Directions in Development - Human Development

Cameroon has strong goals for its growth and development. By 2035, it aims to be an emerging economy. The country's medium-term goals are focused on alleviating poverty, consolidating democracy, and achieving national unity-while respecting diversity. This report contributes substantively to the Government's vision on Strategy for Growth and Employment, putting human development and employment at center stage. Cameroon faces three main challenges: • Developing more robust formal and informal employment opportunities by strengthening human development. • Increasing productivity in agriculture, mining, and key value chains (timber, tourism, and information and communication technology). • Advancing growth by investing in infrastructure and improving the business climate and regional integration. The Strategy sets a target for reducing underemployment from 76 percent of the workforce to 50 by 2020 by creating tens of thousands of formal jobs. But based on results from the first two years of its implementation, the strategy is far from achieving that target. This report is meant to support Cameroon's efforts to build the skills of its workers. This report reaches conclusions and offers policy recommendations to answer six questions: • What has been the trajectory of Cameroon's economic growth? Which sectors have contributed to growth? • What jobs are being created? • What types of skills are being used in the sectors where the highest percentages of the population are employed? • What are the demand and supply barriers to skills? • Which policies and institutions are in play? Are they sufficient? • What needs to or could be reformed? Cameroon has good prospects for moving to middle-income status. It can create a more dynamic, responsive workforce. But a new strategy is required. It can be done.This report proposes new directions and provides recommendations. Outcomes are expected. Work has never been easy. But many have been working-and Cameroon can work.

Equipping Vietnam's workforce for a modern market economy.After decades of remarkable economic growth, Vietnam needs a workforce equipped with the right skills to foster continued economic modernization. This report examines Vietnam's education system and identifies key areas for improvement. Skilling Up Vietnam argues that, in addition to job-specific skills, Vietnamese employers value cognitive and behavioral skills. To prepare workers for the future, Vietnam should focus on: - Promoting school readiness - Building cognitive and behavioral foundations - Connecting education with industry This report is for students, parents, business leaders, and policymakers interested in Vietnam's economic and educational development.

Mainstream economic analysis has traditionally overlooked gender. The individual-the basic category of analysis-was regarded as genderless. Neither gender discrimination nor segmentation and segregation within the labor market or within the household was present. Contributions from development theory, new household economics (NHE), labor economics, and feminist analysis have done much to change this. Focusing on gender equality-by which we mean equality in opportunity, inputs, and outcome-has yielded important insights for the growth and development of an economy. But we are still at the cusp. While there have been huge improvements in recognizing gender as an analytical category at the microeconomic level, the macroeconomic implications of gender equality remain undeveloped. Engendering macroeconomics is an important and valid research and policy area. Over the past three decades, economic development has generally affected women differently than men in the developing world. At the same time, gender relations have affected macroeconomic outcomes. This volume examines the research and policy implications of engendering macroeconomic policy.

South Asia has the highest rates of malnutrition and the largest number of malnourished women and children in the world. Childhood malnutrition is the main cause of child mortality-one-third of all child deaths are due to the underlying cause of malnutrition. For the children who survive, malnutrition results in lifelong problems by severely reducing a child's ability to learn and to grow to his or her full potential. Malnutrition directly leads to less productive adults and thus to weaker national economic performance. The negative impact of malnutrition on a society's productivity and a nation's long-term development is difficult to underestimate. Malnutrition is a key development priority for the World Bank's South Asia region. The Bank intends to increase its commitment to reducing malnutrition in the region. As a first step, Bank staff are preparing a series of country assessments such as Malnutrition in Afghanistan. These assessments will be useful for governments and development partners committed to scaling up effective, evidence-based interventions to reduce malnutrition in their countries. Conclusive evidence shows that a multisectoral planning approach, followed by actions in the various sectors, is the most successful method to improve a populations' nutrition. Malnutrition in Afghanistan provides the background analysis for the development of a comprehensive nutrition action plan. The timing of this report is propitious. The international communities' interest in the developmental benefits of nutrition programming is high. This analytical report is part of a broader effort by the World Bank South Asia region to increase investments in nutrition, recognizing that good nutrition is important to economic growth and development, and because investing in well-proven nutrition interventions pays high dividends in poverty reduction and national economic development.

To ensure education's contributions to growth, Cambodia needs to address the next challenge of education reform: improving student learning. A high-quality teaching workforce-the bedrock of all high-performing education systems-is the single most important factor in improving student learning. Quality teachers are at the heart of developing the talent of the next generation. They underpin the educational investments that will drive growth; they stand at the crossroads of sectoral, service delivery, public financial management, and civil service reform. Educating the Next Generation: Improving Teacher Quality in Cambodia assesses teaching quality and presents policy options for reform. Through classroom observation, assessments of mathematics and pedagogical content knowledge, and surveys of teachers and school directors, it sheds light on content and instruction, interactions with school directors, instructional support systems, and implementation of teacher standards. This book investigates the competencies and skills of those attracted to teaching. It assesses the extent to which preservice education in Cambodia is delivering graduates with high content mastery and exposure to a student-centered learning environment. Finally, it examines how teacher performance has been impacted by national incentives, an evaluation system that is disconnected from classroom realities, and the extent to which opportunities to learn and share best-practice lessons with peers exists. From the diagnosis follow three policy pillars to reform how teachers are trained, maintained, and motivated: • Making teaching a more attractive profession • Improving the processes for preparing teachers • Encouraging stronger classroom performance. The book contains detailed recommendations under each policy pillar and provides the platform to facilitate Cambodia's transition to its next generation of educational reform.

Achieving Universal Health Coverage: A Global Synthesis Universal Health Coverage for Inclusive and Sustainable Development synthesizes lessons from 11 countries to guide policymakers and health professionals in expanding healthcare access. This report examines diverse strategies for achieving equitable, sustainable health systems. Explore country-specific case studies analyzing the political economy, health financing, and human resources crucial for successful UHC implementation. Discover effective approaches to: - Enhance financial protection and reduce out-of-pocket expenses - Manage healthcare costs and improve efficiency - Address health workforce challenges and ensure equitable distribution For policymakers, health economists, and researchers seeking insights into building resilient and inclusive healthcare systems, this synthesis offers invaluable guidance for navigating the complexities of UHC and achieving health for all.

In the past 15 years, employment, labor market participation, and wages have grown significantly in Brazil. Improved labor market outcomes have been the main drivers of reductions in poverty and inequality. Sustaining Employment and Wage Gains in Brazil: A Skills and Jobs Agenda analyzes Brazil's labor markets and identifies the key challenges involved in sustaining job creation, wage growth, and poverty reduction. The work finds that continued progress in employment and labor earnings will depend on the country's ability to achieve a first critical goal: raise labor productivity. Continued improvements in the livelihoods of the poor will depend on achieving a second critical goal: connecting the poor to better, more productive jobs. In light of these goals, the report discusses reforms of program design and implementation in the following policy areas: (a) skills development (including through the flagship training program, PRONATEC); (b) unemployment insurance and other labor market regulations; (c) active labor market programs, including the National Employment System and entrepreneurship support; and (d) productive inclusion programs that, by promoting employability or income-earning opportunities for the poorest segments of the population in new ways, can help connect the poor to better, more productive jobs. The report reviews existing interventions in these four policy areas and proposes an agenda of incremental policy changes that could more effectively support the two critical goals. It also illustrates how other countries have dealt with similar challenges. As the report emphasizes, an essential first step will be to strengthen monitoring and evaluation systems to measure results by tracking programs' effects on labor market outcomes and using that information to inform program expansion. It also describes specific opportunities in each policy area to better coordinate programs with private sector demands and across policies, while also adapting them to improve the results for the urban and rural poor.

HIV Epidemics in the European Region: Vulnerability and Response provides a systematic review of the evidence on HIV vulnerability and response in all 53 countries of the World Health Organization's (WHO's) European Region, stretching from Iceland to the borders of China. The report focuses on key populations most at risk of HIV infection: people who inject drugs, sex workers, and men who have sex with men. It confirms that these populations are disproportionately affected by the growing HIV epidemic in Europe. Twenty-five percent of HIV diagnoses in Europe are associated with injecting drug use, with much higher proportions in Eastern Europe (33 percent) than in Western Europe (5 percent) and Central Europe (7 percent). Sex between men accounted for 10 percent of all HIV diagnoses, with higher rates reported in Western Europe (36 percent), followed by Central Europe (22 percent) and Eastern Europe (0.5 percent). HIV remains relatively low among female sex workers who do not inject drugs (less than 1 percent), but higher among those who inject drugs (more than 10 percent) and among male and transgender sex workers. The analysis highlights the pivotal role of social and structural factors in shaping HIV epidemics and HIV prevention responses. Poverty, marginalization, and stigma contribute to the HIV epidemic in Europe and Central Asia. Economic volatility and recession risks are increasing vulnerability to HIV and infections. Barriers to successful HIV responses include the criminalization of sex work, of sex between men, and of drug use combined with social stigmatization, violence, and rights violations. HIV prevention requires social and environmental change. The report calls for policy makers and HIV program implementers to target the right policies and programs to maximize the health and social impacts of Europe's HIV responses and get higher returns on HIV-related investments. HIV Epidemics in the European Region: Vulnerability and Response is a product of a collaboration between the World Bank, the London School of Hygiene and Tropical Medicine, the WHO Regional Office for Europe, and UNAIDS.

Investing in skills has risen to the top of the policy agenda today in rich and poor countries alike. The World Bank supports its partner countries on this agenda in multiple ways: development finance, research and analysis, global knowledge exchange, and technical assistance. This report was originally conceived as a contribution to this catalog of the World Bank's work, but its topic and findings are relevant to all policy makers and analysts interested in skills-building to drive economic growth and improve human well-being. The book examines workforce development (WfD) systems in emerging economies around the world and presents novel systems-level data generated by the Systems Approach for Better Education Results (SABER)-WfD benchmarking tool, which was created to implement the World Bank's 10-year Education Sector Strategy launched in 2012. A key theme in the book is that WfD entails a multi-layered engagement involving high-level policy makers, system-level managers, as well as leaders at individual institutions. Too often, the conversation and actions are fragmented by intellectual, administrative and operational silos which undermine effective cooperation to solve the deep challenges of building job-relevant skills. The book's findings, based on cross-sectional data for nearly 30 countries and time-series data for five countries, identify successes and common issues across countries in the sample. In lagging countries, the biggest difficulties relate to: forming and sustaining strategic partnerships with employers; ensuring equitable and efficient funding for vocational education; and putting in place mechanisms to enhance training providers' accountability for results defined by their trainees' job market performance. By framing WfD in the broader skills-for-growth context and drawing on lessons from countries where well-designed WfD strategies have helped to drive sustained growth, this book offers clear guidance on how to enable a more effective approach to the inevitably complex challenges of workforce development in emerging economies.

H.M. Queen Máxima of the Netherlands, United Nations Secretary-General's Special Advocate for Inclusive Finance for Development stated that 'the impact of helping migrants and their families will be lasting and global if we link remittances to other financial services and make them more affordable and more relevant to their needs." Remittances are a critical source of financing for most developing countries. The importance of remittances goes beyond numbers. For many households in developing countries, they are probably the most stable source of primary or additional income. At the same time, the September 11, 2001, terrorist attacks exposed the use and abuse of remittance channels for financing terrorism. In response to this threat, the international community issued new international anti-money laundering/combating the financing of terrorism (AML/CFT) standards on remittance transfers and their service providers. For the first time, remittance service providers were required to be brought under the government oversight and either registered with or licensed by a competent authority, and to be subject to AML/CFT obligations. While the FATF Recommendations appear straightforward on paper, regulating and supervising in practice the money transfer business has proved to be a very challenging task in both developed and developing countries. This book assists policy makers, regulators, and supervisors of money transfer businesses to craft effective regulatory and supervisory frameworks governing remittances that meet international AML/CFT standards, while at the same time ensuring that the neediest have access to these crucial services.

Although the Latin American region has shown an impressive growth in educational attainment over the past two decades, that education has failed to yield expected benefits. A mounting body of research and policy debates argues that the quantity of education is not an adequate metric of human capital acquisition. Rather, individuals' skills-what they actually know and can do-should stand as policy targets and be fostered across the life course. Evidence from around the world shows that both cognitive and socio-emotional skills are demanded by employers and favorably affect a range of outcomes, including educational attainment and employment outcomes. Through original empirical research investigating the role of cognitive and socio-emotional skills in shaping adults' labor market outcomes in Bolivia, Colombia, El Salvador, and Peru, supplemented by similar studies in other Latin American countries, this review confirms that cognitive skills matter for reaping labor market gains in terms of higher wages and formal jobs in Latin America; but so do socio-emotional skills. Moreover, socio-emotional skills seem to particularly influence labor force participation and tertiary education attendance as a platform to build knowledge. The study also presents a policy framework for skills development by: (i) providing insights by developmental psychologists about when people are neuro-biologically, socio-emotionally, and situationally ready to develop socio-emotional skills, and (ii) suggesting new directions in cognitive development.

Health and economic development are interconnected. Over the past decades, the health sector has become an increasingly important component of the global economy, evidenced by the growing trend of health expenditures as a share of GDP. The interconnectivity of health and economic development and the cyclical nature of economic performance have emphasized the critical need to build health sector resilience to prepare for inevitable economic downturns. The objective of the book is to raise awareness of the challenges that health systems, in both developing and developed countries, face in times of economic crisis and provide an Assessment, Tracking and Mitigation (A.T. M.) framework by which governments and policy makers can meet the critical challenge of health sector stabilization and resilience building. The A.T.M. framework emphasizes the importance of the interdependence of these three pillarsfor effective crisis response and strengthening health system resilience to economic shocks. The framework proposes that, in order to be effective in mitigation, governments and policy makers must possess or develop: (i) Tools to assess the health sector vulnerability to economic crisis. (ii) Tools, information systems, and data sources to track system and population level effects quickly during the crisis. (iii) Ability to implement effective policies to mitigate effects when a crisis hits. In conclusion, while the links between health and the overall economy are increasingly understood and appreciated, the role of health in an economic downturn is still not well understood or planned for. This book builds on the lessons of the most recent global financial crisis, especially in Europe and Central Asia and proposes a more effective role for the health sector as part of a safety net function and as a stabilizer for the population during a crisis. To mitigate the impacts of crises on vulnerable populations and assume the role of a stabilizer, the health sector must use assessment tools to identify system vulnerabilities, track to detect early impacts, and build targeted systems that are prepared to meet the challenges of the future. The experience and instruments in the Social Protection sector offer lessons and opportunities for collaboration with health.

This World Bank report is a rich compilation of information on teaching learning materials (TLM) in Africa based on the extensive and multi-faceted experience of the author's work in the education sector in Africa. The study examines a wide range of issues around TLM provision including curriculum, literacy and numeracy, language of instruction policy, procurement and distribution challenges, TLM development and production and their availability, management and usage in schools. It also looks at the role of information and communication technology (ICT) based TLMs and their availability. The study recognizes that improved TLM system management is a critical component in achieving affordable and sustainable TLM provision for all students. This study, which draws from more than 40 Anglophone, Francophone, Lusophone, and Arabic-speaking countries will be particularly useful for policymakers, development partners, and other stakeholders attempting to understand the wide range of issues surrounding the complexity of textbook provision in Sub Saharan Africa.

Higher education in Latin America and the Caribbean has expanded dramatically in the past 15 years, as the average gross enrollment rate has more than doubled, and many new institutions and programs have been opened. Although higher education access has become more equitable, and higher education supply has become more varied, many of the 'new' students in the system are, on average, less academically ready than are their more advantaged counterparts. Furthermore, only half of higher education students, on average, complete their degree, and labor market returns to higher education vary greatly across institutions and programs. Thus, higher education is at a crossroads today. Given the region's urgency to raise productivity in a low-growth, fiscally constrained environment, going past this crossroads requires the formation of skilled human capital fast and efficiently. 'At a Crossroads: Higher Education in Latin America and the Caribbean' contributes to the discussion by studying quality, variety, and equity of higher education in Latin America and the Caribbean. The book presents comprehensive evidence on the recent higher education expansion and evolution of higher education labor market returns. Using novel data and state-of-the-art methods, it studies demand and supply drivers of the recent expansion. It investigates the behavior of institutions and students and explores the unintended consequences of large-scale higher education policies. Framing the analysis are the singular characteristics of the higher education market and the market segmentation induced by the variety of students and institutions in the system. At this crossroads, a role emerges for incentives, information, accountability, and choice.

For the past two decades, Africa has experienced strong economic growth. However, high levels of chronic poverty persist, with poor households exposed to frequent shocks and a widening gap between income groups in terms of human capital outcomes and access to basic services. By providing regular, reliable support to poor and vulnerable households and by helping individuals invest in productive activities, targeted interventions such as safety nets have shown to help reduce poverty, reverse the trend of increasing inequality, and build household resilience. In the wake of the global economic crisis, an increasing number of policy makers in Africa have come to view safety nets as core instruments for reducing poverty and managing risk. Momentum is growing toward rationalizing public spending by better targeting measures to the poorest individuals. Reducing Poverty and Investing in People: The New Role of Safety Nets in Africa assesses the objectives, features, performance, and financing of safety nets in 22 Sub-Saharan African countries and identifies how governments and donors can strengthen safety net systems to better support poor and vulnerable people. Overall, the author finds that safety nets are on the rise in Africa and are beginning to evolve from fragmented stand-alone programs into integrated systems. Social protection has started to change largely from emergency food aid programs to regular, predictable safety nets including targeted cash transfers and cash-for-work programs. Some African countries, including Kenya, Rwanda, and Tanzania, are working toward consolidating their programs into a national system. With the timely analysis of safety nets in Africa, the encouraging results from impact evaluations, and the productive aspects of cash transfer programs in these countries, African decision makers are now prioritizing safety nets on their development agendas as effective instruments to reduce poverty and vulnerability.