each state as a single regional unit as they are home to largely homogeneous populations with common history and language, topography, institutions, and laws and at the same time each state is different from the other on account of unique factors. Therefore, interstate variations in this paper imply regional variations across 17 major Indian states. The results obtained through an instrumental variable estimation suggest that this effect is causal and is largely attributable to the positive spillovers of urbanization on the rural economy rather than to the movement of the rural poor to urban areas. Concerning the growth process, both urban–rural and sectoral (output) growth poverty relationships are suggestive of stronger intersectoral linkages in the economy, whereby growth in one sector transmits its gains elsewhere. [ABSTRACT FROM AUTHOR]

Presents information related to several abstracts on economics published in the February 1962 issue of the journal 'Oxford Economic Papers.' Examination of India's third five year plan; Marginal rate of saving in the Indian economy; Indian balance of payments policy and exchange auctions.

Purpose: The paper demonstrates prejudicial effects of the rising private participation and the lacuna of state in ensuring the accessibility and affordability of healthcare. Design/methodology/approach: Secondary data analysis from national and international databases is employed to demonstrate the low government spending and the alternate healthcare financing mechanisms in the country. The company reports of six Indian pharma companies are examined to map the profits and revenues, and also taking into account the sales growth and return on investment. Findings: The paper observes the pharmaceutical sector, via its spiralling drug prices, is the primary contributor to the huge out-of-pocket expenses borne by households. The study findings indicate that there is an increased divergence between the out-of-pocket expenses of households and exorbitant profits of the private drug companies in the country over the years. Research limitations/implications: Amidst debates on the importance of public health in the aftermath of the pandemic, the paper examines the rising hands of private sector in healthcare, and implores – who benefits? The authors study the implications via looking into the rise in the wealth of pharma giants; at the time of crisis when the lives of common citizens in the country were at stake. Originality/value: The paper emphasises the repercussions of the higher markup of the pharma industry in raising the healthcare costs of households. The authors emphasise that the nonregulation of the pharma sector leads to high medical debts/poverty, in the wake of growing out-of-pocket expenditures of the citizens. [ABSTRACT FROM AUTHOR]

Educational access in developing countries has improved significantly in recent years, but less evidence is available on learning and learning progress in comparative perspective. This paper employs data from Young Lives to examine levels and trends in cognitive skill development and the links to enrolment in school across the four study countries for pupils aged five to 15. Non-continuous patterns of enrolment are linked to lower learning levels in all countries, as are key indicators of home background disadvantage. Large differences in learning and learning progress are also found between the four countries' education sytems, with "learning gains" being typically highest in Vietnam and much lower in India (Andhra Pradesh) and Ethiopia. Inequalities linked to prior learning and home backgrounds are wide in Peru, while in Ethiopia and India relatively low levels of learning progress are a more general concern. In Ethiopia, both enrolment and quality improvements remain priorities for policy, while in India high levels of primary school enrolment, at younger ages than in the other study countries, suggest that comprehensive quality improvements may be required, nonetheless with a focus on disadvantaged pupils and those with low attainment in the early years.

In this paper, using the "2005-2006 National Family Health Survey" dataset from India, we study the likelihood of a school-age child working, combining work with schooling or being idle, rather than attending school full time. Our analysis finds that with the inclusion of household chores in the child labour definition, boys are significantly more likely than girls to be full-time students and significantly less likely to be working, being idle or combining school and work. There are also significant regional differences, with children from the north-eastern states significantly more likely to be in the idle category rather than in school. The likelihood of being in the idle category is also significantly higher for older children, children with pre-school age siblings, urban children, Muslims and children from Scheduled Tribes. Finally, parental education, household wealth and land ownership are significantly and negatively correlated with the likelihood that the child is working, but land ownership does increase the risk of a child combining work and schooling.

The study has reviewed the prior literature on tax reforms and GST to synthesize the research findings and to direct the future research avenues. Literature on tax reforms has attained momentum in developing countries for the last two decades and in India when it had decided to implement GST from 2017-18. Adopting the Systematic Literature Review technique by accessing the academic e-journals of selective publishers and applying a filtering process, the study has reviewed 119 sample papers published during 2002-2016 by focusing on objectives and results of those cited papers. Results have documented the tax reforms that have been executed globally with multiple objectives; it has admitted with few limitations, practice implications have pointed out and sketched the roadmap for posterior studies especially in the transition period in India when it would shortly move to GST regime. [ABSTRACT FROM AUTHOR]

"This paper examines the growth experience of 20 states of India during 1961-91, using cross-sectional estimation and the analytical framework of the Solow-Swan neoclassical growth model. We find evidence of absolute convergence--initially poor states grew faster than their initially rich counterparts. Also, the dispersion of real per capita state incomes widened over the period 1961-91. However, relatively more grants were transferred from the central government to the poor states than to their rich counterparts. Significant barriers to population flows also exist, as net migration from poor to rich states responded only weakly to cross-state income differentials.", (excerpt)

This paper reviews the ongoing failure of hybrid transgenic Bt (Bacillus thuringiensis) cotton unique to India. The underlying cause for this failure is the high cost of hybrid seed that imposes a suboptimal long-season low plant density system that limits yield potential and has associated elevated levels of late-season pests. Indian hybrid Bt cotton production is further complicated by the development of resistance to Bt toxins in the key pest, the native pink bollworm (Pectinophora gossypiella Saunders, PBW), resulting in increased insecticide use that induces ecological disruption and outbreaks of highly destructive secondary pests. Rainfed cotton production uncertainty is further exacerbated by the variable monsoon rains. While hybrid cotton produces fertile seed, the resulting plant phenotypes are highly variable preventing farmers from replanting saved seed, forcing them to buy seed yearly (i.e., market capture), and effectively protecting industry Intellectual Property Rights (IPRs). The lessons gained from the ongoing market failure of hybrid Bt cotton in India are of utmost importance to its proposed introduction to Africa where, similar to India, cotton is grown mainly in poor rainfed smallholder family farms, and hence similar private–corporate conflicts of interest will occur. Holistic field agroecological studies and weather-driven mechanistic analyses are suggested to help foresee ecological and economic challenges in cotton production in Africa. High-density short-season (HD-SS) non-hybrid non-genetically modified irrigated and rainfed cottons are viable alternatives for India that can potentially produce double the yields of the current low-density hybrid system. [ABSTRACT FROM AUTHOR]

This paper estimates the distribution of educational returns by gender for India. While previous studies focus on mean returns, the variance of educational returns has important implications for policy-making and micro-level decision making with respect to education. If the variance of educational returns is large, it can leave large sections of the population with negative returns; if the variance of educational returns is gender specific, it can influence households' decisions to educate girls versus boys. Our econometric results provide evidence that India's labor markets are characterized by significant uncertainty and that the uncertainty is systematically larger for women. (Contains 3 tables and 4 figures.)

Although it is well known that vaccines against many infectious diseases confer positive economic externalities via indirect protection, analysts have typically ignored possible herd protection effects in policy analyses of vaccination programs. Despite a growing literature on the economic theory of vaccine externalities and several innovative mathematical modeling approaches, there have been almost no empirical applications. The first objective of the paper is to develop a transparent, accessible economic framework for assessing the private and social economic benefits of vaccination. We also describe how stated preference studies (for example, contingent valuation and choice modeling) can be useful sources of economic data for this analytic framework. We demonstrate socially optimal policies using a graphical approach, starting with a standard textbook depiction of Pigouvian subsidies applied to herd protection from vaccination programs. We also describe nonstandard depictions that highlight some counterintuitive implications of herd protection that we feel are not commonly understood in the applied policy literature. We illustrate the approach using economic and epidemiological data from two neighborhoods in Kolkata, India. We use recently published epidemiological data on the indirect effects of cholera vaccination in Matlab, Bangladesh (Ali et al., 2005) for fitting a simple mathematical model of how protection changes with vaccine coverage. We use new data on costs and private demand for cholera vaccines in Kolkata, India, and approximate the optimal Pigouvian subsidy. We find that if the optimal subsidy is unknown, selling vaccines at full marginal cost may, under some circumstances, be a preferable second-best option to providing them for free. (Contains 14 footnotes, 2 tables, and 8 figures.)

Purpose: Market efficiency leads to transparent and fair price discovery of commodity markets, thus enhancing the value chain for competitive benefit. The purpose of this paper is to investigate the market efficiency of Indian agricultural commodities at spot, futures and mandi markets apart from exploring price risk management in these markets. Design/methodology/approach: This study uses Johansen co-integration, vector error correction model and granger causality for analyzing market efficiency of the nine most liquid agricultural commodities across three markets, namely, spot, futures and mandi. All these nine commodities are traded on National Commodity and Derivatives Exchange. Findings: The statistical results indicate price discovery exists in the mandi market and spot market leading to futures prices. Mandi price returns are seen to negatively influence futures returns in the case of cotton seed, guar seed and spot returns in the case of jeera, coriander and chana. For castor seed, the three markets are seen to have no long run relationship. The results of Granger causality reveal short run relationship between all the three markets in the case of soybean seed and coriander. In these commodities, prices in all three markets are capable of predicting the prices in the other markets. For the case of cottonseed, Rape Mustard seed, jeera, guar seed, the results indicate unidirectional causality between the mandi markets and the other two markets. Research limitations/implications: These results shall facilitate policymakers to explore intervention through integrated agri-platform (IAP) in price discovery and market efficiency. Practical implications: The results of this study are useful in understanding the price discovery of mandi markets and its role in the spot and futures market. Agricultural commodities price discovery depends upon the integration of all these three markets. Introduction of IAP as described in the paper shall facilitate price risk management apart from improving the efficiency of price discovery. Originality/value: To the best of the knowledge, this is the first study considering mandi, spot and futures prices in the price discovery process in India. In addition, this study found the role of mandi markets in serving the economic function of price discovery and price risk management. Hence, suggests for policy intervention for Indian agricultural commodities to manage price risk. [ABSTRACT FROM AUTHOR]

The proportion of women in paid employment in India is very low, and working women tend to be concentrated in low-wage, low-status, unskilled jobs, especially in agriculture. Even for the few women working in the modern sector, discrimination is pervasive, and change seems unlikely to occur soon. (IS)

On-demand work applications (ODWAs), a type of digital platforms (DPs), are technology-enabled intermediaries for gig workers. In this paper, we study these platforms and their impact on women belonging to the low socio-economic section in a developing economy. These women act as primary unpaid workers while being expected to make an economic contribution. Hence, they suffer from time scarcity where they need to find mechanisms to generate economic success from the limited time they have, in a largely informal economy. We employed the theoretical lens of affordances to delineate the affordances that are provided by the various features of ODWAs and their impact on life satisfaction of women. We conducted a mixed method study using interviews of 20 female gig workers, supplemented by a survey of 927 workers on one of the largest ODWAs in India. Our analysis points to the sense of identity and individuality that these platforms provide as well as lowering the market boundaries for greater inclusion. Our research is significant from both, the information systems and inclusion research perspectives, as it contributes to the theoretical understanding of the impact of DPs on breaking societal structures and providing avenues to marginalised sections. [ABSTRACT FROM AUTHOR]

Head and neck cancer is a significant public health concern in India and globally, with substantial social and economic consequences for affected individuals and their families. The study aimed to assess the socioeconomic impact of head and neck cancer. This paper presents the results of a questionnaire-based study involving 178 head and neck cancer patients who were evaluated at least two years post-completion of their treatment. The questionnaire data collected data on various factors, including site of cancer, treatment modality, speech and diet impairment, changes in earning capacity, occupation, and salary. This was collected from all patients visiting our tertiary cancer care center outpatient department in Ahmedabad, India, between January 2023 and August 2023. The findings highlight the diverse and profound socioeconomic consequences of head and neck cancer. The findings emphasize the need for comprehensive support systems for affected individuals and their families. [ABSTRACT FROM AUTHOR]

This paper examines the consequences of the hugely successful expansion of South-South Cooperation since the new millennium. For all the achievements, variations and change over the 1950s-late 1990s, 'SSC 1.0' was characterised by relative neglect within the 'international' development community, and by many orthodox and critical scholars. In the chronological schema of the paper, 'SSC 2.0' refers to the period of remarkable expansion from the early 2000s to the present. The emergence of 'SSC 3.0', I suggest, is currently revealed by a discernible set of shifts driven in large part by the expansionary successes of SSC 2.0, as well as other turns in the global political economy. Three contemporary trends are identified: cooperation narratives that are increasingly 'muscular', nationalistic and pragmatic; difficulties sustaining claims to 'non-interference' in partner countries; and the further erosion of ideational and operational distinctiveness. [ABSTRACT FROM AUTHOR]

The Indian pharmaceutical industry is one of the leading industries in the world which captures a significant global market share and that attracts many investors to invest in this industry. MNCs have entered into the Indian pharmaceutical market and invest a lot of money in research and development to capture the lucrative profits. This paper attempts to examine the degree of competitiveness among the firms in Indian pharmaceutical industry and examine the persistent impact of Research and Development of the competitive pharmaceutical firms. This paper also examines the impact of market structure and market performance on Research and Development in the Indian pharmaceutical industry. The industry is highly competitive and highly competitive pharmaceutical firms have been investing more on R&D persistently. There is an increasing trend of R&D investment over the time period by the pharmaceutical firms due to significant market structure and performance of the past period. [ABSTRACT FROM AUTHOR]

There are many research papers on customer satisfaction on banking industry in India. This paper tries to find views of bank customers of Mancherial town after increase of service charges of PSU Banks w.e.f.01-04-2017. Primary data collected from 100 bank customers of different banks are used for this purpose. Data was analyzed using computers and statistical tools. The sample size is taken by random sampling method. Objectives of this research study to find out impact on banks after increase of service charges and also to know satisfaction level of customers after increase of service charges. Findings of the study are customer expressed dissatisfaction over increase of service charges. They particularly dissatisfied with charges on cash deposits and ATM withdrawal after permissible limits. 56% of respondents believe that use of Debit and Credit cards is best method to face increased charges. [ABSTRACT FROM AUTHOR]

This paper studies the relationship between land revenue systems and returns to agricultural labour in colonial India. I provide the first district‐level comparative estimates of agricultural labour returns relative to average income, on the basis of wage/income ratios for 1916. I then use those estimates to analyse the impact of the land revenue systems established by the British colonial authorities. Results show that districts with a larger proportion of non‐landlord land revenue systems presented higher relative wages, closer to the average income. This effect was mainly driven by differences in land concentration connected to the type of landownership introduced by land revenue systems. [ABSTRACT FROM AUTHOR]

The 18,000 square kilometers of water reservoirs in India can generate 280 GW of solar power through floating solar photovoltaic plants. The cumulative installed capacity of FSPV is 0.0027 GW, and the country plans to add 10 GW of FSPV to the 227 GW renewable energy target of 2022. The FSPV addition is small related to the entire market for solar energy, but each contribution is appreciated in the renewable energy market. FSPV could be a viable alternative for speeding up solar power deployment in the country and meeting its NDC targets. So far, the country has achieved the world's lowest investment cost for a floating solar installation. Despite the lower costs, generalizations are still premature because FSPV is still in its initial stages of market entry. Continuous innovation and timely adoption of innovative ideas and technology will support India in meeting its solar energy goals and progressing toward a more sustainable future. Governments must establish clear and enforceable policies to assist developers in reducing risks and increasing investor confidence in the sector. Economic and financial feasibility are examined, and various difficulties in technology, design, finances, environment, maintenance, and occupational health that impact the FSPV deployment are discussed. Based on the research, effective and comprehensive FSPV policy suggestions are included to support establishing an appropriate market, fostering competition and innovation, and attracting large-scale investment. This paper aims to stimulate interest among various policy developers, energy suppliers, industrial designers, ergonomists, project developers, manufacturers, health and safety professionals, executing agencies, training entities, and investment institutions of the FSPV plant to implement effective governance planning and help them to participate in their ways to assure sustainable growth. [ABSTRACT FROM AUTHOR]

Purpose The purpose of this paper is to study the effectiveness of insider trading enforcement actions in India and international dimensions.Design/methodology/approach The research is based on the insider trading regulations and amendments made during the period 1992-2015.Findings The notable observation of the study is the dearth of insider trading conviction and the paucity of prosecution for insider trading offences in India. It is difficult to resist the conclusion that surveillance and enforcement matter more than the drafting of the relevant statutes and regulations in emerging markets. Whereas, developed countries have a better record of prosecution than emerging markets.Research limitations/implications Future research may explore the factors that hinder effective regulation and recommend new methods to increase the impact of Securities and Exchange Board of India insider trading regulation.Originality/value The current paper presents guidance for the foreign institutional investors, regulators and market participants on insider trading regulation and prosecution in India. [ABSTRACT FROM AUTHOR]

Health management information systems (HMIS) produce large amounts of data about health service provision and population health, and provide opportunities for data-based decision-making in decentralized health systems. Yet the data are little-used locally. A well-defined approach to district-level decision-making using health data would help better meet the needs of the local population. In this second of four papers on district decision-making for health in low-income settings, our aim was to explore ways in which district administrators and health managers in low- and lower-middle-income countries use health data to make decisions, to describe the decision-making tools they used and identify challenges encountered when using these tools. A systematic literature review, following PRISMA guidelines, was undertaken. Experts were consulted about key sources of information. A search strategy was developed for 14 online databases of peer reviewed and grey literature. The resources were screened independently by two reviewers using pre-defined inclusion criteria. The 14 papers included were assessed for the quality of reported evidence and a descriptive evidence synthesis of the review findings was undertaken. We found 12 examples of tools to assist district-level decision-making, all of which included two key stages-identification of priorities, and development of an action plan to address them. Of those tools with more steps, four included steps to review or monitor the action plan agreed, suggesting the use of HMIS data. In eight papers HMIS data were used for prioritization. Challenges to decision-making processes fell into three main categories: the availability and quality of health and health facility data; human dynamics and financial constraints. Our findings suggest that evidence is available about a limited range of processes that include the use of data for decision-making at district level. Standardization and pre-testing in diverse settings would increase the potential that these tools could be used more widely. [ABSTRACT FROM AUTHOR]