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Role of Decentralized Financing in Improving Healthcare Provisioning

In a column for VoxDev ( December 2021), economists Eeshani Kandpal and Elina Pradhan of the World Bank Development Research Group, Madhulika Khanna from Yale University, and Benjamin Loevinsohn of The Global Fund explain results from an experiment in Nigeria. “Providing operating funds to public health facilities can be as effective as alternative pay-for-performance models, at half the cost”, they write.

The authors discuss some factors besides poor effort put in by healthcare workers, such as lack of control on operational budget by PHCs which causes delays and other inefficiencies to build a case in favor of decentralized financing. The study compares outcomes from two interventions- pay for performance and decentralized facility financing. It presents conclusions about the performance of both interventions in areas like quality of service delivered, immunization of children, use of contraceptives, antenatal care-seeking. The article also discusses several policy insights.

Click here to read the full column.

In a column for VoxDev ( December 2021), economists Eeshani Kandpal and Elina Pradhan of the World Bank Development Research Group, Madhulika Khanna from Yale University, and Benjamin Loevinsohn of The Global Fund explain results from an experiment in Nigeria. “Providing operating funds to public health facilities can be as effective as alternative pay-for-performance models, at half the cost”, they write.

The authors discuss some factors besides poor effort put in by healthcare workers,

Read the full article…

Posted by at 1:18 PM

Labels: Inclusive Growth

Housing View – December 17, 2021

Please note that Housing View will be on hiatus for the last two week of December and will resume back in January 2022.


On cross-country:

  • The laws of attraction: Economic drivers of inter-regional migration, the role of housing, and public policies – VoxEU
  • Affordability the casualty amid ever-climbing global property prices – Reuters


On the US:   

  • A New Year Brings a New Surge in Housing Prices. People are ricocheting between skyrocketing rents and a red-hot home market, upending old seasonal patterns as job and wage growth drive a new economic cycle. – Bloomberg
  • Millennials Are Supercharging the Housing Market. The generation that supposedly didn’t want to buy things now accounts for over half of all home-purchase loan applications; economists expect them to bolster demand for years – Wall Street Journal
  • You Won’t be My Neighbor: Opposition to High Density Development – Urban Affairs Review
  • Boom in Housing Prices Helps Hawaii More Than Any Other State – Bloomberg
  • A Black couple had a White friend show their home and its appraisal rose by nearly half a million dollars – CNN
  • What’s Behind the Racial Homeownership Gap in Philadelphia? – Philadelphia Fed
  • Black homeownership is declining in Philly – NPR
  • Biden taps Thompson for full term as top housing regulator. The move comes after Thompson allies on the Hill urged Biden to keep her at the helm amid reports he planned to replace Thompson this fall. – Politico
  • A Refugee Crisis Runs Into a Housing Crisis. Thousands of Afghan refugees are being released from military bases to U.S. cities to rebuild their lives. Settling them into homes amid a rental shortage is proving to be a challenge. – New York Times
  • How landlords thwart America’s attempts to house poor people. It is one thing to receive a housing voucher and quite another to successfully use it – The Economist
  • As Home Prices Soar Elsewhere, California Starts to Seem Almost Reasonable – UCLA


On China

  • The user cost of housing and the price-rent ratio in Shanghai – Regional Science and Urban Economics
  • China struggles to shrug off weak consumer spending and property woes. New home prices decline at steepest rate since 2015 while retail sales come in below forecasts – FT
  • Kaisa offshore investors in talks to buy group’s distressed loans. Creditors seek inroads into Chinese developers’ opaque restructurings after Evergrande collapse – FT 
  • China’s central bank urges backing for affordable housing in Shanghai – Reuters
  • Private equity cuts back on China property as Evergrande hits stocks. A third of firms plan to reduce exposure to sector as developer’s default reverberates through market – FT
  • China’s Coming Property Correction: A Managed Soft Landing – MacroPolo
  • Abandoned Projects Shatter Confidence in China’s Home Market – Bloomberg
  • U.S. Home-Price Surge Looks Much Tamer in Government CPI Report – Bloomberg   
  • China’s property slowdown sheds light on another worrying debt problem. Local-government financing vehicles, not just developers, are saddled with lashings of debt – The Economist
  • China housing market slumps again as another developer runs into trouble. House prices, sales and construction all fell in November as Shimao Group shares plunge and Beijing assesses what to do with Evergrande – The Guardian


On other countries:  

  • [Australia] New Zealand has adopted a radical rezoning plan to cut house prices – could it work in Australia? Councils won’t be able to block townhouses or apartments under a sweeping reform aimed at improving affordability – but will it work? And could the idea cross the Tasman? – The Guardian
  • [Canada] Canadian Home Prices Surge a Record 25% Amid Persistent Shortage – Bloomberg
  • [Germany] Temporal dynamics of rent regulations – The case of the German rent control – Regional Science and Urban Economics
  • [Germany] As COVID-19 continues, other issues are coming to the fore – Savills
  • [Ireland] Sharon Donnery: The role of central banks in housing markets – Central Bank of Ireland
  • [Singapore] Singapore tightens curbs to cool buoyant property market – Reuters
  • [United Kingdom] House price push by Bank of England is oddly timed. The central bank has suggested removing one of the post-financial crisis guardrails against runaway mortgage debt – FT
  • [United Kingdom] ‘Piecemeal’ rental housing policy fails tenants, warns UK watchdog. The National Audit Office calls for overarching strategy to help renters in difficulties – FT
  • [United Kingdom] U.K.’s Fixed Mortgages Mean Faster BOE Rate Rises May Be Needed – Bloomberg
  • [United Kingdom] U.K. Housing Loses Momentum With Second Drop in Asking Prices – Bloomberg
  • [United Kingdom] U.K.’s House Price Boom Driven by ‘Race for Space’, BOE Says – Bloomberg
  • [Uruguay] Spillover effects from new housing supply – Regional Science and Urban Economics

Please note that Housing View will be on hiatus for the last two week of December and will resume back in January 2022.

On cross-country:

  • The laws of attraction: Economic drivers of inter-regional migration, the role of housing, and public policies – VoxEU
  • Affordability the casualty amid ever-climbing global property prices – Reuters

On the US:   

Read the full article…

Posted by at 5:00 AM

Labels: Global Housing Watch

WHO Analyzes Trends in Global Healthcare Expenditure

The latest report by World Health Organization, Global expenditure on health: Public spending on the rise? (2021), highlights interesting statistics about expenditure in high income, low income, and low middle-income countries on primary healthcare, the correlation between government spending and out-of-pocket expenditure, trends in public investment patterns, etc. It analyzes data over a 20 year period, from 2000 until 2019, and provides crucial policy insights alongside recent developments.

“Overall, global spending on health has doubled in real terms over the past two decades, reaching US$ 8.5 trillion in 2019 and 9.8% of GDP (up from 8.5% in 2000). Spending on health remained highly unequal—and more unequal than the distribution of global GDP. High income countries accounted for nearly 80% of global spending on health (with the United States of America alone accounting for more than 40%), and their average spending per capita was more than four times the average GDP per capita of low income countries. In countries for which data were available, about half of health spending went towards primary health care (PHC), representing about 3% of GDP on average. Nearly half of PHC spending was funded by private sources, the same as for non-PHC services. Among the low income countries for which data were available, about one-third of PHC spending came from external aid and one-fifth came from government sources, whereas the composition was reversed for non-PHC spending. Further analysis from a set of low and middle income countries indicates that the share of PHC spending that went to infectious diseases was significantly higher than the share that went to noncommunicable diseases and injuries.”

Click here to access the full report.

The latest report by World Health Organization, Global expenditure on health: Public spending on the rise? (2021), highlights interesting statistics about expenditure in high income, low income, and low middle-income countries on primary healthcare, the correlation between government spending and out-of-pocket expenditure, trends in public investment patterns, etc. It analyzes data over a 20 year period, from 2000 until 2019, and provides crucial policy insights alongside recent developments.

“Overall, global spending on health has doubled in real terms over the past two decades,

Read the full article…

Posted by at 10:11 AM

Labels: Inclusive Growth

PODCAST: The Challenges of Macroeconomic Forecasting in the Era of COVID

“Economic forecasting is rarely easy. This is especially true in the current environment, as the relationship between economic activity and public health metrics such as the percentage of people vaccinated, or the number of COVID cases, remains far from predictable. 

Key macroeconomic questions remain. Is higher inflation likely to persist, or will it prove transitory? Will businesses be able to boost productivity despite the tight labor market, and supply chain disruptions? And what are some of the most useful metrics to assess economic recovery in the current environment? 

This week on EconoFact Chats, Julia Coronado discusses these questions, and offers her perspective on which metrics best indicate the health of the economy.”

To know more click here.

“Economic forecasting is rarely easy. This is especially true in the current environment, as the relationship between economic activity and public health metrics such as the percentage of people vaccinated, or the number of COVID cases, remains far from predictable. 

Key macroeconomic questions remain. Is higher inflation likely to persist, or will it prove transitory? Will businesses be able to boost productivity despite the tight labor market, and supply chain disruptions? And what are some of the most useful metrics to assess economic recovery in the current environment? 

Read the full article…

Posted by at 8:47 AM

Labels: Forecasting Forum

Pensions at a Glance: Challenges of Ageing Populations

OECD’s latest report, Pensions at a Glance (2021), discusses in detail the financial pressures arising out of rapidly ageing global populations. Although life expectancy gains in old age have slowed since 2010, the pace of ageing is projected to be fast over the next two decades. The size of the working-age population is projected to fall by more than one‑quarter by 2060 in most Southern, Central and Eastern European countries as well as in Japan and Korea.

Pension finances deteriorated during the pandemic due to lost contributions, and shortfalls have been mainly covered by state budgets. The report emphasizes the fact that the biggest long-term challenge for pensions continues to be providing financially and socially sustainable pensions in the future. Many countries have introduced automatic adjustment mechanisms (AAM- adjusting retirement ages, benefit levels and contribution rates and using an automatic balancing mechanism) in their pension systems that change pension system parameters, such as pension ages, benefits or contribution rates when demographic, economic or financial indicators change. Putting pensions systems on a solid footing for the future will require painful policy decisions.

Click here to read the full report.

OECD’s latest report, Pensions at a Glance (2021), discusses in detail the financial pressures arising out of rapidly ageing global populations. Although life expectancy gains in old age have slowed since 2010, the pace of ageing is projected to be fast over the next two decades. The size of the working-age population is projected to fall by more than one‑quarter by 2060 in most Southern, Central and Eastern European countries as well as in Japan and Korea.

Read the full article…

Posted by at 9:38 AM

Labels: Inclusive Growth

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