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Does free maternity care improve uptake and save lives? Quasi-experimental evidence from Kenya 免费产科保健是否能提高吸收率并挽救生命?来自肯尼亚的准实验证据
IF 4.8 1区 经济学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-12-16 DOI: 10.1016/j.worlddev.2025.107285
Roxanne Kovacs
Many assume that user-fees deter healthcare-seeking in low- and middle-income countries and are therefore partially responsible for high mortality rates. This paper estimates the causal effect of a national user-fee removal programme in Kenya on healthcare seeking and mortality, using a difference-in-differences design exploiting variation in treatment intensity across local communities. Results indicate a small increase in the uptake of antenatal care but no average effects on facility delivery, mortality or the quality of healthcare. Several potential mechanisms are examined and findings suggest heterogeneous treatment effects based on the physical accessibility of care as well as community-level preferences regarding household decision-making.
许多人认为,使用者收费阻碍了低收入和中等收入国家的求医问药,因此是造成高死亡率的部分原因。本文估计了肯尼亚国家用户费用取消计划对医疗保健寻求和死亡率的因果影响,使用了利用当地社区治疗强度差异的差异中之差设计。结果表明,接受产前保健的人数略有增加,但对设施分娩、死亡率或保健质量没有平均影响。研究了几种潜在的机制,结果表明,基于护理的物理可及性以及社区层面对家庭决策的偏好,治疗效果存在异质性。
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引用次数: 0
Clientelist politics in Nigeria: Core voters, control and compliance 尼日利亚的庇护主义政治:核心选民、控制与服从
IF 4.8 1区 经济学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-12-15 DOI: 10.1016/j.worlddev.2025.107281
Diane Zovighian
Clientelism is a defining feature of electoral politics in Nigeria, where political parties prioritize clientelist transfers to core supporters over transfers to swing voters or public goods appeals. What sustains these clientelist partisan pacts? Why are core voters more intensively targeted by clientelist transfers? Drawing on original survey data and key informant interviews, this article shows that core voters possess attributes that make them especially attractive to clientelist parties seeking to reduce defection risks. First, they are more deeply embedded in social networks on which parties can rely to gather information on their preferences and electoral behavior. Second, they are more likely to rely on their networks for voting advice or information. Third, they are more likely to perceive that the party can monitor their votes. And finally, they are more likely to comply with the clientelist bargain. This makes them in effect a safer bet for clientelist investments. In that context, clientelist targeting leads parties to sustain a core-support group of reliable votes delivery, rather than expand distributive promises to non-core voters. The findings highlight the impotance of voter-level attributes – particularly social network embeddedness – in shaping clientelist targeting and sustaining clientelist partisan pacts.
裙带主义是尼日利亚选举政治的一个显著特征,政党优先考虑裙带主义对核心支持者的转移,而不是对摇摆选民或公共产品诉求的转移。是什么支撑着这些庇护主义党派协议?为什么核心选民更容易成为客户转移的目标?根据原始调查数据和关键线人访谈,本文表明,核心选民拥有的属性使他们对寻求降低叛逃风险的客户主义政党特别有吸引力。首先,他们更深入地融入社交网络,政党可以依靠社交网络收集有关他们的偏好和选举行为的信息。其次,他们更有可能依赖自己的关系网来获得投票建议或信息。第三,他们更有可能认为该党可以监督他们的投票。最后,他们更有可能遵守客户协议。这实际上使它们成为客户投资的更安全的赌注。在这种情况下,以客户为目标使政党维持一个可靠的投票交付的核心支持群体,而不是扩大对非核心选民的分配承诺。研究结果强调了选民层面属性——尤其是社会网络嵌入性——在塑造客户目标和维持客户党派协议方面的重要性。
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引用次数: 0
Restricting mothers’ international migration and human capital investment 限制母亲的国际移民和人力资本投资
IF 4.8 1区 经济学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-12-13 DOI: 10.1016/j.worlddev.2025.107284
Takuya Hasebe , Yuma Noritomo , Bilesha Weeraratne
International migration offers significant economic opportunities for developing countries, but it can also separate parents from their children, potentially harming child development. This paper examines the effects of restricting mothers’ international migration on left-behind children, leveraging a unique Sri Lankan policy that restricted mothers with children under age five from migrating abroad for employment. Using a difference-in-differences approach, the results reveal the following: First, the policy reduces international migration, increasing mothers’ presence at home. Second, policy exposure leads to better healthcare outcomes, including a significant reduction in inpatient stays, particularly treatment for illnesses. This improvement appears to result from increased childcare and monitoring by mothers. Although the policy decreases remittances from abroad, this reduction is offset by an increase in domestic remittances. Furthermore, we find evidence of positive spillovers on non-targeted children with younger, policy-targeted siblings, as indicated by reduced grade retention. These findings highlight the trade-offs between a mother’s presence and the economic opportunities associated with international migration in shaping human capital development.
国际移民为发展中国家提供了重要的经济机会,但它也可能使父母与子女分离,可能损害儿童的发展。本文考察了限制母亲国际移民对留守儿童的影响,利用斯里兰卡的一项独特政策,限制有5岁以下子女的母亲出国就业。使用差异中的差异方法,结果显示:首先,该政策减少了国际移民,增加了母亲在国内的存在。其次,政策暴露会带来更好的医疗保健结果,包括显著减少住院时间,特别是疾病治疗。这种改善似乎是由于增加了母亲的照顾和监督。虽然该政策减少了来自国外的汇款,但这种减少被国内汇款的增加所抵消。此外,我们发现有证据表明,对于有更年轻的、有政策目标的兄弟姐妹的非目标儿童,年级保留率降低了,这是积极的溢出效应。这些发现突出表明,母亲的存在与国际移民带来的经济机会之间的权衡关系影响着人力资本的发展。
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引用次数: 0
Trade agreements and sustainable fisheries 贸易协定和可持续渔业
IF 4.8 1区 经济学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-12-12 DOI: 10.1016/j.worlddev.2025.107236
Basak Bayramoglu , Estelle Gozlan , Clément Nedoncelle , Thibaut Tarabbia
This study examines the impact of trade agreements and their specific provisions on the sustainability of marine fisheries resources. Using global data on the Mean Trophic Level (MTL) between 1950 and 2018 and a comprehensive dataset of environmental provisions from trade agreements signed between 1947 and 2018, we estimate the impact on the MTL of signing (i) a free trade agreement and (ii) a free trade agreement including fishery-related provisions. To address potential endogeneity problems associated with fisheries-related provisions, we use a difference-in-differences (DID) propensity score matching method. Our results show that while trade agreements tend to negatively impact the MTL, including fisheries-related provisions offsets this negative impact among signatory countries. By examining the potential mechanisms underlying this result, we are able to temper the optimistic findings in the existing literature on the beneficial environmental outcomes of environmental provisions. Our findings suggest that these provisions do not foster the adoption of more effective resource management practices. Instead, they appear to reduce trade opportunities, which is contrary to the objective of trade creation in trade agreements.
本研究审查了贸易协定及其具体规定对海洋渔业资源可持续性的影响。利用1950年至2018年的全球平均营养水平(MTL)数据和1947年至2018年签署的贸易协定中环境条款的综合数据集,我们估计了签署(i)自由贸易协定和(ii)包含渔业相关条款的自由贸易协定对MTL的影响。为了解决与渔业相关规定相关的潜在内生性问题,我们使用了差异中差异(DID)倾向评分匹配方法。我们的研究结果表明,虽然贸易协定往往会对MTL产生负面影响,但包括渔业相关条款在内的贸易协定抵消了签署国之间的这种负面影响。通过研究这一结果背后的潜在机制,我们能够缓和现有文献中关于环境规定的有益环境结果的乐观发现。我们的研究结果表明,这些规定并不能促进采用更有效的资源管理做法。相反,它们似乎减少了贸易机会,这与贸易协定中创造贸易的目标背道而驰。
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引用次数: 0
Poor performance of west Sumatran governments in resolving palm oil conflicts: a procedural justice perspective 西苏门答腊政府在解决棕榈油冲突方面表现不佳:程序正义的视角
IF 4.8 1区 经济学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-12-11 DOI: 10.1016/j.worlddev.2025.107278
Afrizal , Eka Vydia Putra , Linda Elida
Expanding palm oil cultivation in Indonesia has led to significant conflicts between local communities and palm oil companies. Research indicates that these communities often rely on local governments to resolve the disputes. However, there is currently a lack of studies exploring the effectiveness of local governments in this context. This research gap highlights the importance of the present study, which aims to investigate this pressing issue by employing conflict analysis, procedural justice frameworks, and mixed methods. This article addresses how effectively local governments resolve conflicts between local communities and palm oil companies, focusing on district governments in West Sumatera, Indonesia. The findings suggest that the performance of local governments in resolving these conflicts is inadequate due to their relative inaccessibility and weak process. To achieve sustainable outcomes, there is a pressing need for fair and equitable approaches that prioritize community rights.
印度尼西亚棕榈油种植的扩大导致了当地社区和棕榈油公司之间的重大冲突。研究表明,这些社区往往依靠地方政府来解决纠纷。然而,目前还缺乏关于地方政府在这一背景下的有效性的研究。这一研究缺口凸显了本研究的重要性,本研究旨在通过冲突分析、程序正义框架和混合方法来调查这一紧迫问题。本文探讨了地方政府如何有效地解决当地社区和棕榈油公司之间的冲突,重点是印度尼西亚西苏门答腊的地方政府。研究结果表明,由于地方政府的相对不可接近性和流程薄弱,地方政府在解决这些冲突方面的表现不足。为了取得可持续的成果,迫切需要采取公平和公平的方法,优先考虑社区权利。
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引用次数: 0
The long shadow of natural disasters: educational impacts of the 1991 cyclone in Bangladesh 自然灾害的长期阴影:1991年孟加拉国旋风对教育的影响
IF 4.8 1区 经济学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-12-11 DOI: 10.1016/j.worlddev.2025.107286
Chowdhury Abdullah-Al-Baki , Ali Ahmed
Using the 1991 cyclone in Bangladesh as a natural experiment, this paper examines the long-term educational impacts of early-life disaster exposure. We employ a differences-in-differences approach with data from the 2019 Multiple Indicator Cluster Survey to compare educational outcomes between disaster-affected and unaffected districts across birth cohorts with varying exposure timing. The results reveal substantial and persistent negative effects of early-life cyclone exposure on educational attainment. Children exposed during critical early developmental periods (ages 0–3) experience approximately one year reduction in completed schooling, with secondary completion falling by 12–19 percentage points and higher secondary completion by 10–17 percentage points. Mechanism analysis reveals economic hardship as the primary transmission channel, operating through household budget constraints that force reductions in educational investment. Infrastructure damage creates additional barriers through reduced access, while maternal psychological stress extends impacts to post-disaster birth cohorts. Disaster impacts exacerbate existing inequalities: girls experience roughly double the educational losses of boys, while rural populations face consistently larger impacts. The concentration of effects at secondary and higher secondary education levels suggests that disasters may perpetuate intergenerational poverty by blocking access to the formal labor market, where secondary education is often the minimum requirement. Robustness checks, including threats to identification and placebo tests, confirmed that these results reflected a genuine impact of the cyclone rather than coincidental patterns. These findings are urgent given projected increases in extreme weather frequency under climate change, providing strong justification for integrating disaster resilience into human capital development strategies in vulnerable developing countries.
本文以1991年孟加拉国气旋为自然实验,考察了早期灾害暴露对教育的长期影响。我们采用差异中的差异方法,利用2019年多指标聚类调查的数据,比较不同暴露时间的出生队列中受灾害影响和未受影响地区的教育成果。研究结果显示,早期气旋暴露对教育成就有实质性和持续性的负面影响。处于早期发育关键期(0-3岁)的儿童完成学业的时间减少了大约一年,其中中学完成率下降了12-19个百分点,高中完成率下降了10-17个百分点。机制分析表明,经济困难是主要的传导渠道,它通过家庭预算限制发挥作用,迫使教育投资减少。基础设施的破坏减少了获得服务的机会,从而造成了额外的障碍,而产妇的心理压力则扩大了对灾后出生人群的影响。灾害影响加剧了现有的不平等现象:女孩遭受的教育损失大约是男孩的两倍,而农村人口一直面临更大的影响。中等教育和高等教育的影响集中表明,灾害可能阻碍进入正规劳动力市场,从而使代际贫穷永久化,而中等教育往往是正规劳动力市场的最低要求。稳健性检查,包括对识别的威胁和安慰剂测试,证实这些结果反映了气旋的真实影响,而不是巧合模式。鉴于预计在气候变化下极端天气频率会增加,这些研究结果非常紧迫,为将抗灾能力纳入脆弱发展中国家的人力资本发展战略提供了强有力的理由。
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引用次数: 0
Government data accessibility and firm dynamics: Encouraging entrepreneurship or accelerating exit? 政府数据可及性与企业动态:鼓励创业还是加速退出?
IF 4.8 1区 经济学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-12-11 DOI: 10.1016/j.worlddev.2025.107283
Desheng Wu , Yu Xie
Data monopolies erode a firm’s competitive vitality and threaten the sustainable growth of developing economies. Open government data (OGD) provides a crucial supplementary channel for firms to fairly access data resources. However, past work knows little about how OGD reshapes firm dynamics (firm entry and firm exit). To investigate this, we employ a difference-in-differences model on a comprehensive dataset of high-precision firm registry and OGD launch data. This method leverages the staggered adoption of OGD platforms across Chinese cities, allowing us to isolate the causal effect on firm dynamics. Our findings evidence that while OGD accelerates firm entry, it also triggers risks of firm exit and declining survival rates. Improving the public data support level, especially the quantity and scope of datasets, will effectively mitigate the adverse effects. In terms of data utilization, we emphasize that insufficient algorithmic reserve capacity will accelerate firm exit, while, conversely, entrepreneurship benefits from high reserves in algorithms and computing power. Moreover, we evidence that OGD’s impact on firm dynamics is related to firm scale, industry, and operational models. Grounded in dynamic capability theory, we reveal that digital talent reserves, productivity, and information friction costs are the underlying mechanisms of OGD’s impact on firm dynamics. Nevertheless, we demonstrate that OGD has promoted the allocation of digital talent in non-digital sectors, increased average wages, but at the cost of greater labor displacement. Our findings provide new insights for emerging economies to enhance market competitive vitality through developing public data, while also highlighting the risks of OGD in accelerating the exit of vulnerable firms and unemployment.
数据垄断侵蚀了企业的竞争活力,威胁到发展中经济体的可持续增长。开放政府数据为企业公平获取数据资源提供了重要的补充渠道。然而,过去的工作对OGD如何重塑企业动态(企业进入和退出)知之甚少。为了研究这一点,我们在高精度公司注册和OGD启动数据的综合数据集上采用了差异中的差异模型。该方法利用了中国各城市交错采用OGD平台的情况,使我们能够分离出对企业动态的因果影响。我们的研究结果表明,在OGD加速企业进入的同时,它也引发了企业退出和存活率下降的风险。提高公共数据支持水平,特别是数据集的数量和范围,将有效缓解不利影响。在数据利用方面,我们强调算法储备能力不足会加速企业退出,反之,创业则受益于算法和计算能力的高储备。此外,我们证明了OGD对企业动态的影响与企业规模、行业和运营模式有关。基于动态能力理论,我们发现数字人才储备、生产力和信息摩擦成本是OGD影响企业动态的潜在机制。然而,我们证明了OGD促进了数字人才在非数字部门的配置,提高了平均工资,但代价是更大的劳动力流离失所。我们的研究结果为新兴经济体通过开发公共数据增强市场竞争活力提供了新的见解,同时也强调了OGD在加速弱势企业退出和失业方面的风险。
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引用次数: 0
Humor for health: a randomized controlled trial of clown visits in Palestinian hospitals 幽默促进健康:巴勒斯坦医院小丑来访的随机对照试验
IF 4.8 1区 经济学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-12-10 DOI: 10.1016/j.worlddev.2025.107263
Melanie Gräser , Christine Grimm , Roman Hoffmann
Hospitalization can be a highly stressful experience for children, potentially affecting their well-being and recovery. This study evaluates the impact of hospital clown visits on pediatric patients in Palestine. The health system of the country is severely challenged by the ongoing conflict and sociopolitical tensions which have major implications for the physical and mental health of children and obstruct patients’ access to healthcare services. We conducted a randomized controlled trial (RCT) to estimate the effects of clown visits on caregiver-rated health outcomes: children’s well-being during hospitalization, subjective recovery, and perceptions of hospital quality. We find that clown visits had a statistically significant positive effect on children’s well-being with levels of well-being in the treatment group being 0.25 standard deviations higher than in the control group. The effect was stronger among children from higher socio-economic backgrounds and those with a favorable predisposition towards clowns. We found no significant effects on caregiver-rated subjective recovery or perceptions of hospital quality. Our findings suggest that low-cost, non-medical interventions can play a meaningful role in improving the hospital experience for children, particularly in fragile and conflict-affected settings.
住院对儿童来说可能是一种压力很大的经历,可能会影响他们的健康和康复。本研究评估医院小丑访问对巴勒斯坦儿科患者的影响。该国的卫生系统受到持续冲突和社会政治紧张局势的严重挑战,这些冲突和紧张局势对儿童的身心健康产生重大影响,并阻碍患者获得卫生保健服务。我们进行了一项随机对照试验(RCT)来评估小丑探视对照顾者评定的健康结果的影响:儿童住院期间的幸福感、主观恢复和对医院质量的感知。我们发现小丑访问对儿童的幸福感有统计学上显著的积极影响,治疗组的幸福感水平比对照组高0.25个标准差。这种影响在社会经济背景较高的儿童和对小丑有好感的儿童中更为明显。我们发现对护理人员评定的主观康复或对医院质量的看法没有显著影响。我们的研究结果表明,低成本的非医疗干预措施可以在改善儿童的医院体验方面发挥有意义的作用,特别是在脆弱和受冲突影响的环境中。
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引用次数: 0
DEVELOPMENT AS EQUALITY: A gender lens on progress and its hidden barriers 发展即平等:进步及其隐藏障碍的性别视角
IF 4.8 1区 经济学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-12-08 DOI: 10.1016/j.worlddev.2025.107280
Bina Agarwal
Progress towards gender equality − economically, socially and politically − is a key measure of development, as well as a means of achieving it. This essay traces both the advances made (theoretical, empirical and in policy) in reducing gender inequality since the mid-1970s, when it was recognised internationally in development discourse, and the limits to that progress, given the persistence of gender inequality in most forms today. It is argued here that underlying visible measures of inequality, such as in women’s property ownership, labour market outcomes, and the governance of public institutions are hidden inequalities, embedded in biased social norms, social perceptions, and the social legitimacy of claims. Tackling these hidden barriers and their visible outcomes will require charting unconventional pathways, in particular shifting away from the dominant individualistic approaches to development to group approaches and collective action as necessary components for change.
在经济、社会和政治方面实现性别平等的进展是衡量发展的关键指标,也是实现发展的手段。本文追溯了自20世纪70年代中期以来在减少性别不平等方面取得的进展(理论、实证和政策),当时性别不平等在国际发展话语中得到认可,以及鉴于今天大多数形式的性别不平等持续存在,这一进展的局限性。本文认为,不平等的潜在可见指标,如妇女财产所有权、劳动力市场结果和公共机构治理,是隐藏的不平等,根植于有偏见的社会规范、社会观念和主张的社会合法性中。要解决这些隐藏的障碍及其可见的结果,就需要开辟非常规的途径,特别是从占主导地位的个人主义发展方法转向作为变革必要组成部分的群体方法和集体行动。
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引用次数: 0
Power and its discontents: The long road to systemic change in the aid sector 权力及其不满:援助领域系统性变革的漫漫长路
IF 4.8 1区 经济学 Q1 DEVELOPMENT STUDIES Pub Date : 2025-12-08 DOI: 10.1016/j.worlddev.2025.107259
Nicola Banks , Badru Bukenya , Willem Elbers , Innocent Kamya , Emmanuel Kumi , Lau Schulpen , Gijs van Selm , Margit van Wessel , Thomas Yeboah
Power inequalities between Northern and Southern NGOs have historically plagued development cooperation. A growing momentum towards localisation, locally-led development, and shift the power is indicative of widespread efforts to respond to these inequalities. Drawing upon new survey data, we explore the nature of specific actions taken by a sample of NNGOs and SNGOs to address these power inequalities and analyse the extent to which these equalize power. We find that organisations in our sample are taking important steps toward reconfiguring traditional power dynamics and fostering more collaborative and accountable relationships between Northern and Southern actors. Yet a deeper analysis of these raises questions around whether actions are deep enough to rebalance or upturn unequal relationships and contribute to broader systems change. We find that innovations within the aid system are making incremental improvements without fundamentally shifting where decision-making power and financial power lie. Significant to scholars and practitioners alike, these findings underscore the need for more substantive and systemic changes to achieve genuine equity in development cooperation.
北方和南方非政府组织之间的权力不平等历来困扰着发展合作。地方化、地方主导的发展和权力转移的势头日益增强,表明了应对这些不平等的广泛努力。根据新的调查数据,我们探讨了非政府组织和非政府组织为解决这些权力不平等而采取的具体行动的性质,并分析了这些权力平等的程度。我们发现,我们样本中的组织正在采取重要步骤,重新配置传统的权力动态,并在北方和南方参与者之间培养更多的协作和负责任的关系。然而,对这些问题进行更深入的分析会提出这样的问题:这些行动是否足够深入,能够重新平衡或扭转不平等关系,并促进更广泛的制度变革。我们发现,援助系统内的创新正在取得渐进式的改进,而没有从根本上改变决策权和财政权力的位置。这些发现对学者和实践者都具有重要意义,它们强调需要进行更实质性和系统性的变革,以实现发展合作的真正公平。
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引用次数: 0
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World Development
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