Improving Effectiveness and Outcomes for the Poor in Health, Nutrition, and Population : An Evaluation of World Bank Group Support since 1997
This evaluation aims to inform the implementation of the most recent the World Bank and International Finance Corporation (IFC) health, nutrition, and population (HNP) strategies to enhance the effectiveness of future support. It covers the period...
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| Format: | Publication |
| Language: | English |
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Washington, DC: World Bank
2012
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| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000334955_20090623035255 http://hdl.handle.net/10986/2645 |
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okr-10986-2645 |
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oai_dc |
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Digital Repository |
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Foreign Institution |
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Digital Repositories |
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World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ACCESS TO FAMILY PLANNING ACCOUNTABILITY AGED AGING AIDS RELIEF ALLOCATION OF RESOURCES BANKS CAPACITY BUILDING CARE FOR CHILDREN CHILD HEALTH CHILD MORTALITY CHILD SURVIVAL CHILDREN PER WOMAN CITIES CIVIL SOCIETY ORGANIZATIONS CLIMATE CHANGE COMMUNICABLE DISEASE CONTROL COMMUNICABLE DISEASES CONTRACEPTIVE USE COST-EFFECTIVENESS DECENTRALIZATION DEMOGRAPHIC CHANGE DEMOGRAPHIC TRANSITION DEVELOPING COUNTRIES DEVELOPMENT ASSISTANCE DEVELOPMENT OBJECTIVES DEVELOPMENT POLICY DISCUSSION OF POPULATION DISSEMINATION DOCTORS EARLY CHILDHOOD ECONOMIC GROWTH EMERGENCY PLAN EMERGING MARKETS EPIDEMIC EPIDEMIOLOGY EXERCISES EXTERNALITIES FAMILY PLANNING FERTILITY RATE FINANCE MINISTRIES FINANCIAL CRISES FINANCIAL PROTECTION GENERIC DRUGS GLOBAL DEVELOPMENT GLOBAL REPRODUCTIVE HEALTH GOOD GOVERNANCE GOVERNMENT CAPACITY GOVERNMENT LEADERSHIP HEALTH CARE HEALTH CARE PROVISION HEALTH CONDITIONS HEALTH EXPENDITURES HEALTH FINANCE HEALTH FINANCING HEALTH FUNDING HEALTH IMPACT HEALTH IMPACTS HEALTH INFORMATION HEALTH INFORMATION SYSTEMS HEALTH INSURANCE HEALTH INSURERS HEALTH INTERVENTIONS HEALTH INVESTMENTS HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PROBLEMS HEALTH PROGRAMS HEALTH PROJECTS HEALTH PROVIDERS HEALTH REFORM HEALTH REFORMS HEALTH RESULTS HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH STRATEGY HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEM REFORM HEALTH SYSTEM STRENGTHENING HEALTH SYSTEMS HEALTH SYSTEMS STRENGTHENING HEALTH-SECTOR HEALTHY DEVELOPMENT HIGH FERTILITY HIV HIV/AIDS HOSPITAL HOSPITALS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HUMAN REPRODUCTION HUMAN RESOURCES HYGIENE ILL HEALTH ILLNESS IMMUNODEFICIENCY IMPACT EVALUATIONS INCIDENCE OF POVERTY INCOME INCOME GROUPS INFANT INFANT MORTALITY INFANT MORTALITY RATES INFANT NUTRITION INFANTS INFECTIOUS DISEASES INFORMATION SYSTEM INSTITUTIONAL CAPACITY INSTITUTIONAL DEVELOPMENT INSTITUTIONAL MECHANISMS INSURANCE SCHEMES INTERNATIONAL COMMUNITY INTERNATIONAL CONSENSUS INTERNATIONAL COOPERATION INTERVENTION INVENTORY LABOR MARKETS LEGAL STATUS LIFE INSURANCE LOCAL CAPACITY LONG-TERM CARE LOW-INCOME COUNTRIES MALARIA MALARIA CONTROL MALARIA INCIDENCE MANAGEMENT INFORMATION SYSTEMS MANDATES MARGINAL COSTS MATERNAL CARE MATERNAL MORTALITY MEDICAL EDUCATION MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF FINANCE MINISTRIES OF HEALTH MINISTRY OF HEALTH MORBIDITY MORTALITY NATIONAL HEALTH NATIONAL HEALTH EXPENDITURES NATIONAL LEVEL NATIONAL STRATEGY NUTRITION NUTRITIONAL STATUS PEACE PILOT PROJECTS POLICY DIALOGUE POLICY MAKERS POLIO POLITICAL SUPPORT POOR HEALTH POOR PEOPLE POPULATION GROUPS POPULATION SECTOR PORTFOLIO ANALYSIS POVERTY REDUCTION PREPAYMENT SCHEMES PRIVATE HEALTH INSURANCE PRIVATE HOSPITALS PRIVATE SECTOR PRIVATE SECTORS PROBABILITY PROFITABILITY PROGRESS PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH SPENDING PUBLIC INSURANCE PUBLIC INSURANCE SCHEMES PUBLIC SECTOR QUALITY ASSURANCE QUALITY OF SERVICES REFUGEES REGULATORY FRAMEWORKS REORGANIZATION REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH PROGRAMS RISK GROUPS RURAL AREAS RURAL DEVELOPMENT SAFE WATER SAFETY NET SANITATION SCREENING SELF-ASSESSMENT SERVICE DELIVERY SEXUALLY TRANSMITTED DISEASES SOCIAL IMPACT SOCIAL SAFETY NETS SOCIAL SECURITY STRATEGIC PRIORITIES SUBSIDIARY SUSTAINABLE ACCESS TECHNICAL ASSISTANCE TRANSACTION COSTS TRANSPORT TRUST FUNDS TUBERCULOSIS UNDER-FIVE MORTALITY UNIVERSAL ACCESS USE OF HEALTH SERVICES VITAL STATISTICS WATER SUPPLY WOMAN WORLD HEALTH ORGANIZATION |
| spellingShingle |
ACCESS TO FAMILY PLANNING ACCOUNTABILITY AGED AGING AIDS RELIEF ALLOCATION OF RESOURCES BANKS CAPACITY BUILDING CARE FOR CHILDREN CHILD HEALTH CHILD MORTALITY CHILD SURVIVAL CHILDREN PER WOMAN CITIES CIVIL SOCIETY ORGANIZATIONS CLIMATE CHANGE COMMUNICABLE DISEASE CONTROL COMMUNICABLE DISEASES CONTRACEPTIVE USE COST-EFFECTIVENESS DECENTRALIZATION DEMOGRAPHIC CHANGE DEMOGRAPHIC TRANSITION DEVELOPING COUNTRIES DEVELOPMENT ASSISTANCE DEVELOPMENT OBJECTIVES DEVELOPMENT POLICY DISCUSSION OF POPULATION DISSEMINATION DOCTORS EARLY CHILDHOOD ECONOMIC GROWTH EMERGENCY PLAN EMERGING MARKETS EPIDEMIC EPIDEMIOLOGY EXERCISES EXTERNALITIES FAMILY PLANNING FERTILITY RATE FINANCE MINISTRIES FINANCIAL CRISES FINANCIAL PROTECTION GENERIC DRUGS GLOBAL DEVELOPMENT GLOBAL REPRODUCTIVE HEALTH GOOD GOVERNANCE GOVERNMENT CAPACITY GOVERNMENT LEADERSHIP HEALTH CARE HEALTH CARE PROVISION HEALTH CONDITIONS HEALTH EXPENDITURES HEALTH FINANCE HEALTH FINANCING HEALTH FUNDING HEALTH IMPACT HEALTH IMPACTS HEALTH INFORMATION HEALTH INFORMATION SYSTEMS HEALTH INSURANCE HEALTH INSURERS HEALTH INTERVENTIONS HEALTH INVESTMENTS HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PROBLEMS HEALTH PROGRAMS HEALTH PROJECTS HEALTH PROVIDERS HEALTH REFORM HEALTH REFORMS HEALTH RESULTS HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH STRATEGY HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEM REFORM HEALTH SYSTEM STRENGTHENING HEALTH SYSTEMS HEALTH SYSTEMS STRENGTHENING HEALTH-SECTOR HEALTHY DEVELOPMENT HIGH FERTILITY HIV HIV/AIDS HOSPITAL HOSPITALS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HUMAN REPRODUCTION HUMAN RESOURCES HYGIENE ILL HEALTH ILLNESS IMMUNODEFICIENCY IMPACT EVALUATIONS INCIDENCE OF POVERTY INCOME INCOME GROUPS INFANT INFANT MORTALITY INFANT MORTALITY RATES INFANT NUTRITION INFANTS INFECTIOUS DISEASES INFORMATION SYSTEM INSTITUTIONAL CAPACITY INSTITUTIONAL DEVELOPMENT INSTITUTIONAL MECHANISMS INSURANCE SCHEMES INTERNATIONAL COMMUNITY INTERNATIONAL CONSENSUS INTERNATIONAL COOPERATION INTERVENTION INVENTORY LABOR MARKETS LEGAL STATUS LIFE INSURANCE LOCAL CAPACITY LONG-TERM CARE LOW-INCOME COUNTRIES MALARIA MALARIA CONTROL MALARIA INCIDENCE MANAGEMENT INFORMATION SYSTEMS MANDATES MARGINAL COSTS MATERNAL CARE MATERNAL MORTALITY MEDICAL EDUCATION MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF FINANCE MINISTRIES OF HEALTH MINISTRY OF HEALTH MORBIDITY MORTALITY NATIONAL HEALTH NATIONAL HEALTH EXPENDITURES NATIONAL LEVEL NATIONAL STRATEGY NUTRITION NUTRITIONAL STATUS PEACE PILOT PROJECTS POLICY DIALOGUE POLICY MAKERS POLIO POLITICAL SUPPORT POOR HEALTH POOR PEOPLE POPULATION GROUPS POPULATION SECTOR PORTFOLIO ANALYSIS POVERTY REDUCTION PREPAYMENT SCHEMES PRIVATE HEALTH INSURANCE PRIVATE HOSPITALS PRIVATE SECTOR PRIVATE SECTORS PROBABILITY PROFITABILITY PROGRESS PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH SPENDING PUBLIC INSURANCE PUBLIC INSURANCE SCHEMES PUBLIC SECTOR QUALITY ASSURANCE QUALITY OF SERVICES REFUGEES REGULATORY FRAMEWORKS REORGANIZATION REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH PROGRAMS RISK GROUPS RURAL AREAS RURAL DEVELOPMENT SAFE WATER SAFETY NET SANITATION SCREENING SELF-ASSESSMENT SERVICE DELIVERY SEXUALLY TRANSMITTED DISEASES SOCIAL IMPACT SOCIAL SAFETY NETS SOCIAL SECURITY STRATEGIC PRIORITIES SUBSIDIARY SUSTAINABLE ACCESS TECHNICAL ASSISTANCE TRANSACTION COSTS TRANSPORT TRUST FUNDS TUBERCULOSIS UNDER-FIVE MORTALITY UNIVERSAL ACCESS USE OF HEALTH SERVICES VITAL STATISTICS WATER SUPPLY WOMAN WORLD HEALTH ORGANIZATION Independent Evaluation Group Improving Effectiveness and Outcomes for the Poor in Health, Nutrition, and Population : An Evaluation of World Bank Group Support since 1997 |
| description |
This evaluation aims to inform the
implementation of the most recent the World Bank and
International Finance Corporation (IFC) health, nutrition,
and population (HNP) strategies to enhance the effectiveness
of future support. It covers the period since fiscal year
1997 and is based on desk reviews of the portfolio,
background studies, and field visits. The evaluation of the
HNP support of the World Bank focuses on the effectiveness
of policy dialogue, analytic work, and lending at the
country level, while that of IFC focuses on the performance
of health investments and advisory services before and after
its 2002 health strategy. The themes it covers are drawn
from the two strategies and the approaches adopted by
international donors in the past decade. Independent
Evaluation Group (IEG) has previously evaluated several
aspects of the Bank's HNP support. IFC's support
for the health sector has never been fully evaluated. Many
lessons have been learned over the past decade about the
successes and pitfalls of support for health reform: First,
the failure to assess fully the political economy of reform
and to prepare a proactive plan to address it can
considerably diminish prospects for success. Political
risks, the interests of key stakeholders, and the risk of
complexity- issues the evaluation case studies found to be
critical are often neglected in risk analysis in project
appraisal documents for health reform projects. Second,
reforms based on careful prior analytic work hold a greater
chance of success, but analytic work does not ensure
success. Third, the sequencing of reforms can improve
political feasibility, reduce complexity, ensure that
adequate capacity is in place, and facilitate learning. When
implementation is flagging, the Bank can help preserve
reform momentum with complementary programmatic lending
through the Ministry of Finance, as it did in Peru and the
Kyrgyz Republic. Finally, monitoring and evaluation are
critical in health reform projects-to demonstrate the impact
of pilot reforms to garner political support, but also
because many reforms cannot work without a well-functioning
management information system. |
| format |
Publications & Research :: Publication |
| author |
Independent Evaluation Group |
| author_facet |
Independent Evaluation Group |
| author_sort |
Independent Evaluation Group |
| title |
Improving Effectiveness and Outcomes
for the Poor in Health, Nutrition, and Population : An
Evaluation of World Bank Group Support since 1997 |
| title_short |
Improving Effectiveness and Outcomes
for the Poor in Health, Nutrition, and Population : An
Evaluation of World Bank Group Support since 1997 |
| title_full |
Improving Effectiveness and Outcomes
for the Poor in Health, Nutrition, and Population : An
Evaluation of World Bank Group Support since 1997 |
| title_fullStr |
Improving Effectiveness and Outcomes
for the Poor in Health, Nutrition, and Population : An
Evaluation of World Bank Group Support since 1997 |
| title_full_unstemmed |
Improving Effectiveness and Outcomes
for the Poor in Health, Nutrition, and Population : An
Evaluation of World Bank Group Support since 1997 |
| title_sort |
improving effectiveness and outcomes
for the poor in health, nutrition, and population : an
evaluation of world bank group support since 1997 |
| publisher |
Washington, DC: World Bank |
| publishDate |
2012 |
| url |
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000334955_20090623035255 http://hdl.handle.net/10986/2645 |
| _version_ |
1764385759052169216 |
| spelling |
okr-10986-26452021-04-23T14:02:03Z Improving Effectiveness and Outcomes for the Poor in Health, Nutrition, and Population : An Evaluation of World Bank Group Support since 1997 Independent Evaluation Group ACCESS TO FAMILY PLANNING ACCOUNTABILITY AGED AGING AIDS RELIEF ALLOCATION OF RESOURCES BANKS CAPACITY BUILDING CARE FOR CHILDREN CHILD HEALTH CHILD MORTALITY CHILD SURVIVAL CHILDREN PER WOMAN CITIES CIVIL SOCIETY ORGANIZATIONS CLIMATE CHANGE COMMUNICABLE DISEASE CONTROL COMMUNICABLE DISEASES CONTRACEPTIVE USE COST-EFFECTIVENESS DECENTRALIZATION DEMOGRAPHIC CHANGE DEMOGRAPHIC TRANSITION DEVELOPING COUNTRIES DEVELOPMENT ASSISTANCE DEVELOPMENT OBJECTIVES DEVELOPMENT POLICY DISCUSSION OF POPULATION DISSEMINATION DOCTORS EARLY CHILDHOOD ECONOMIC GROWTH EMERGENCY PLAN EMERGING MARKETS EPIDEMIC EPIDEMIOLOGY EXERCISES EXTERNALITIES FAMILY PLANNING FERTILITY RATE FINANCE MINISTRIES FINANCIAL CRISES FINANCIAL PROTECTION GENERIC DRUGS GLOBAL DEVELOPMENT GLOBAL REPRODUCTIVE HEALTH GOOD GOVERNANCE GOVERNMENT CAPACITY GOVERNMENT LEADERSHIP HEALTH CARE HEALTH CARE PROVISION HEALTH CONDITIONS HEALTH EXPENDITURES HEALTH FINANCE HEALTH FINANCING HEALTH FUNDING HEALTH IMPACT HEALTH IMPACTS HEALTH INFORMATION HEALTH INFORMATION SYSTEMS HEALTH INSURANCE HEALTH INSURERS HEALTH INTERVENTIONS HEALTH INVESTMENTS HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PROBLEMS HEALTH PROGRAMS HEALTH PROJECTS HEALTH PROVIDERS HEALTH REFORM HEALTH REFORMS HEALTH RESULTS HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH STRATEGY HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEM REFORM HEALTH SYSTEM STRENGTHENING HEALTH SYSTEMS HEALTH SYSTEMS STRENGTHENING HEALTH-SECTOR HEALTHY DEVELOPMENT HIGH FERTILITY HIV HIV/AIDS HOSPITAL HOSPITALS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HUMAN REPRODUCTION HUMAN RESOURCES HYGIENE ILL HEALTH ILLNESS IMMUNODEFICIENCY IMPACT EVALUATIONS INCIDENCE OF POVERTY INCOME INCOME GROUPS INFANT INFANT MORTALITY INFANT MORTALITY RATES INFANT NUTRITION INFANTS INFECTIOUS DISEASES INFORMATION SYSTEM INSTITUTIONAL CAPACITY INSTITUTIONAL DEVELOPMENT INSTITUTIONAL MECHANISMS INSURANCE SCHEMES INTERNATIONAL COMMUNITY INTERNATIONAL CONSENSUS INTERNATIONAL COOPERATION INTERVENTION INVENTORY LABOR MARKETS LEGAL STATUS LIFE INSURANCE LOCAL CAPACITY LONG-TERM CARE LOW-INCOME COUNTRIES MALARIA MALARIA CONTROL MALARIA INCIDENCE MANAGEMENT INFORMATION SYSTEMS MANDATES MARGINAL COSTS MATERNAL CARE MATERNAL MORTALITY MEDICAL EDUCATION MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF FINANCE MINISTRIES OF HEALTH MINISTRY OF HEALTH MORBIDITY MORTALITY NATIONAL HEALTH NATIONAL HEALTH EXPENDITURES NATIONAL LEVEL NATIONAL STRATEGY NUTRITION NUTRITIONAL STATUS PEACE PILOT PROJECTS POLICY DIALOGUE POLICY MAKERS POLIO POLITICAL SUPPORT POOR HEALTH POOR PEOPLE POPULATION GROUPS POPULATION SECTOR PORTFOLIO ANALYSIS POVERTY REDUCTION PREPAYMENT SCHEMES PRIVATE HEALTH INSURANCE PRIVATE HOSPITALS PRIVATE SECTOR PRIVATE SECTORS PROBABILITY PROFITABILITY PROGRESS PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH SPENDING PUBLIC INSURANCE PUBLIC INSURANCE SCHEMES PUBLIC SECTOR QUALITY ASSURANCE QUALITY OF SERVICES REFUGEES REGULATORY FRAMEWORKS REORGANIZATION REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH PROGRAMS RISK GROUPS RURAL AREAS RURAL DEVELOPMENT SAFE WATER SAFETY NET SANITATION SCREENING SELF-ASSESSMENT SERVICE DELIVERY SEXUALLY TRANSMITTED DISEASES SOCIAL IMPACT SOCIAL SAFETY NETS SOCIAL SECURITY STRATEGIC PRIORITIES SUBSIDIARY SUSTAINABLE ACCESS TECHNICAL ASSISTANCE TRANSACTION COSTS TRANSPORT TRUST FUNDS TUBERCULOSIS UNDER-FIVE MORTALITY UNIVERSAL ACCESS USE OF HEALTH SERVICES VITAL STATISTICS WATER SUPPLY WOMAN WORLD HEALTH ORGANIZATION This evaluation aims to inform the implementation of the most recent the World Bank and International Finance Corporation (IFC) health, nutrition, and population (HNP) strategies to enhance the effectiveness of future support. It covers the period since fiscal year 1997 and is based on desk reviews of the portfolio, background studies, and field visits. The evaluation of the HNP support of the World Bank focuses on the effectiveness of policy dialogue, analytic work, and lending at the country level, while that of IFC focuses on the performance of health investments and advisory services before and after its 2002 health strategy. The themes it covers are drawn from the two strategies and the approaches adopted by international donors in the past decade. Independent Evaluation Group (IEG) has previously evaluated several aspects of the Bank's HNP support. IFC's support for the health sector has never been fully evaluated. Many lessons have been learned over the past decade about the successes and pitfalls of support for health reform: First, the failure to assess fully the political economy of reform and to prepare a proactive plan to address it can considerably diminish prospects for success. Political risks, the interests of key stakeholders, and the risk of complexity- issues the evaluation case studies found to be critical are often neglected in risk analysis in project appraisal documents for health reform projects. Second, reforms based on careful prior analytic work hold a greater chance of success, but analytic work does not ensure success. Third, the sequencing of reforms can improve political feasibility, reduce complexity, ensure that adequate capacity is in place, and facilitate learning. When implementation is flagging, the Bank can help preserve reform momentum with complementary programmatic lending through the Ministry of Finance, as it did in Peru and the Kyrgyz Republic. Finally, monitoring and evaluation are critical in health reform projects-to demonstrate the impact of pilot reforms to garner political support, but also because many reforms cannot work without a well-functioning management information system. 2012-03-19T10:03:51Z 2012-03-19T10:03:51Z 2009 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000334955_20090623035255 978-0-8213-7950-9 http://hdl.handle.net/10986/2645 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC: World Bank Publications & Research :: Publication Publications & Research :: Publication |