Search

El Salvador’s development over the past decade has been dichotomous. On the one hand, economic growth has remained persistently low, employment and labor force participation have barely increased, and progress on poverty reduction has slowed. On the other hand, inequality has fallen, and shared prosperity improved together with advances in many social indicators, such as pre-primary enrollment rates, access to prenatal care, immunizations, and water and sanitation. The increase in the use of social spending, which now accounts for 12.4 percent of GDP, together with an improvement in the quality of social spending, explain at least part of this dichotomy of redistributive and social gains despite low growth, a tight fiscal situation and generally low government revenues and spending. Looking forward, the key challenges El Salvador faces are related to continuing improving the quality and efficiency in the social sectors, while maintaining the overall level of social spending within an increasingly constrained fiscal environment, where fiscal constraints, low revenues, and the need to cut the deficit by 3 percent of GDP are significant elements, as well. Priority will have to be given to reallocations and improvements within the spending envelope for the social sectors to maximize impact. This document analyzes social spending for El Salvador for the education, health and social protection and labor sectors in depth and explores a series of policy options for El Salvador to reallocate social spending for more effective impacts, to enhance and reform social policies and social service delivery, and to improve the management of public spending and budget execution in the social sectors.

Honduras has experienced moderate economic growth in the past decade, in line with the rest of the region. Despite this growth track record, limited opportunities for decent jobs for the majority of workers have resulted in stagnant poverty and inequality rates that are still the highest in Central America (CA). In parallel, progress in human development indicators has also been mixed in the last decade. In education, while primary enrollment has significantly increased, low coverage at all other levels of education, inequalities in access and low quality persist. In health, Honduras is close to achieving the 2015 child mortality Millennium Development Goals (MDGs), but maternal mortality, noncommunicable diseases (NCDs), and violence pose additional challenges. And despite advances in setting up a social protection system, fiscal sustainability and lack of coordination among interventions prevail, undermining poverty reduction efforts. The ability of the Honduras government to expand safety nets, to increase the access and quality of public education and health services, to engage in active labor market policies, and to improve human development indicators in general, remains limited for a number of reasons. First, overall real social public spending has been on the decline in the last few years. Second, low revenues and fiscal deterioration pose challenges to adequately financing needed social sector improvements. Third, challenges in budget formulation and execution (mainly due to institutional factors) also diminish the impact of social spending. But more importantly, Honduras needs to significantly improve the effectiveness and efficiency of its social spending. This note argues that moving forward Honduras should prioritize three main aspects: a) to rationalize and increase the effectiveness of social public spending by enhancing the pro-poor features of targeting mechanisms; b) to significantly redress the imbalance between recurrent spending, especially the wage bill, and capital expenditure; and c) to continue strengthening information systems tools, legislation, and institutions in an effort to consolidate programs into fewer and higher impact interventions. Sector-specific challenges aligned with these broad objectives are addressed below.

This paper lays out a roadmap to achieve social justice in healthcare by prioritizing areas related to service delivery, financial protection, and quality of care. The aim is to assist the Government of Egypt (GoE) in realizing the principle of social justice in the provision of healthcare. In doing so, the roadmap aims to prioritize key areas of focus for Egypt, including describing which existing programs to continue supporting and which new programs to consider for development, all under an integrated and interdependent structure. It is a focused assessment of how the overarching aim of social justice can be achieved in the healthcare sector through an emphasis on improving services for the most disadvantaged groups. This roadmap suggests recommendations that will result in incremental improvements in Egypt’s healthcare system in the short to medium term with a focus on disadvantaged groups. Achievement of these results should situate Egypt on the path to achieving social justice in healthcare in the long term.

Honduras has experienced moderate economic growth in the past decade, in line with the rest of the region. Despite this growth track record, limited opportunities for decent jobs for the majority of workers have resulted in stagnant poverty and inequality rates that are still the highest in Central America (CA). In parallel, progress in human development indicators has also been mixed in the last decade. In education, while primary enrollment has significantly increased, low coverage at all other levels of education, inequalities in access and low quality persist. In health, Honduras is close to achieving the 2015 child mortality Millennium Development Goals (MDGs), but maternal mortality, non-communicable diseases (NCDs), and violence pose additional challenges. And despite advances in setting up a social protection system, fiscal sustainability and lack of coordination among interventions prevail, undermining poverty reduction efforts. The ability of the Honduras government to expand safety nets, to increase the access and quality of public education and health services, to engage in active labor market policies, and to improve human development indicators in general, remains limited for a number of reasons. First, overall real social public spending has been on the decline in the last few years. Second, low revenues and fiscal deterioration pose challenges to adequately financing needed social sector improvements. Third, challenges in budget formulation and execution (mainly due to institutional factors) also diminish the impact of social spending. But more importantly, Honduras needs to significantly improve the effectiveness and efficiency of its social spending. This note argues that moving forward Honduras should prioritize three main aspects: a) to rationalize and increase the effectiveness of social public spending by enhancing the pro-poor features of targeting mechanisms; b) to significantly redress the imbalance between recurrent spending, especially the wage bill, and capital expenditure; and c) to continue strengthening information systems tools, legislation, and institutions in an effort to consolidate programs into fewer and higher impact interventions.

The corporate scorecard is designed to provide a snapshot of the Bank's overall performance, including its business modernization, in the context of development results. It facilitates strategic dialogue between management and the Board on progress made and areas that need attention. With the results measurement system, which was adopted for the 13th replenishment of the International Development Association (IDA13) in 2002, the Bank became the first multilateral development institution to use a framework with quantitative indicators to monitor results and performance. The corporate scorecard expands this approach to the entire World Bank covering both the International Bank for Reconstruction and Development (IBRD) and IDA. The corporate scorecard uses an integrated results and performance framework, which is organized in a four-tier structure that groups indicators along the results chain. Tier one is development context. Tier two is development results supported by the Bank. Whether the Bank is managing its operations and services effectively is shown in tier three. Tier four focuses on whether the Bank is managing skills, capacity, resources, and processes efficiently; and is business modernization on track?

This study on Bangladesh was undertaken to analyze the gender dimensions of climate change and the role of institutions in reducing gender gaps. The study was carried out in 20 sites covering 600 households, from March 2010 to May 2011, using both qualitative and quantitative instruments. This note is organized into five sections. The next section gives an overview of climate change and the gender and institutional context in Bangladesh. The third section presents the key study findings and is divided into three subsections: site- and household-specific vulnerabilities; analysis of gender dimensions of climate change using the household data and four propositions; and description of institutional challenges and gaps in supporting the resilience of women and men. Section four provides examples of adaptation programs in Bangladesh, and section five provides recommendations for enhancing gender-responsive adaptive capacity in Bangladesh.

The primary completion rate for 7 countries-Benin, Burkina Faso, Guinea, Ethiopia, Madagascar, Mozambique, and Niger-more than doubled between 1991 and 2009. Still large differences persist between rich and poor within countries. In some low-income countries, such as Benin, the completion rates for the richest quintile are 95 percent or higher, but completion rates for the poorest quintile are 35 percent or less. And there is a 9 percentage point gap in the completion rates for boys and girls. Many poor people depend on biomass energy from plant materials or animal wastes for cooking and heating. Millions of deaths are caused by air pollution. Many are children in developing countries, who die of acute respiratory infections due to indoor air pollution resulting from burning fuel wood, crop residues, or animal dung. The economies of Sub-Saharan Africa are gradually shifting towards industry and services. Gross Domestic Product (GDP) in Sub-Saharan Africa expanded by 4.7 percent in 2010, up from 1.7 percent in 2009. In the last five years Rwanda, Burkina Faso, Ghana, and Mali, ranked in the top ten of 174 of the world s countries in making their regulatory environment more favorable to business. Middle East and North Africa has made impressive gains in women s health and education outcomes. In 2008 the low-and middle income economies of Middle East and North Africa produced 53 percent more energy compared to their 1990 level, but they consumed 133 percent more energy and energy use per capita increased by 63 percent. Economic growth and rising labor productivity has reduced poverty in South Asia, home to half the world s poor people living below $1.25 a day. Information and communications technology services dominate the service exports of South Asia like no other region. Latin American and the Caribbean is the most efficient energy user in the world, measured by the ratio of GDP to energy use. The rapid emergence of East Asia as the world s export powerhouse was complemented by surging final demand within the region, notably in China. Taxes fund a broad range of social and economic programs, national defense, and other purposes such as redistributing income to the aged and unemployed.

The objective of this study is to identify lessons for improving cookstoves in Bangladesh through an evaluation of existing programs, the international experience on improved stoves, and the lessons from successes in the sanitation sector. Bangladesh's new renewable energy policy endorses creating a better environment for renewable energy technologies and promoting market development for improved cookstoves (Government of Bangladesh 2009). This study supports this policy direction by examining possible strategies to move forward the development of markets for improved stoves in Bangladesh. The study consists of several components: a national review of household energy programs; an evaluation of national sanitation programs; and an examination of improved cookstove programs from around the world, including China, Guatemala, Haiti, Mongolia, Nepal, and Uganda. The study is based on published literature, consultations with organizations throughout Bangladesh, site visits, and structured discussions with beneficiaries and other stakeholders.

This brief summarizes some of the significant constraints women in Middle East and North Africa (MENA) face: limited labor market mobility, a mismatch between skills acquired in school and what is in demand in the labor market, and legal or institutional factors related to cultural norms, all of which inhibit the transition from school to work. The brief identifies various policy options and outlines the World Bank's strategy for supporting governments in achieving gender parity in the region. Rigorous analytical work, experimental policy pilots and lending operations with a strong gender focus all form part of the Bank's strategy towards reducing gender gaps in economic opportunities.

Ghana has done increasingly well in recent years. This report has analyzed these issues in considerable depth, making it a prime reference on Ghana's growth and poverty experience and current policy challenges. The Ghana Country Economic Memorandum (CEM) report presented in these three volumes brings together detailed, relevant analyses of Ghana's growth and the Millennium Development Goals (MDGs), poverty reduction, infrastructure, agriculture, investment climate, export competitiveness, social inclusion and political economy.

After the collapse of the Soviet Union, Armenia, Azerbaijan, and Georgia experienced a sharp decline in economic output, prolonged regional conflicts resulting in great numbers of internally displaced persons (IDPs) and refugees, the deterioration of social protection systems, and devastating natural disasters. These circumstances resulted in a dramatic increase in poverty and a decline in the human development index. Poverty has greatly affected women and introduced numerous obstacles and challenges in the promotion of gender equality and advancement of women's rights. Furthermore, women face new challenges with regard to issues such as human trafficking, rights of IDPs, and peacekeeping initiatives. Regional cooperation is necessary to address these issues. This project set out to assess the capacity of civil society organizations (CSOs) to meet the pressing needs for legal literacy, legal aid, and improved access to justice and legal services for poor women in Armenia, Azerbaijan, and Georgia. The primary objectives were as follows: identify laws and institutions that promote women's rights; identify and disseminate successful initiatives that promote women's legal rights and legal literacy and facilitate their access to legal services; and strengthen collaboration among groups working on gender issues in prioritizing women's legal rights. This report is organized around three key dimensions of gender equality: the status of women as far as human capital development is concerned, their status in terms of access to productive resources, and their status and protection under the law.