1 / 20

Making Services Work for Poor People

Making Services Work for Poor People. Shanta Devarajan World Bank. Universal Primary Education. Services are failing poor people: MDGs—Global Aggregates. Eradicate Poverty & Hunger. Services are failing poor people: MDGs—Global Aggregates. Promote Gender Equality. Reduce Child Mortality.

aman
Télécharger la présentation

Making Services Work for Poor People

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Making Services Work for Poor People Shanta Devarajan World Bank

  2. Universal Primary Education Services are failing poor people:MDGs—Global Aggregates Eradicate Poverty & Hunger

  3. Services are failing poor people:MDGs—Global Aggregates Promote Gender Equality Reduce Child Mortality Ratio of girls to boys in primary and secondary school (%)

  4. Poverty Headcount Primary Education Enrollment % Infant Mortality per 1000 Target 2015 Growth alone Target 2015 Growth alone Target 2015 Growth alone EAST ASIA 14 3 100 100 14 33 ECA 1 1 100 100 9 22 LAC 8 7 100 100 14 30 MENA 21 1 100 92 20 46 SA 22 18 100 87 29 70 AFRICA 24 40 100 64 33 87 Growth is not enough Source: Global Economic Prospects 2001, p.42 base case; Devarajan (2002)

  5. Why are services failing? • Governments spend on the wrong goods and people

  6. Benefit Incidence of Public Spending

  7. Why are services failing? • Governments spend on the wrong goods and people • Resources fail to reach the service provider (Uganda tracking study) • Weak incentives for effective service delivery

  8. Examples of ineffective service delivery • India: Teachers arriving drunk regularly, high levels of absenteeism. • Zimbabwe: 13% of respondents gave as a reason for not delivering babies in public facilities that “nurses hit mothers during delivery”. • Guinea: In 1984, 70% of government drugs disappeared. • Costa Rica: absenteeism rate is 30% in public health facilities.

  9. Why are services failing? • Governments spend on the wrong goods and people • Resources fail to reach the service provider (Uganda tracking study) • Weak incentives for effective service delivery • Demand-side constraints

  10. Making services work for poor people Donors

  11. Relationships

  12. Policymaker-Provider:Contracting NGOs in Cambodia • Contracting out (CO): NGO can hire and fire, transfer staff, set wages, procure drugs, etc. • Contracting in (CI): NGO manages district, cannot hire and fire (but can transfer staff), $0.25 per capita budget supplement • Control/Comparison (CC): Services run by government 12 districts randomly assigned to CC, CI or CO

  13. Utilization of Facilities by Poor People Sick in last month, %

  14. Relationships

  15. Client-Provider:EDUCO Program in El Salvador • Parents’ associations • Hire and fire teachers • Visit schools on regular basis • Contract with Ministry of Education to deliver primary education

  16. %Effect of 1 more class visit by ACE on math and language score

  17. EDUCO Effect: School days missed due to teacher absence Avg # of days missed: 1.34

  18. Relationships

  19. FSSAP Bangladesh • Criteria: • Attendance in school • Passing grade • Unmarried • Girls to receive scholarship deposited to account set up in her name • School to receive support based on # of girls

  20. Relationships Donors

More Related