Search

Topic:Health, Nutrition, & Population
Displaying 1 - 10 of 192

How incentive payments support Universal Health Coverage, in theory and in practice

Web Resource
How incentive payments support Universal Health Coverage
What IEG found evaluating the World Bank Group's portfolio of PBF programs.What IEG found evaluating the World Bank Group's portfolio of PBF programs.

Vietnam: Education Projects - School Readiness and Escuela Nueva

PDF file
The government and people of Vietnam place a high value on education. The government’s Socio-Economic Development Strategy 2010–20 and the Socio-Economic Development Plan 2016–20 emphasize the importance of investment in human capital to develop people’s skills in support of a knowledge-based economy. This assessment covers two projects: Vietnam School Readiness and Promotion Project, and the Show MoreThe government and people of Vietnam place a high value on education. The government’s Socio-Economic Development Strategy 2010–20 and the Socio-Economic Development Plan 2016–20 emphasize the importance of investment in human capital to develop people’s skills in support of a knowledge-based economy. This assessment covers two projects: Vietnam School Readiness and Promotion Project, and the Global Partnership for Education-Vietnam Escuela Nueva Project. Objectives for these projects are: (i) to raise school readiness for five-year old children, in particular for those most vulnerable to not succeeding in a school environment, through supporting selected elements of Vietnam’s Early Childhood Education (ECE) program, and (ii) to introduce and use new teaching and learning practices in the classroom targeting the most disadvantaged groups of primary students. Ratings for the Vietnam School Readiness and Promotion Project are as follows: Outcome was satisfactory, Bank performance was satisfactory, Quality of M&E was substantial, and Risk to development outcome was low. Ratings for the Global Partnership for Education – Vietnam Escuela Nueva Project are as follows: Outcome was satisfactory, Risk to development outcome was modest, Bank performance was satisfactory, and Borrower performance was satisfactory. IEG identified the following lessons from its evaluation of the two operations: (i) In addition to lending, the World Bank can add value through the transmission of knowledge from experiences and lessons that help shape reforms. (ii) When significant pedagogical changes are required of teachers, incentives, support, and long-term commitment are needed (probably more than education systems realize). (iii) When scaling up or adopting a systemwide approach, it is important to understand and design this approach in accordance with the decentralized context and challenges faced at the various levels of administration. (iv) Targeting disadvantaged areas does not translate into targeted efforts for specific vulnerable groups. (v) When scaling up, the importance of consultation and communication cannot be underestimated.

Croatia CLR Review FY14-17

PDF file
This review of the Croatia's Completion and Learning Review (CLR) of the World Bank Group's (WBG) Country Partnership Strategy (CPS) covers the CPS period, FY14-FY17, and the Performance and Learning Review (PLR) of 2016.The World Bank Group program had three focus areas: (i) promoting fiscal consolidation, (ii) improving competitiveness to spur growth, and (iii) maximizing the benefits of EU Show MoreThis review of the Croatia's Completion and Learning Review (CLR) of the World Bank Group's (WBG) Country Partnership Strategy (CPS) covers the CPS period, FY14-FY17, and the Performance and Learning Review (PLR) of 2016.The World Bank Group program had three focus areas: (i) promoting fiscal consolidation, (ii) improving competitiveness to spur growth, and (iii) maximizing the benefits of EU membership. These were broadly congruent with the government's 2013 Economic Program, which covered fiscal consolidation with a particular focus on pension reform and rationalizing hospitals; growth and competitiveness through a sustainable development strategy based on the knowledge economy; and absorption of EU funds available to Croatia. The CPS addressed key challenges facing the country, including EU accession, and was congruent with the Government's 2013 Economic Program and aligned with the WBG's twin goals. The analytical work undertaken by the World Bank contributed to the 2018 Systematic Country Diagnostic Study (SCD), and addressed fiscal issues as well as issues in the justice system, energy, and smart specialization. Portfolio performance was comparable with the ECA region and the World Bank, but some interventions were affected by changes in government priorities.

Armenia: Achievements and Challenges in Improving Health Care Utilization – A Multiproject Evaluation of the World Bank Support to the Health System Modernization (2004-2016) (PPAR)

PDF file
This is the multiproject Project Performance Assessment Report (PPAR) for the Adaptable Program Loan (APL) Health System Modernization series (comprising a first phase P073974, a second phase P104467, and an additional financing P121728). It evaluates the extent to which the APL series achieved its intended outcomes and offers an opportunity to draw lessons from the long-term engagement of the Show MoreThis is the multiproject Project Performance Assessment Report (PPAR) for the Adaptable Program Loan (APL) Health System Modernization series (comprising a first phase P073974, a second phase P104467, and an additional financing P121728). It evaluates the extent to which the APL series achieved its intended outcomes and offers an opportunity to draw lessons from the long-term engagement of the World Bank in reform of the Armenia health sector aiming to inform and guide future investments in the health sector. The APL series was selected for an indepth field-based assessment due to its potential for learning from long-term engagement of the World Bank in health sector reforms; its clustering nature that allows coverage of multiple lending operation in the same country; and the relatively low coverage of previous IEG project evaluations in the country. Ratings for the Health System Modernization Project I are as follows: Outcome was satisfactory, Risk to development outcome was negligible to low, Bank performance was satisfactory, and Borrower performance was satisfactory. Project II ratings are as follows: Outcome was satisfactory, Risk to development outcome was moderate, Bank performance was satisfactory, and Borrower performance was satisfactory. Lessons from both projects include: (i) An approach that exploits synergies and lessons from other World Bank engagements in the health sector is important for undertaking complex reforms and helping the government stay the course of the reform. (ii) Macro and micro health policies need to be combined in a manner that the unintended consequences of policy changes are not overlooked. (iii) A shortened period between the approval dates of successive phases of an APL can limit the opportunity to incorporate lessons from previous phases into the design of new ones. (iv) In country contexts with strong social and cultural factors affecting uptake of health care services, supply-side and systemwide policy reforms need to be combined with demand-side interventions addressing the health-seeking behavior of patients. (v) While investments in infrastructure are not enough for health system modernization, they can help ensure acceptance of the proposed organizational changes involving strong stakeholders in the hospital sector.

World Bank Group Support to Health Services: Achievements and Challenges

Web Resource
World Bank Group Support to Health Services: Achievements and Challenges
Join us for a discussion about how the Word Bank Group can best support countries in moving towards universal health coverage in partnership with other actors, including the private sector, and in the context of the Human Capital Project.Join us for a discussion about how the Word Bank Group can best support countries in moving towards universal health coverage in partnership with other actors, including the private sector, and in the context of the Human Capital Project.

A critical step in achieving universal health care: Improving public-private interactions to deliver health services

Web Resource
Improving public private interactions to deliver health services
What IEG found when evaluating public-private interaction in the health sector of World Bank Group client countriesWhat IEG found when evaluating public-private interaction in the health sector of World Bank Group client countries

Albania: Secondary and Local Roads Project (PPAR)

PDF file
This Project Performance Assessment Report (PPAR) assesses the development effectiveness of the Secondary and Local Roads Project in Albania approved in 2008. The project development objective was to improve access to essential services and economic markets via the provision of all-weather roads for the resident population in the rural areas of Albania. This would be achieved through Show MoreThis Project Performance Assessment Report (PPAR) assesses the development effectiveness of the Secondary and Local Roads Project in Albania approved in 2008. The project development objective was to improve access to essential services and economic markets via the provision of all-weather roads for the resident population in the rural areas of Albania. This would be achieved through reconstructing selected secondary and local roads; building the competencies of the implementation agency Albanian Development Fund (ADF); building an asset management system for the secondary and local road networks; and improving capacity in the local community for maintenance. Ratings for the Secondary and Local Roads Project are as follows: Outcome was satisfactory, Risk to development outcome as moderate, Bank performance was satisfactory, and Borrower performance was satisfactory. Lessons from the project include: (i) Implementing a successful multidonor programmatic approach to sector development requires the combination of government commitment with credible planning and common rules of engagement. (ii) Concentrating competencies within one agency may frustrate future decentralization of responsibilities. (iii) In the absence of need-based and credible linkages to resource allocation, a road asset management system may not get sufficient traction.

Four things countries can do to support Universal Health Coverage: Insights from a recent evaluation

Web Resource
Four things countries can do to support Universal Health Coverage
How governments and institutions like the World Bank can do more to support progress towards Universal Health Coverage.How governments and institutions like the World Bank can do more to support progress towards Universal Health Coverage.

Uruguay: Noncommunicable Diseases Prevention Project (PPAR)

PDF file
This is a Project Performance Assessment Report (PPAR) by the Independent Evaluation Group (IEG) of the World Bank Group on the Noncommunicable Diseases (NCD) Prevention Project. The project was selected for a PPAR to capture lessons from one of the first exclusively NCD-focused projects supported by the World Bank. Ratings for the Noncommunicable Disease Prevention Project are as follows: Show MoreThis is a Project Performance Assessment Report (PPAR) by the Independent Evaluation Group (IEG) of the World Bank Group on the Noncommunicable Diseases (NCD) Prevention Project. The project was selected for a PPAR to capture lessons from one of the first exclusively NCD-focused projects supported by the World Bank. Ratings for the Noncommunicable Disease Prevention Project are as follows: Outcome was moderately satisfactory, Risk to Development Outcome was substantial, Bank performance was moderately satisfactory, and Borrower performance was moderately satisfactory. Four lessons emerged: i) Preventing NCDs requires a multidimensional approach that goes beyond strengthening the role of MSP and health services. ii) Projects implemented during important reform processes must take into consideration the timing of the reform and adjust project expectations and ambitions accordingly. (iii) Projects with a strong focus on capacity building need to be more realistic about what can be achieved within the project lifetime. (iv) Innovative projects like the PPENT should devote more attention to capture learning from implementation.

World Bank Group Support to Health Services: Achievements and Challenges

PDF file
World Bank Group Support to Health Services: Achievements and Challenges
This evaluation assesses the roles and contributions of the World Bank Group in supporting health services in client countries and provides lessons and recommendations for achieving greater development effectiveness going forward.This evaluation assesses the roles and contributions of the World Bank Group in supporting health services in client countries and provides lessons and recommendations for achieving greater development effectiveness going forward.