scholarly journals Adapting Collaborative Approaches for Service Provision to Low-Income Countries: Expert Panel Results

2020 ◽  
Vol 12 (7) ◽  
pp. 2612 ◽  
Author(s):  
Kimberly Pugel ◽  
Amy Javernick-Will ◽  
Matthew Koschmann ◽  
Shawn Peabody ◽  
Karl Linden
Keyword(s):  
Service Delivery ◽  
International Development ◽  
Low Income ◽  
Expert Panel ◽  
Income Country ◽  
Low Income Countries ◽  
Low Income Country ◽  
Government Capacity ◽  
The Government ◽  
Future Practice

The international development sector is increasingly implementing collaborative approaches that facilitate a range of sectoral-level stakeholders to jointly address complex problems facing sustainable public service delivery, for which guidance does not explicitly exist. The literature on collaborative approaches has been built on experiences in high-income countries with vastly different governance capabilities, limiting their global relevance. A Delphi expert panel addressed this need by evaluating 58 factors hypothesized in the literature to contribute to the success of collaborative approaches. The panel rated factors according to their importance in low-income country contexts, on a scale from Not Important to Essential. Experts agreed on the importance of 49 factors, eight of which were essential for success. Rich qualitative data from open-ended responses revealed factors that may be unique to low-income country contexts and to service delivery applications, including how government capacity, politics, donor influence, and culture can influence decisions on structuring leadership and facilitation roles, appropriately engaging the government, and building legitimacy. Key considerations for future practice and research are summarized in a table in the appendix. This study contributes to both literature and practice by identifying the relative importance of factors to consider when designing collaborative approaches in low-income countries with limited governance capabilities.

A Review of Some Aspects of the Low-Income Country Debt Sustainability Framework

Policy Papers ◽  
2009 ◽  
Vol 09 ◽  
Author(s):  
Keyword(s):  
Low Income ◽  
Income Country ◽  
Low Income Countries ◽  
Preventive Action ◽  
Debt Sustainability ◽  
Low Income Country ◽  
Debt Burden ◽  
Development Goals ◽  
Lending Decisions ◽  
Sustainability Framework

The Bank-Fund Debt Sustainability Framework (DSF) is a standardized framework for analyzing debt-related vulnerabilities in low-income countries (LICs). It aims to help countries monitor their debt burden and take early preventive action, to provide guidance to creditors in ensuring their lending decisions are consistent with countries’ development goals, and to improve the Bank and Fund’s assessments and policy advice. The DSF was last reviewed in 2006, and a reconsideration of some aspects of the framework is timely.

scholarly journals Researching Peers and Disaster Vulnerable Communities: An Insider Perspective

2017 ◽  
Author(s):  
Stern Kita
Keyword(s):  
Low Income ◽  
Vulnerable Population ◽  
Income Country ◽  
Low Income Countries ◽  
Doctoral Study ◽  
Low Income Country ◽  
Vulnerable Communities ◽  
Conducting Research

Conducting research among peers and communities that a researcher also serves may be both daunting and rewarding. Researching peers may make the researcher feel uncomfortable raising certain questions that are sensitive or that could be construed to be testing their competencies. This paper is inclined more towards showing that it is advantageous to be an insider, whose position can facilitate collection of information that could not have been accessed, or revealed to an outsider. The paper reports on fieldwork conducted in a low-income country in Sub-Sahara Africa as part of a doctoral study with communities affected by disasters and those that work with such communities. The paper demonstrates the complexities of conducting such research and provides some insights that may be useful to insiders, outsiders or “in-betweeners” embarking on fieldwork in low-income countries and among vulnerable population struggling with manifold stresses and shocks.

scholarly journals Changing Patterns in Low-Income Country Financing and Implications for Fund Policies on External Financing and Debt

Policy Papers ◽  
2009 ◽  
Vol 09 ◽  
Author(s):  
Keyword(s):  
Low Income ◽  
Income Country ◽  
Low Income Countries ◽  
External Financing ◽  
External Resources ◽  
Low Income Country ◽  
Changing Patterns ◽  
Development Objectives ◽  
External Borrowing ◽  
Case Basis

Low-income countries (LICs) face significant challenges in meeting their development objectives while maintaining a sustainable debt position. The international community’s main answer to this dilemma has been to promote recourse to concessional external resources. The Fund’s recommendations to LICs conform to this preference: the practice in Fund-supported programs in LICs has generally been to set zero limits on nonconcessional external borrowing while not restricting concessional financing, although flexibility has been applied on a case-by-case basis to allow some nonconcessional borrowing when warranted.

Review of Low-Income Country Debt Sustainability Framework and Implications of the Multilateral Debt Relief Initiative (MDRI)

Policy Papers ◽  
2006 ◽  
Vol 2006 (13) ◽  
Author(s):  
Keyword(s):  
World Bank ◽  
Low Income ◽  
Debt Relief ◽  
Income Country ◽  
Low Income Countries ◽  
Bank Debt ◽  
Debt Sustainability ◽  
Low Income Country ◽  
Sustainability Framework

This paper reviews the experience with the joint IMF-World Bank Debt Sustainability Framework for low-income countries, including cooperation between the staffs, and highlights the implications of the Multilateral Debt Relief Initiative.

Ethiopia’s homegrown economic reforms face challenges

2019 ◽  
Keyword(s):  
Economic Reform ◽  
Low Income ◽  
Income Country ◽  
Middle Income ◽  
Content Type ◽  
Reform Agenda ◽  
Low Income Country ◽  
Debt Burden ◽  
Sub Saharan ◽  
The Government

Subject Outlook for Ethiopia's economic reform agenda. Significance The government has launched a “Homegrown Economic Reform” agenda, which aims to transform Ethiopia from a largely agrarian low-income country to an industrialised lower-middle-income country by 2030. This will require the private sector to take charge of growth amid waning public sector financing capacity. However, significant economic liberalisation within this timeframe is unrealistic given the entrenched nature of the old command economy. Impacts Ethiopia has overtaken Angola as Sub-Saharan Africa’s third-largest economy but slowing growth could threaten this new status. The large external debt burden and high import content of the new agenda will curb plans to liberalise the exchange rate. Ethio Telecom and Ethiopian Airlines will be the crown jewels among proposed privatisation offerings.

Development Outcomes of Old and New Sources of International Development Finance in Sri Lanka

2017 ◽  
Vol 33 (4) ◽  
pp. 488-516
Author(s):  
Muttukrishna Sarvananthan
Keyword(s):  
Sri Lanka ◽  
International Development ◽  
Civil Wars ◽  
Low Income ◽  
Income Country ◽  
Middle Income ◽  
Development Finance ◽  
Low Income Country ◽  
Capita Income Growth ◽  
Development Outcomes

This research article compares and contrasts development outcomes of ‘traditional’ or ‘old’ and ‘emerging’ or ‘new’ sources of international development finance in Sri Lanka during the ceasefire time (2002–2005) when it depended on former sources and the post-civil war period (2009–2012) when it depended heavily on the latter sources. It also compares and contrasts the development outcomes in Sri Lanka (a lower middle income country), which depended heavily on the ‘emerging’ or ‘new’ sources of international development finance, and Nepal (a low income country), which depended on ‘traditional’ or ‘old’ sources of international development finance, during the first five years after the end of their respective civil wars. Although the causality is difficult to establish, the data presented herein demonstrates that while GDP growth and per capita income growth have been greater under the new international development finance regime in Sri Lanka, positive changes in the rates of inflation, unemployment, and poverty have been greater under the old international development finance regimes in Sri Lanka and Nepal.

scholarly journals Can Ultrasound Guided Regional Anesthesia Improve Rural Anesthesia Services and Address Safety Issues in Low Income Country? Perspective from Nepal

2020 ◽  
Vol 18 (1) ◽  
pp. 144-146
Author(s):  
Pawan Kumar Hamal ◽  
Anuj Jung Rayamajhi ◽  
Nabin Pokhrel ◽  
Rupesh Kumar Yadav ◽  
Prajjwal Raj Bhattarai ◽  
...  
Keyword(s):  
Regional Anesthesia ◽  
Low Income ◽  
Income Country ◽  
Low Income Countries ◽  
Ultrasound Guided ◽  
Safety Issues ◽  
Low Income Country ◽  
Anesthesia Safety ◽  
Logistics Services ◽  
Proper Training

Provision of anesthesia services in a deprived area particularly in low income countries is a major challenge all over the globe. Along with issues of manpower, logistics, services, there lies agendas of safety and accuracy while delivering the services. With rise in ultrasound use in regional anesthesia, pain and perioperative care, it is prudent that some of these issues can be addressed with proper training, mentoring and monitoring. The global idea needs to be implemented locally to reach out to huge volume of patients who are inadequately treated for the various painful conditions. A group of regional enthusiasts from Nepal takes the vision and mission in Nepalese context to address the issues. Keywords: Low income country; rural anesthesia; safety; ultrasound guided regional anesthesia

scholarly journals Stakeholder engagement in the health policy process in a low income country: a qualitative study of stakeholder perceptions of the challenges to effective inclusion in Malawi

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah C. Masefield ◽  
Alan Msosa ◽  
Florence Kasende Chinguwo ◽  
Jean Grugel
Keyword(s):  
Health Policy ◽  
Qualitative Study ◽  
Low Income ◽  
Policy Process ◽  
Stakeholder Engagement ◽  
Local Level ◽  
Health Sector ◽  
Low Income Countries ◽  
Low Income Country ◽  
The Government

Abstract Background Inclusive engagement in healthcare policies and decision-making is essential to address the needs of patients and communities, reduce health inequities and increase the accountability of the government. In low income countries such as Malawi, with significant health challenges, stakeholder inclusion is particularly important to improve performance and service delivery. The 2017 National Health Plan II (NHP II) and accompanying Health Sector Strategic Plan II (HSSP II) aimed to improve the functioning of the healthcare system. The Ministry of Health for Malawi intended to involve all key health sector stakeholders in their development. This study explores the extent of stakeholder engagement in the health policy process through local level stakeholders’ perceptions of their involvement in the NHP II and HSSP II. Methods A qualitative study design was used. Interviews were conducted with 19 representatives of organisations operating at the local level, such as CSOs and local government. Open questions were asked about experiences and perceptions of the development of the NHP II and HSSP II. Inductive content analysis was performed. Results Stakeholders perceived barriers to inclusive and meaningful engagement in the health policy process. Five categories were identified: tokenistic involvement; stakeholder hierarchy; mutual distrust; preferred stakeholders; no culture of engagement. Conclusions Serious challenges to the meaningful and equitable engagement of local level stakeholder groups in the health policy process were identified. Issues of trust, accountability and hierarchy in donor-citizen-government relations must be addressed to support stakeholder engagement. Engagement must go beyond tokenism to embed a range of stakeholders in the process with feedback mechanisms to ensure impact from their contributions. Local level stakeholders can be empowered to advocate for and participate in consultation exercises alongside greater top-down efforts to engage stakeholders via diverse and inclusive methods. These issues are not unique to Malawi or to health policy-making.

A Cross-sectional Study of the Clinical Profile of Children With Cerebral Palsy in Benin, a West African Low-Income Country

2019 ◽  
Vol 34 (13) ◽  
pp. 842-850
Author(s):  
Emmanuel Segnon Sogbossi ◽  
Damienne Houekpetodji ◽  
Toussaint G. Kpadonou ◽  
Yannick Bleyenheuft
Keyword(s):  
Risk Factors ◽  
Cerebral Palsy ◽  
Low Income ◽  
Classification System ◽  
West African ◽  
Low Income Countries ◽  
Cross Sectional ◽  
Common Cause ◽  
Low Income Country ◽  
Children With Cerebral Palsy

Cerebral palsy is a common cause of pediatric motor disability. Although there are increasing amounts of data on the clinical profile of children with cerebral palsy in high-income countries, corresponding information about low-income countries and developing countries is lacking. Therefore, we aimed to describe the clinical spectrum of cerebral palsy in children in Benin, a representative West African low-income country. Our cross-sectional observational study included 114 children with cerebral palsy recruited from community-based rehabilitation centers and teaching hospitals (median age: 7 years, range 2-17; sex: 66% male). Data were collected through review of medical records and interviews with children’s mothers. Assessment included risk factors, clinical subtypes according to the Surveillance of CP in Europe criteria, severity of motor outcome scored by the Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System, comorbidities, and school attendance. We recorded a high prevalence of intrapartum adverse events. Seventeen percent of children had postneonatal cerebral palsy, with cerebral malaria being the most common cause. Most children were severely affected (67.5% as bilateral spastic; 54.4% as GMFCS IV or V), but severity declined substantially with age. Only 23% of the children with cerebral palsy had attended school. Poor motor outcomes and comorbidities were associated with school nonattendance. These results suggest that intrapartum risk factors and postnatal cerebral malaria in infants are opportune targets for prevention of cerebral palsy in Sub-Saharan low-income countries.

Impact of COVID-19 on FDIs, Remittances and Foreign Aids: A Case Study of Nepal

2021 ◽  
pp. 097639962097420
Author(s):  
Gaurav Bhattarai ◽  
Binita Subedi
Keyword(s):  
United Nations ◽  
Low Income ◽  
Global Economy ◽  
Grey Literature ◽  
Foreign Assistance ◽  
Foreign Direct Investments ◽  
Middle Income ◽  
Low Income Country ◽  
The Government ◽  
The Impact

The global economy has been severely paralysed, owing to the unprecedented crisis triggered by the COVID-19 pandemic, and different studies have indicated that the crisis is relatively more maleficent to the lower-income and middle-income economies. Methodologically, this study relied on the review and analysis of the grey literature, media reporting and data published by the Asian Development Bank, United Nations Conference on Trade and Development (UNCTAD), United Nations (UN), World Bank, International Monetary Fund (IMF) among others. The article begins by describing the impact of the pandemic on low-income and middle-income countries, and it discusses how they have responded to the crisis. While discussions have surfaced regarding whether COVID-19 will reverse the process of globalization, what will be its impact on the low-income country like Nepal? The study also highlights that with foreign direct investments speculated to shrink and foreign assistance and remittance taking a hit, how is Nepal struggling to keep its economy afloat? Analysing the new budget that the government unveiled in 2020, this study concludes with a note that instead of effectively implementing the plans and policies directed by the budget, Nepal is unnecessarily engaged in political mess and is needlessly being dragged into the geopolitical complications.

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