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  • Author: Diana Ngo, Sebastian Bauhoff
  • Publication Date: 11-2018
  • Content Type: Working Paper
  • Institution: Center for Global Development
  • Abstract: Rwanda’s performance-based incentives were effective for some indicators, but unconditional financing also induced improvements. The incentive effects persisted in the mediumrun and as the program was scaled-up. Additionally, the analysis demonstrates how observational research methods and secondary data can generate new insights on existing evaluations
  • Topic: International Affairs
  • Political Geography: Global Focus
  • Author: Jeremy Konyndyk
  • Publication Date: 12-2018
  • Content Type: Commentary and Analysis
  • Institution: Center for Global Development
  • Abstract: The Government Reform and Reorganization Plan released earlier this year by the White House calls for substantial reform of US humanitarian institutions. The plan mandates that the State Department and USAID produce a “specific reorganization proposal” to “optimize” humanitarian assistance and “eliminate duplication of efforts and fragmentation of decision-making.” This policy note lays out guidance for how an ambitious but feasible optimization could be achieved. It is informed by two high-level private roundtables convened by the Center for Global Development to solicit expert input, as well as a desk review of documents, expert interviews, and the author’s own experiences serving in the humanitarian arms of both USAID and the State Department. While numerous experts contributed thoughts and feedback, the author takes sole responsibility for the views represented herein.
  • Topic: International Affairs
  • Political Geography: Global Focus
  • Author: Susannah Hares
  • Publication Date: 12-2018
  • Content Type: Commentary and Analysis
  • Institution: Center for Global Development
  • Abstract: It’s tricky to evaluate government education policies. They’re not implemented in NGO-like laboratory conditions, and political motivation and public sector capacity constraints play as much of a role in their success or failure as policy design. Using the examples of three rigorous studies of three different education policies, this note aims to shed some light from the perspective of someone on the policy side on how, why, and when to evaluate government-led reforms. A government education policy is not an abstract theory that can easily be replicated in a different place. In each new context, it is effectively a brand-new programme and needs to be evaluated as that. None of the three examples presented was “new” as a policy: school inspections, school vouchers, and charter schools have all been tried and evaluated elsewhere. But the evaluations of these policies—when implemented in new contexts—illuminated a new set of challenges and lessons and generated a different set of results.
  • Topic: Education, International Affairs
  • Political Geography: Global Focus
  • Author: Nancy Birdsall
  • Publication Date: 12-2018
  • Content Type: Special Report
  • Institution: Center for Global Development
  • Abstract: Does governance matter for the long-run financing of the multilateral development banks? The structure of governance of the legacy MDBs (the World Bank and the four major regional development banks founded in the twentieth century) ideally should minimize any tradeoff between the confidence of creditor shareholding countries, on which an MDB’s own financing depends, and the sense of ownership, legitimacy, and trust of borrowing countries, on which the MDB’s effectiveness in supporting development in those borrowing countries depends. Among the five legacy MDBs, the African Development Bank stands out as the one where the governance arrangements, including the distribution of shares and votes between borrowers and nonborrowers, most favors borrowers. Indicators of the AfDB’s relative financial strength (a measure of creditworthiness based on sovereign members’ vote shares, and a measure of the capacity of each bank’s members to engage in collective action or cooperation in raising financing) indicate that its current governance is likely to make it less competitive than its sister MDBs in sustaining creditor (or “donor”) confidence in its operations over the long run, and thus in raising substantial capital and concessional resources. The governance problem is most obvious in the case of the African Development Bank’s African Development Fund, which today has only about 15 percent of the resources the World Bank has for Africa. The creditors of the AfDB have sufficient control to ensure the Bank’s financial soundness (and AAA rating), but a collective action constraint in pushing for reforms in the Bank’s operations. The paper concludes with ideas for long-run reform of governance at the African Development Bank, modeled more closely on the governance of the Inter-American Development Bank.
  • Topic: International Affairs
  • Political Geography: Global Focus
  • Author: Todd Moss
  • Publication Date: 12-2018
  • Content Type: Research Paper
  • Institution: Center for Global Development
  • Abstract: After nearly thirty years of working on and in Zimbabwe, I was hopeful, after the long nightmare of misrule by Robert Mugabe, that the July 2018 election was an opportunity to put the country on a positive track. I had the good fortune of visiting Zimbabwe with a delegation of former US diplomats prior to the election to assess conditions. I came away from that trip deeply pessimistic about the prospects for a free, fair, and credible election, unconvinced that economic reforms were real, and skeptical of the intentions of Emmerson Mnangagwa and the ruling ZANU-PF. It all appeared little more than a poorly-disguised charade.
  • Topic: International Affairs
  • Political Geography: Global Focus
  • Author: Michael Clemens, Kate Gough
  • Publication Date: 11-2018
  • Content Type: Research Paper
  • Institution: Center for Global Development
  • Abstract: The world needs better ways to manage international migration for this century. Those better ways finally have a roadmap: the Global Compact for Migration. Now begins the journey. National governments must lead in order to implement that Compact, and they need tools. One promising tool is Global Skill Partnerships. This brief explains what Global Skill Partnerships are and how to build them, based on related experiences around the world.
  • Topic: International Affairs
  • Political Geography: Global Focus
  • Author: Scott Morris
  • Publication Date: 12-2018
  • Content Type: Research Paper
  • Institution: Center for Global Development
  • Abstract: First, we should recognize that much of the value of the IFIs for the United States derives from their multilateral character. It greatly oversimplifies things to suggest they are strictly a US tool, available to do our bidding no matter what the issue. The reality is that when we want to get something done in these multilateral institutions, we need to work with other countries. In turn, these institutions are most effective when they have the buy-in of the largest number of their member countries. And when the United States is seeking something from them that doesn’t have broad-based support, it can be a tough road.
  • Topic: Global Political Economy
  • Political Geography: Global Focus
  • Author: Matt Collin, Theodore Talbot
  • Publication Date: 06-2017
  • Content Type: Working Paper
  • Institution: Center for Global Development
  • Abstract: Child marriage is associated with bad outcomes for women and girls. Although many countries have raised the legal age of marriage to deter this practice, the incidence of early marriage remains stubbornly high. We develop a simple model to explain how enforcing minimum age-of-marriage laws creates differences in the share of women getting married at the legal cut-off. We formally test for these discontinuities using multiple rounds of the Demographic and Health Surveys (DHS) in over 60 countries by applying statistical tests derived from the regression discontinuity literature. By this measure, most countries are not enforcing the laws on their books and enforcement is not getting better over time. Separately, we demonstrate that various measures of age-of-marriage discontinuities are systematically related to with existing, widely-accepted measures of rule-of-law and government effectiveness. A key contribution is therefore a simple, tractable way to monitor legal enforcement using survey data. We conclude by arguing that better laws must be accompanied by better enforcement and monitoring in to delay marriage and protect the rights of women and girls.
  • Topic: Development, Gender Issues
  • Political Geography: Global Focus
  • Author: Michael Clemens, Jennifer Hunt
  • Publication Date: 05-2017
  • Content Type: Working Paper
  • Institution: Center for Global Development
  • Abstract: An influential strand of research has tested for the effects of immigration on natives’ wages and employment using exogenous refugee supply shocks as natural experiments. Several studies have reached conflicting conclusions about the effects of noted refugee waves such as the Mariel Boatlift in Miami and post-Soviet refugees to Israel. We show that conflicting findings on the effects of the Mariel Boatlift can be explained by a sudden change in the race composition of the Current Population Survey extracts in 1980, specific to Miami but unrelated to the Boatlift. We also show that conflicting findings on the labor market effects of other important refugee waves can be produced by spurious correlation between the instrument and the endogenous variable introduced by applying a common divisor to both. As a whole, the evidence from refugee waves reinforces the existing consensus that the impact of immigration on average native-born workers is small, and fails to substantiate claims of large detrimental impacts on workers with less than high school.
  • Topic: Refugee Issues, Financial Markets, Global Political Economy
  • Political Geography: Global Focus
  • Author: Mayra Buvinic, Megan O'Donnell
  • Publication Date: 05-2017
  • Content Type: Working Paper
  • Institution: Center for Global Development
  • Abstract: A review of the recent evaluation evidence on financial services and training interventions questions their gender neutrality and suggests that some design features in these interventions can yield more positive economic outcomes for women than for men. These include features in savings and ‘Graduation’ programs that increase women’s economic self-reliance and self-control, and the practice of repeated micro borrowing that increases financial risk-taking and choice. ‘Smart’ design also includes high quality business management and jobs skills training, and stipends and other incentives in these training programs that address women’s additional time burdens and childcare demands. Peer support may also help to increase financial risk taking and confidence in business decisions, and may augment an otherwise negligible impact of financial literacy training. These features help women overcome gender-related constraints. However, when social norms are too restrictive, and women are prevented from doing any paid work, no design will be smart enough. Subjective economic empowerment appears to be an important intermediate outcome for women that should be promoted and more reliably and accurately measured. More research is also needed on de-biasing service provision, which can be gender biased; lastly, whenever possible, results should be sex-disaggregated and reported for individuals as well as households.
  • Topic: Gender Issues, International Trade and Finance, Global Political Economy
  • Political Geography: Global Focus
  • Author: Charles Kenny, Dev Patel
  • Publication Date: 04-2017
  • Content Type: Working Paper
  • Institution: Center for Global Development
  • Abstract: This paper analyzes six waves of responses from the World Values Survey to understand the determinants of beliefs about women’s roles in society and their relationship with the legal system and outcomes. Using survey data for 300,000 individuals, we find that characteristics of an individual’s home country only explain about a fifth of the variation in values, and a single individual can report strongly different norms about women’s equality across different domains. There is a strong correlation between norms, laws and female labor force participation and between norms and the proportion of legislators who are women—but not between norms and relative female tertiary education. There is some suggestive evidence that laws may be more significant than norms in determining female employment outcomes, but the available evidence does not allow for strong causal statements at the cross-country level.
  • Topic: Gender Issues, International Development
  • Political Geography: Global Focus
  • Author: Nancy Birdsall, Liliana Rojas-Suarez, Anna Diofasi
  • Publication Date: 02-2017
  • Content Type: Working Paper
  • Institution: Center for Global Development
  • Abstract: Despite increasing volatility in the global economy, the uptake of the IMF’s two precautionary credit lines, the Flexible Credit Line (FCL) and the Precautionary and Liquidity Line (PLL), has remained limited—currently to just four countries. The two new lending instruments were created in the wake of the global financial crisis of 2008 to enable IMF member states to respond quickly and effectively to temporary balance of payment needs resulting from external shocks. Both credit lines offer immediate access to considerable sums—over 10 times a country’s IMF quota in some cases with no (FCL) or very limited (PLL) conditionality. This paper addresses four misconceptions (or ‘myths’) that have likely played a role in the limited utilization of the two precautionary credit lines: 1) too stringent qualification criteria that limit country eligibility; 2) insufficient IMF resources; 3) high costs of precautionary borrowing; and 4) the economic stigma associated with IMF assistance. We show, in fact, that the pool of eligible member states is likely to be seven to eight times larger than the number of current users; that with the 2016 quota reform IMF resources are more than adequate to support a larger precautionary portfolio; that the two IMF credit lines are among the least costly and most advantageous instruments for liquidity support countries have; and that there is no evidence of negative market developments for countries now participating in the precautionary lines.
  • Topic: International Trade and Finance, Global Political Economy
  • Political Geography: Global Focus
  • Author: Nora Lustig
  • Publication Date: 01-2017
  • Content Type: Working Paper
  • Institution: Center for Global Development
  • Abstract: Current policy discussion focuses primarily on the power of fiscal policy to reduce inequality. Yet, comparable fiscal incidence analysis for 28 low and middle income countries reveals that, although fiscal systems are always equalizing, that is not always true for poverty. In Ethiopia, Tanzania, Ghana, Nicaragua, and Guatemala the extreme poverty headcount ratio is higher after taxes and transfers (excluding in-kind transfers) than before. In addition, to varying degrees, in all countries a portion of the poor are net payers into the fiscal system and are thus impoverished by the fiscal system. Consumption taxes are the main culprits of fiscally-induced impoverishment. Net direct taxes are always equalizing and indirect taxes net of subsidies are equalizing in nineteen countries of the 28. While spending on pre-school and primary school is pro-poor (i.e., the per capita transfer declines with income) in almost all countries, pro-poor secondary school spending is less prevalent, and tertiary education spending tends to be progressive only in relative terms (i.e., equalizing but not pro-poor). Health spending is always equalizing but not always pro-poor. More unequal countries devote more resources to redistributive spending and appear to redistribute more. The latter, however, is not a robust result across specifications.
  • Topic: International Trade and Finance, Global Political Economy
  • Political Geography: Global Focus
  • Author: Ali Enami, Nora Lustig, Rodrigo Aranda
  • Publication Date: 01-2017
  • Content Type: Working Paper
  • Institution: Center for Global Development
  • Abstract: This paper provides a theoretical foundation for analyzing the redistributive effect of taxes and transfers for the case in which the ranking of individuals by pre-fiscal income remains unchanged. We show that in a world with more than a single fiscal instrument, the simple rule that progressive taxes or transfers are always equalizing not necessarily holds, and offer alternative rules that survive a theoretical scrutiny. In particular, we show that the sign of the marginal contribution unambiguously predicts whether a tax or a transfer is equalizing or not.
  • Topic: International Political Economy, International Trade and Finance
  • Political Geography: Global Focus
  • Author: Stefan Dercon, Owen Barder
  • Publication Date: 04-2017
  • Content Type: Special Report
  • Institution: Center for Global Development
  • Abstract: Millions of people face hazards like cyclones and drought every day. International aid to deal with disasters after they strike is generous, but it is unpredictable and fragmented, and it often fails to arrive when it would do the most good. We must stop treating disasters like surprises. Matching finance to planning today will save lives, money, and time tomorrow.
  • Topic: Humanitarian Aid, Foreign Aid, International Development
  • Political Geography: Global Focus
  • Author: Cindy Huang, Nazanin Ash
  • Publication Date: 04-2017
  • Content Type: Special Report
  • Institution: Center for Global Development
  • Abstract: The world is witnessing higher levels of displacement than ever before. The statistics tell the story. Today, an unprecedented 65 million people—including 21 million refugees—are displaced from their homes. Since the start of the Syrian crisis in 2011, 5 million people have fled to nearby Turkey, Lebanon, Iraq, and Jordan. And refugees now spend an average of 10 years away from their countries. Equally striking as the scale of the crisis are the consequences of an inadequate response. Individual lives hang in the balance; refugees are struggling to rebuild their lives, find jobs, and send their children to school. Developing countries that are hosting the overwhelming majority of refugees— and at the same time trying to meet the needs of their own citizens—are shouldering unsustainable costs. We are seeing global stability and hard-won development gains threatened.
  • Topic: War, Refugee Issues, Territorial Disputes, Refugee Crisis
  • Political Geography: Global Focus
  • Author: Rachel Silverman, Amanda Glassman
  • Publication Date: 11-2016
  • Content Type: Special Report
  • Institution: Center for Global Development
  • Abstract: In July 2012, world leaders gathered in London to support the right of women and girls to make informed and autonomous choices about whether, when, and how many children they want to have. There, low income-country governments and donors committed to a new partnership—Family Planning 2020 (FP2020). FP2020 set an aspirational goal—120 million additional users of voluntary, high-quality family planning services by 2020—and received commitments totaling $4.6 billion in additional funding. Since then, the focus countries involved in the FP2020 partnership have made significant progress. Yet as FP2020 reaches its halfway point, and new, even more ambitious goals are set as part of the Sustainable Development Goals, gains fall short of aspirations. The midpoint of the FP2020 initiative is thus an important inflection point, offering an opportunity for family planning funders and the FP2020 partnership more broadly to take stock of progress, to reflect on the lessons of the past four years, to refine funding and accountability mechanisms, and to reallocate existing resources for greater impact. Of course, the primary responsibility for expanding contraceptive access falls squarely on country governments. Nonetheless, donor contributions play an important role. With the goal of reaching as many women and girls as possible by 2020 and an eye toward the 2030 Sustainable Development Goals, the Center for Global Development (CGD) convened a working group on donor alignment in family planning in fall 2015 to see how scarce donor resources could go farther to accelerate family planning gains. As the final product of the working group, the report analyzes the successes and limitations of family planning alignment to date, with a focus on procurement, cross-country and in-country resource allocation, incentives, and accountability mechanisms, and makes recommendations for next steps.
  • Topic: International Trade and Finance, Population, International Development
  • Political Geography: Global Focus
  • Author: Mayra Buvinic, Megan O’Donnell
  • Publication Date: 11-2016
  • Content Type: Special Report
  • Institution: Center for Global Development
  • Abstract: Expanding women’s economic opportunities bene ts both women and society. Women’s choices widen and societies gain from the contribution that women’s income makes to economic growth and family wellbeing. These bene ts are increasingly well-understood, but much less is known regarding the most effective interventions to empower women economically. The call to nd out what works is long overdue. Gender gaps in economic performance are pervasive and persistent — women earn less than men across countries and occupations, and gender gaps are especially salient in poor countries. A wide range of policies and programs — from long-term investments in health and education to short-term training programs and ‘just-in-time’ information on markets — can potentially help close these gender gaps and bolster women’s economic advancement.
  • Topic: Gender Issues, International Affairs, International Development
  • Political Geography: Global Focus
  • Author: Nancy Birdsall, Scott Morris
  • Publication Date: 10-2016
  • Content Type: Special Report
  • Institution: Center for Global Development
  • Abstract: The multilateral development banks (MDBs) emerged as one of the international community’s great success stories of the post–World War II era. Set up to address a market failure in long-term capital flows to post-conflict Europe and developing countries, they combined financial heft and technical knowledge for more than five decades to support their borrowing members’ investments in post-conflict reconstruction, growth stimulation, and poverty reduction. However, the geo-economic landscape has changed dramatically in this century, and with it the demands and needs of the developing world. Developing countries now make up half of the global economy. The capital market failure that originally motivated the MDBs is less acute. Almost all developing countries now rely primarily on domestic resources to manage public investment, and some of the poorest countries can borrow abroad on their own. Similarly, growth and the globalization of professional expertise on development practice have eroded whatever near-monopoly of advisory services the MDBs once had. At the same time, new challenges call for global collective action and financing of the sort the MDBs are well suited to provide but have been handicapped in doing so effectively. The list goes beyond major financial shocks, where the IMF’s role is clear—ranging from climate change, pandemic risk, increasing resistance to antibiotics, and poor management of international migration flows and of displaced and refugee populations. Other areas include the cross-border security and spillovers associated with growing competition for water and other renewable natural resources, and, with climate change, an increase in the frequency and human costs of weather and other shocks in low-income countries that are poorly equipped to respond.
  • Topic: International Trade and Finance, International Development
  • Political Geography: Global Focus
  • Author: Todd Moss
  • Publication Date: 04-2016
  • Content Type: Special Report
  • Institution: Center for Global Development
  • Abstract: Energy is fundamental to modern life, but 1.3 billion people around the world live without “access to modern electricity.” The current definition of modern energy access—100 kilowatt-hours per person per year—is insufficient and presents an ambition gap with profound implications for human welfare and national economic growth. This report summarizes the energy access problem, the substantial efforts underway to bolster power generation and access in the poorest regions, and highlights concerns about the specific indicators being used to measure progress. It then condenses a set of analytical and conceptual questions the working group grappled with, such as why and how to better measure energy usage and the multiple options that should be considered. The report concludes with five recommendations for the United Nations, International Energy Agency, World Bank, national governments, major donors, and other relevant organizations.
  • Topic: Climate Change, Environment, Climate Finance, International Development
  • Political Geography: Global Focus
  • Author: Stijn Claessens, Liliana Rojas-Suarez
  • Publication Date: 03-2016
  • Content Type: Special Report
  • Institution: Center for Global Development
  • Abstract: As recently as 2011, only 42 percent of adult Kenyans had a financial account of any kind; by 2014, according to the Global Findex, database that number had risen to 75 percent. [1] In sub­Saharan Africa, the share of adults with financial accounts rose by nearly half over the same period. Many other developing countries have also recorded gains in access to basic financial services. Much of this progress is being facilitated by the digital revolution of recent decades, which has led to the emergence of new financial services and new delivery channels. Whereas payment services often are the entry point into using formal financial services, they are not the only low­cost and widely accessible financial services being delivered in recent years. Driven by advances in new digital payment services, small­scale credit and new modes for delivering insurance services are being offered in several developing countries. Digital (payment) records are being used to make decisions about provision of credit to small businesses or individuals who do not have traditional collateral or credit history to secure loans. Additionally, affordable mobile systems have led to the provision of new and innovative financial services that would not be economically sustainable under the traditional brick­and­mortar model such as mobile­based crop microinsurance in sub­Saharan Africa and pay­as­you­go energy delivery models for off­grid customers in India, Peru, and Tanzania. [2] Increased access to basic financial services, especially payments services, by larger segments of the population reflects the growing use of digital technologies in developing countries. Simultaneously, the adoption of proper regulation based on country­specific opportunities, needs and conditions has been critical.
  • Topic: International Political Economy, International Trade and Finance, Financial Markets
  • Political Geography: Global Focus
  • Author: Rachel Silverman, Mead Over, Sebastian Bauhoff
  • Publication Date: 12-2015
  • Content Type: Special Report
  • Institution: Center for Global Development
  • Abstract: Founded in 2002, the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) is one of the world’s largest multilateral health funders, disbursing $3–$4 billion a year across 100-plus countries. Many of these countries rely on Global Fund monies to finance their respective disease responses—and for their citizens, the efficient and effective use of Global Fund monies can be the difference between life and death. Many researchers and policymakers have hypothesized that models tying grant payments to achieved and verified results—referred to in this report as next generation financing models—offer an opportunity for the Global Fund to push forward its strategic interests and accelerate the impact of its investments. Free from year-to-year disbursement pressure (like government agencies) and rigid allocation policies (like the World Bank’s International Development Association), the Global Fund is also uniquely equipped to push forward innovative financing models. But despite interest, the how of new grant designs remains a challenge. Realizing their potential requires technical know-how and careful, strategic decisionmaking that responds to specific country and epidemiological contexts—all with little evidence or experience to guide the way. This report thus addresses the how of next generation financing models—that is, the concrete steps needed to change the basis of payment from expenses to something else: outputs, outcomes, or impact. For example, when and why is changing the basis of payment a good idea? What are the right indicators and results to purchase from grantees? How much and how should grantees be remunerated for their achievements? How can the Global Fund verify that the basis of payment is sound—that the reported results are accurate and reliable and represent real progress against disease control goals? And what is needed to protect communities against coercion or other human rights abuses, ensuring that these new incentives do not drive unintended consequences?
  • Topic: International Trade and Finance, Global Political Economy
  • Political Geography: Global Focus
  • Publication Date: 12-2015
  • Content Type: Special Report
  • Institution: Center for Global Development
  • Abstract: Most money and responsibility for health in large federal countries like India rests with subnational governments — states, provinces, districts, and municipalities. The policies and spending at the subnational level affect the pace, scale, and equity of health improvements in countries that account for much of the world’s disease burden: India, Indonesia, Nigeria, and Pakistan. Fiscal transfers between levels of government can — but do not always — play an important role in turning money into outcomes at the subnational level. Well designed, transfers can help put states on a level financial playing field by equalizing spending across states and adjusting allocations for the health risks of each state’s population. Transfers can increase accountability and create incentives for greater spending or effectiveness in service delivery. But transfers are rarely designed with attention to their desired outcomes. To get to better outcomes, international experience suggests that transfers need to be reexamined and reformed along three dimensions. First, central government’s allocation of national revenues to subnational governments should respond to needs and population size. Second, transfers should generate incentives to improve subnational governments’ spending quality and performance on outcomes. Third, independent systems to monitor, evaluate, and provide feedback data on subnational performance can generate greater accountability to the central government, parliaments, and legislatures as well as to citizens. These insights are seemingly simple and suggestive, but each country starts from its own unique history that requires careful technical analysis and political savvy to define reforms with genuine potential to improve health.
  • Topic: International Political Economy, International Trade and Finance, Financial Markets
  • Political Geography: Global Focus
  • Publication Date: 11-2015
  • Content Type: Special Report
  • Institution: Center for Global Development
  • Abstract: Hospitals are central to building and maintaining healthy populations around the world. They serve as the first point of care for many, offer access to specialized care, act as loci for medical education and research, and influence standards for national health systems at large. Yet despite their centrality within health systems, hospitals have been sidelined to the periphery of the global health agenda as scarce financial resources, technical expertise, and political will instead focus on the expansion of accessible primary care. As a result, many hospitals in low- and middle-income countries have failed to evolve and modernize, both in operations and infrastructure, while the knowledge base on hospital effectiveness and efficiency remains small and inadequate. In turn, the standard of care and efficiency achieved by these hospitals has stagnated. The gap in treatment capacity and quality between wealthier and poorer countries—and between hospitals serving wealthier and poorer populations—is widening, just as emerging economies are poised to expand the range and depth of healthcare through universal health coverage.
  • Topic: World Health Organization, Health Care Policy
  • Political Geography: Global Focus