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Topic:Health, Nutrition, & Population
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World Bank Group Support to Health Services: Achievements and Challenges

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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

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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)

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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

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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)

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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

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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.

Liberia CLR Review FY13-17

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Liberia is a low-income country with a GNI per capita (Atlas method) of 380 US dollars in 2017. After a period of conflict and instability, Liberia's Gross Domestic Product (GDP) grew at an average annual rate of 6.2 percent during 2003-2013. The ebola virus disease (EVD) crisis of 2014-2016 and a drop in global commodity prices resulted in slower average annual GDP growth of 2.1 percent with per Show MoreLiberia is a low-income country with a GNI per capita (Atlas method) of 380 US dollars in 2017. After a period of conflict and instability, Liberia's Gross Domestic Product (GDP) grew at an average annual rate of 6.2 percent during 2003-2013. The ebola virus disease (EVD) crisis of 2014-2016 and a drop in global commodity prices resulted in slower average annual GDP growth of 2.1 percent with per capita annual GDP growth at -0.4 percent during 2013-2017. As a post conflict country aiming to achieve sustained broad-based growth, Liberia faces several development challenges: large infrastructure gaps, poor education and health indicators, a large youth cohort, lack of economic diversification, and weak public institutions. The World Bank Group's country partnership strategy had three pillars: (i) economic transformation; (ii) human development; and (iii) governance and public sector institutions. In addition, the CPS had two cross-cutting themes of capacity development and gender equality. The CPS focus areas and objectives were well aligned with the government's agenda for transformation with a strong focus on infrastructure. The CLR provided a succinct assessment of the achievement of program objectives. It identified the increases in IDA lending attributable to the EVD outbreak. The CLR review agrees with the CLR lessons: (i) ensure government's strong commitment to the CPF program through close alignment with the country's development plans; (ii) adapt and apply a sound post-conflict and fragile country lens in the design of CPF programs for post conflict countries; (iii) keep an eye on medium-term goals even in the face of a crisis such as EVD; (iv) being selective about cross-cutting themes and including outcomes associated with these themes helps maintain the Government's and Country Team's focus on them throughout implementation. IEG provides the following additional lessons: (i) flexibility of the CPS program enabled the WBG to respond to the EVD crisis in a timely manner; and (ii) trust fund activities need to have a well-articulated strategic focus and explicit selectivity filters to ensure that they contribute to the achievement of CPS objectives.

An Independent Evaluation of the World Bank Group’s Support to Mexico (2008–17)

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An Independent Evaluation of the World Bank Group’s Support to Mexico
This evaluation assesses the development effectiveness of the World Bank Group’s country program in Mexico between 2008 and 2017.This evaluation assesses the development effectiveness of the World Bank Group’s country program in Mexico between 2008 and 2017.

Kyrgyz Republic CLR Review FY14-17

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The Kyrgyz Republic is a lower middle-income country with a GNI per capita of $1,100 in 2016. It is a country with a land-locked and mountainous geography, and rich in mineral and water resources. GDP growth averaged 3.7 percent during the CPS period (2014-17), somewhat below the average during the previous four years (4.0 percent). Gold production and worker remittances have been significant Show MoreThe Kyrgyz Republic is a lower middle-income country with a GNI per capita of $1,100 in 2016. It is a country with a land-locked and mountainous geography, and rich in mineral and water resources. GDP growth averaged 3.7 percent during the CPS period (2014-17), somewhat below the average during the previous four years (4.0 percent). Gold production and worker remittances have been significant drivers of growth, but are subject to volatility and do not lend themselves to sustained growth. Growth helped reduce poverty rates, from the recent peak of 38.0 percent in 2012 to 25.4 percent in 2015. Nevertheless, the country’s Human Development Index improved slightly from 0.656 in 2013 (ranked 125nd among 187 countries) to 0.664 in 2015 (ranked 120th among 188 countries). Inequality (the GINI Index) declined from 28.8 in 2013 to 26.8 in 2016, Policy effectiveness has been undermined by high levels of corruption and frequent changes in Government. Kyrgyz’s rank in Transparency International’s Corruption Perception Index deteriorated from 123rd of 167 in 2015 to 135th of 167 in 2017. During the CPS period, there were five different prime ministers. The World Bank Group’s (WBG) CPS had three pillars (or focus areas): (i) public administration and public service delivery, (ii) business environment and investment climate, and (iii) natural resources and physical infrastructure. The CPS was aligned with the Government’s National Sustainable Development Strategy (NSDS), 2013-2017, specifically with NSDS objectives on public administration, judiciary, social services, financial and private sector development, agribusiness, exports, environmental protection/resource management, energy, transport, and urban development. These objectives were part of the NSDS broad focus on governance, state building, and economic development. WBG’s support was also aligned with a number of specific government programs (e.g., the Governance and Anti-Corruption Plan adopted in 2012).

Romania CLR Review FY14-18

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This review of the World Bank Group’s Completion and Learning Report (CLR) covers the Country Partnership Strategy (CPS) and the Performance and Learning Review (PLR) dated November 3, 2016. The original CPS period (FY14-17) was at the PLR stage extended by one year to cover FY14-18. The CLR and this review cover this extended period. Romania is an upper middle-income country with a GNI per Show MoreThis review of the World Bank Group’s Completion and Learning Report (CLR) covers the Country Partnership Strategy (CPS) and the Performance and Learning Review (PLR) dated November 3, 2016. The original CPS period (FY14-17) was at the PLR stage extended by one year to cover FY14-18. The CLR and this review cover this extended period. Romania is an upper middle-income country with a GNI per capita of $9,480 in 2016 and a population of 19.7 million. Romania’s per capita GDP had grown rapidly up to 2009, reducing poverty, but the global financial crisis of 2008 triggered a severe recession. The IMF Article IV report (May 2017) notes that Romania strengthened its economy considerably after the global financial crisis. Romania registered an average annual GDP growth of 3.9 percent during the review period (2014-2016). Public debt and fiscal and current account imbalances are moderate compared to many emerging markets, but significant challenges remain and the momentum of progress in policies has waned. Income convergence with the EU has slowed and poverty is among the highest in the EU. Romania has a Human Development Index (HDI) of .802 in 2015, placing the country in the very high human development category and ranking 50 (of 188) in HDI in 2015. Its Gini coefficient is 28.3 in 2016 (from around 35 in 2010) and its poverty headcount ratio based on the national poverty line is 25.4 percent (average 2014-2016).