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Fragile States

Fragile States


Faith-Based Organizations (FBOs) play an important role in conflict-affected countries, especially for the delivery of basic social services in the absence of well functioning states (see also our work on Service Delivery in non-fragile states). DDVE is conducting a study in partnership with staff from the World Bank’s Social Development Department with a dozen chapters focusing on various aspects of poverty and social analysis in conflict-affected countries. About two thirds of the chapters discuss how to conduct poverty and social analysis with limited data, including case studies on innovative approaches for such work. The other chapters consist of case studies on the role of FBOs as follows:

  • In Burundi, household survey data can be used to identify ten different types of health providers, namely hospitals, missionary hospitals, private hospitals, public health centers, missionary health centers, private health centers, pharmacies, private doctors, private “sage-femme,” and traditional healers. Thanks to the details provided in the household survey questionnaire which is much richer than what is available in other countries, it is feasible not only to compare the market shares of FBOs and other health service providers, but also to analyze which segments of the population the various providers are reaching and to what extent the population groups served by the various providers are satisfied with the services provided to them. This type of analysis can provide useful information for the policy dialogue on alternative service provision schemes.
       
  • In Sierra Leone, DDVE is using several surveys to assess the role and performance of FBOs in education and health. For example, the household survey data suggest that more than half of the students enrolled in school go to schools operated by FBOs. DDVE’s work on Sierra Leone is an input in a number of World Bank grants under implementation or preparation, including a new local basic service delivery project. Within the context of a broad movement towards decentralization, one of the key policy issues relates to how transfers from the central governments to local councils have to be allocated, and whether existing service providers that are faith-based will be able to benefit from some of these transfers and under what conditions.
       
  • In the Central African Republic, DDVE is working on an analysis of education data, as well as on documenting how the government collaborated with the Catholic Church in order to create a system that provides timely payments to teachers living and working in remote areas.
       
  • In the Democratic Republic of Congo, DDVE is finalizing a study that was started some time back in the World Bank's Africa Region with the collaboration of UNDP on ways to improve service delivery in education and health; this study includes a discussion of the role and opinion of FBOs, as documented through qualitative work done in the field in the form of interviews and focus groups done by UNDP consultants.



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