World Bank

About: World Bank is a other organization based out in Washington D.C., District of Columbia, United States. It is known for research contribution in the topics: Population & Poverty. The organization has 7813 authors who have published 21594 publications receiving 1198361 citations. The organization is also known as: World Bank, WB & The World Bank.

To retain or remove user fees?: reflections on the current debate in low- and middle-income countries.

Abstract: Many low- and middle-income countries continue to search for better ways of financing their health systems. Common to many of these systems are problems of inadequate resource mobilisation, as well as inefficient and inequitable use of existing resources. The poor and other vulnerable groups who need healthcare the most are also the most affected by these shortcomings. In particular, these groups have a high reliance on user fees and other out-of-pocket expenditures on health which are both impoverishing and provide a financial barrier to care. It is within this context, and in light of recent policy initiatives on user fee removal, that a debate on the role of user fees in health financing systems has recently returned. This paper provides some reflections on the recent user fees debate, drawing from the evidence presented and subsequent discussions at a recent UNICEF consultation on user fees in the health sector, and relates the debate to the wider issue of access to adequate healthcare. It is argued that, from the wealth of evidence on user fees and other health system reforms, a broad consensus is emerging. First, user fees are an important barrier to accessing health services, especially for poor people. They also negatively impact on adherence to long-term expensive treatments. However, this is offset to some extent by potentially positive impacts on quality. Secondly, user fees are not the only barrier that the poor face. As well as other cost barriers, a number of quality, information and cultural barriers must also be overcome before the poor can access adequate health services. Thirdly, initial evidence on fee abolition in Uganda suggests that this policy has improved access to outpatient services for the poor. For this to be sustainable and effective in reaching the poor, fee removal needs to be part of a broader package of reforms that includes increased budgets to offset lost fee revenue (as was the case in Uganda). Fourthly, implementation matters: if fees are to be abolished, this needs clear communication with a broad stakeholder buy-in, careful monitoring to ensure that official fees are not replaced by informal fees, and appropriate management of the alternative financing mechanisms that are replacing user fees. Fifthly, context is crucial. For instance, immediate fee removal in Cambodia would be inappropriate, given that fees replaced irregular and often high informal fees. In this context, equity funds and eventual expansion of health insurance are perhaps more viable policy options. Conversely, in countries where user fees have had significant adverse effects on access and generated only limited benefits, fee abolition is probably a more attractive policy option. Removing user fees has the potential to improve access to health services, especially for the poor, but it is not appropriate in all contexts. Analysis should move on from broad evaluations of user fees towards exploring how best to dismantle the multiple barriers to access in specific contexts.

Deep root function in soil water dynamics in cerrado savannas of central Brazil

Abstract: Summary 1Water is a key resource in tropical savannas. Changes in vegetation structure due to land-use change and increased fire frequency may affect the availability of water and the flux of water through these ecosystems. 2We compared the seasonal soil moisture dynamics of two adjacent savanna ecosystems with contrasting tree densities in central Brazil. Our goal was to investigate the influence of tree density on deep water uptake, soil water dynamics and evapotranspiration. 3Soil water was measured using a depth of 7·5 m beneath the tree-dominated cerrado denso ecosystem and to 4 m beneath the grass-dominated campo sujo ecosystem. Plant-available water (PAW) throughout the cerrado denso soil profile ranged from 293 mm at the end of the dry season to 689 mm during the wet season. In the grass-dominated site, PAW in the profile ranged from 155 to 362 mm. 4During the dry season, ≈82% of the water used in cerrado denso and 67% in campo sujo was extracted from the profile below 1 m. The tree-dominated cerrado denso used 137 mm more water than the grass-dominated campo sujo. Significant deep soil water uptake was also observed during the wet season of 1998, when rainfall was below average. 5Evapotranspiration (ET) rates (estimated as change in soil moisture over time) were higher in cerrado denso than in campo sujo during both seasons. Estimated ET ranged from 1·4 mm day−1 during the dry season to 5·8 mm day−1 for the wet season in cerrado denso, and from 0·9 mm day−1 in the dry season to 4·5 mm day−1 in early wet season in campo sujo. The differences in PAW and ET rates between the two ecosystems are associated not only with differences in root distribution, but also with differences in tree densities and the phenology of full-leaf canopies. 6Our results suggest that deep-rooted plants may contribute significantly to the water balance of cerrado ecosystems, and that the hydrological cycle of this biome could change as woody vegetation is replaced by exotic grasses and agricultural crops.

The Determinants and Impact of Property Rights: Land Titles on the Brazilian Frontier

Abstract: This paper provides new empirical results regarding the demand and supply of title, its impact on land value, and its effects on agricultural investment on Brazilian frontiers. We use survey data from 1992 and 1993 from the state of Par with data on the characteristics of the settlers, land tenure, land agencies involved, land values, and investment. We then turn to census data from the Brazilian agricultural census from 1940 through 1985, with observations at the municipio (county) level to examine the development of property rights to land in the southern state of Paran during the agricultural boom between 1940 and 1970 and in the Amazon state of Par during the period of rapid migration to the region after 1970. By examining frontiers we can follow the rise in land values, the increase in the demand for title, and the response of government. The empirical findings support the predictions of the theory regarding the effects of title and investment on land value, the role of expected change in value on demand for title, and the contribution of title in promoting investment. Governments, however, have not exactly followed the predictions of the analytical framework in supplying title. Political and bureaucratic factors play an important role in the government response to demands for title. This result suggests that researchers must pay special attention to the complex political process by which property rights are assigned in studying the emergence of tenure institutions.

Exports and manufacturing productivity in East Asia A comparative analysis with firm - level data

Abstract: Driemeier, May Hallward; Iarossi, Giuseppe; Sololoff, Kenneth LFebruary, 2005Exports and manufacturing productivity in East Asia,Reports,Washinton,DCThe World Bank,36