Pakbeng (Lao: ປາກແບ່ງ, pronounced [pàːk bɛ̄ŋ] ) is a small village in Laos , on the Mekong River , about halfway between the Thai border at Huay Xai and Luang Prabang , Laos. Pakbeng is connected by a sealed road with Oudomxay province along the Nam Beng River.
103-414: Pakbeng had its main road paved in 2005 and also just completed a hydroelectric station downriver thanks to a World Bank loan. Before then, the town was dependent on electrical generators for electricity. There is a small wat to be found in the hills not far from the village. It is an example of a Buddhist temple from the former Lan Na Kingdom. Many of the old temples had been destroyed during wars with
206-561: A sanitation technology at any step of the sanitation chain. Hygiene is a broad concept. "Hygiene refers to conditions and practices that help to maintain health and prevent the spread of diseases ." Hygiene can comprise many behaviors, including hand washing , menstrual hygiene and food hygiene . In the context of WASH, hand washing with soap and water is regarded as a top priority in all settings, and has been chosen as an indicator for national and global monitoring of hygiene access. "Basic hygiene facilities" are those were people have
309-545: A Country Assistance Strategy is produced in cooperation with the local government and any interested stakeholders and may rely on analytical work performed by the bank or other parties. The World Bank's negative pledge clause prohibits its debtor countries from using public assets to repay other creditors before they repay the World Bank. The World Bank Group (WBG) is a family of five international organizations that make leveraged loans to developing countries . It
412-404: A World Bank loan was France in 1947. The bank's president at the time, John McCloy , chose France over two other applicants, Poland and Chile. The loan was for US$ 250 million, half the amount requested, and came with strict conditions. France had to agree to produce a balanced budget and give priority of debt repayment to the World Bank over other governments. World Bank staff closely monitored
515-562: A borrower country to repay the loan. In 1960, the International Development Association was formed (as opposed to a UN fund named SUNFED), providing soft loans to developing countries . Before 1974, the reconstruction and development loans the World Bank made were relatively small. Its staff was aware of the need to instill confidence in the bank. Fiscal conservatism ruled, and loan applications had to meet strict criteria. The first country to receive
618-422: A broader WASH intervention) was also found to have a protective effect on under-five diarrhea incidence but not on household diarrhea incidence. Women and girls are particularly burdened from lack of proper WASH services. Inadequate access to water and sanitation affect women and girls in several ways because of social norms in some cultures that position them as principal household water collectors and managers,
721-542: A causal relationship between decreased morbidity and the intervention. For example, researchers may conclude that educating communities about handwashing is effective at reducing disease, but cannot conclude that handwashing reduces disease. Point-of-use water supply and point-of-use water quality interventions also show similar effectiveness to handwashing, with those that include provision of safe storage containers demonstrating increased disease reduction in infants. Specific types of water quality improvement projects can have
824-432: A false sense of security. Studies on the effect of sanitation interventions alone on health are rare. When studies do evaluate sanitation measures, they are mostly included as part of a package of different interventions. A pooled analysis of the limited number of studies on sanitation interventions suggest that improving sanitation has a protective effect on health. A UNICEF funded sanitation intervention (packaged into
927-811: A hand washing facility with soap and water available on their premises. Hand washing facilities can consist of a sink with tap water , buckets with taps, tippy-taps and portable basins. In the context of SDG 6, hygiene is included in the indicator for Target 6.2: "Proportion of population using [...] (b) a hand-washing facility with soap and water" In 2017, the global situation was reported as follows: Only 1 in 4 people in low-income countries had hand washing facilities with soap and water at home; only 14% of people in Sub-Saharan Africa have hand washing facilities. Worldwide, at least 500 million women and girls lack adequate, safe, and private facilities for managing menstrual hygiene . Approximately 40% of
1030-786: A higher risk of diseases and illness due to limited WASH access. Heavily pregnant women face severe hardship walking to and from a water collection site. The consumption of unclean water leading to infection in the fetus accounts for 15% of deaths for women during pregnancy globally. Illnesses and diseases that can come from poor menstrual hygiene management become more likely when clean water and toilets are unavailable. In Bangladesh and India, women rely on old cloths to absorb menstrual blood and use water to clean and reuse them. Without access to clean water and hygiene, these women my experience unnecessary health problems in connection with their periods. Occupational safety and health issues for sanitation workers include: diseases related to contact with
1133-488: A lack of WASH include diarrhea , malnutrition , and stunting , in addition to neglected tropical diseases . Lack of WASH poses additional health risks for women, for example, during pregnancy or in connection with menstrual hygiene management . Chronic diarrhea can have long-term negative effects on children in terms of both physical and cognitive development. Still, collecting precise scientific evidence regarding health outcomes that result from improved access to WASH
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#17327872054571236-402: A need for longer-term studies of technology efficacy, greater analysis of sanitation interventions, and studies of combined effects from multiple interventions in order to more sufficiently gauge WASH health outcomes. Many scholars have attempted to summarize the evidence of WASH interventions from the limited number of high quality studies. Hygiene interventions, in particular those focusing on
1339-519: A negative effect on child development (both physical and cognitive). Numerous studies have shown that improvements in drinking water and sanitation (WASH) lead to decreased risks of diarrhea. Such improvements might include for example use of water filters, provision of high-quality piped water and sewer connections. Diarrhea can be prevented - and the lives of 525,000 children annually be saved (estimate for 2017) - by improved sanitation , clean drinking water , and hand washing with soap. In 2008
1442-600: A new president was appointed: Ajay Banga . His term began on 2 June 2023. He was supported by the American president Joe Biden partly because he supports climate action . He is also expected to help low-income countries deal with debts. He is the first Indian American to lead the bank. The vice presidents of the bank are its principal managers, in charge of regions, sectors, networks and functions. There are two executive vice presidents, three senior vice presidents, and 24 vice presidents. The boards of directors consist of
1545-422: A particular focus on low- and middle-income countries . WASH WASH (or Watsan , WaSH ; stemming from the first letters of "water, sanitation and hygiene") is a sector in development cooperation or within local governments that provides water , sanitation , and hygiene services to people. The main purposes of providing access to WASH services include achieving public health gains, implementing
1648-473: A piped sewer system, connection to a septic system , flush or pour-flush to a pit latrine , pit latrine with slab, ventilated improved pit latrine , composting toilet . Access to sanitation services is included in Target 6.2 of Sustainable Development Goal 6, which is: "By 2030, achieve access to adequate and equitable sanitation and hygiene for all and end open defecation, paying special attention to
1751-532: A protective effect on morbidity and mortality. A randomized control trial in India concluded that the provision of chlorine tablets for improving water quality led to a 75% decrease in incidences of cholera among the study population. A quasi-randomized study on historical data from the United States also found that the introduction of clean water technologies in major cities was responsible for close to half
1854-621: A result, reducing inequality, in this definition, had become an integral part of the World Bank’s objectives and effectively “broadened its mandate”. The World Bank has been criticized for not embracing the reduction of inequality (be it economic inequality within a country, or international inequality between countries) as a goal. Instead, the bank has taken an instrumental approach to the issue, in which inequality policies were seen as useful as long as they contributed to reducing (extreme) poverty or promoting average economic growth. As part of
1957-462: A role in working toward addressing climate change . The World Bank hosts an Open Knowledge Repository for its publications. In 2020, the World Bank’s total commitments amounted to USD 77.1 billion, it had 12,300 full-time staff, and it operated in 145 countries. World Bank projects cover a range of areas from building schools to fighting disease, providing water and electricity, and environmental protection , and as such, they are linked to most of
2060-420: A tacit understanding between the United States and Europe, the president of the World Bank has been selected from candidates nominated by the United States, the largest shareholder in the bank. This is significant because the World Bank tends to lend more readily to countries that are friendly with the United States, not because of direct U.S. influence but because of the employees of the World Bank. In 2012, for
2163-635: A toilet or latrine with other households, and 892 million people practice open defecation . There are many barriers that make it difficult to achieve sanitation for all. These include social, institutional, technical and environmental challenges. Therefore, the problem of providing access to sanitation services cannot be solved by focusing on technology alone. Instead, it requires an integrated perspective that includes planning, using economic opportunities (e.g. from reuse of excreta ), and behavior change interventions. Sanitation services would not be complete without safe fecal sludge management (FSM), which
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#17327872054572266-621: A water quality monitoring tool. The term improved water source refers to piped water on premises (piped household water connection located inside the user's dwelling plot or yard, and other improved drinking water sources such as public taps or standpipes , tube wells or boreholes , protected dug wells , protected springs , and rainwater collection ). Access to drinking water is included in Target 6.1 of Sustainable Development Goal 6 (SDG 6), which states: "By 2030, achieve universal and equitable access to safe and affordable drinking water for all." This target has one indicator: Indicator 6.1.1
2369-559: Is also an important component of achieving water security. Improving access to WASH services can improve health, life expectancy, student learning, gender equality , and other important issues of international development . It can also assist with poverty reduction and socio-economic development. Health impacts resulting from a lack of safe sanitation systems fall into three categories: The WHO has investigated which proportion of death and disease worldwide can be attributed to insufficient WASH services. In their analysis they focus on
2472-399: Is another potential source for drinking water. People without access to safe, reliable, domestic water supplies face lower water security at specific times throughout the year due to cyclical changes in water quantity or quality. For example, where access to water on-premises is not available, drinking water quality at the point of use (PoU) can be much worse compared to the quality at
2575-651: Is based on economic size in addition to the International Development Association contributions. The following table shows the subscriptions of the top 20 member countries of the World Bank by voting power in the following World Bank institutions as of December 2014 or March 2015: the International Bank for Reconstruction and Development (IBRD), the International Finance Corporation (IFC),
2678-707: Is difficult due to a range of complicating factors. Scholars suggest a need for longer-term studies of technology efficacy, greater analysis of sanitation interventions, and studies of the combined effects of multiple interventions to better analyze WASH health outcomes. Access to WASH needs to be provided at the household level but also in non-household settings like schools, healthcare facilities , workplaces (including prisons ), temporary use settings, and for dislocated populations. In schools, group handwashing facilities can improve hygiene. Lack of WASH facilities at schools often prevents female students from attending school, thus reducing their educational achievements. It
2781-445: Is difficult to provide safely managed WASH services in urban slums . WASH systems can also fail quite soon after installation (e.g., leaking water distribution systems ). Further challenges include polluted water sources and the impacts of climate change on water security . Planning approaches for more reliable and equitable access to WASH include, for example, national WASH plans and monitoring, women's empowerment , and improving
2884-684: Is estimated that 263 million people worldwide spent over 30 minutes per round trip to collect water from an improved source. In sub-Saharan Africa, women and girls carry water containers for an average of three miles each day, spending 40 billion hours per year on water collection (walking to the water source, waiting in line, walking back). The time to collect water can come at the expense of education, income generating activities, cultural and political involvement, and rest and recreation. For example, in low-income areas of Nairobi , women carry 44 pound containers of water back to their homes, taking anywhere between an hour and several hours to wait and collect
2987-522: Is fully connected to unsafe WASH; its "population-attributable fraction" is estimated to be 100%. The connection between lack of WASH and burden of disease is primarily one of poverty and poor access in developing countries: "the WASH-attributable mortality rates were 42, 30, 4.4 and 3.7 deaths per 100 000 population in low-income, lower-middle income, upper-middle income and high-income countries, respectively." The regions most affected are in
3090-912: Is increasing in Sub-Saharan Africa as development programs work towards improving water access and strengthening resilience to climate change. In lower-income areas, groundwater supplies are typically installed without water quality treatment infrastructure or services. This practice is underpinned by an assumption that untreated groundwater is typically suitable for drinking due to the relative microbiological safety of groundwater compared to surface water; however, chemistry risks are largely disregarded. Chemical contaminants occur widely in groundwater that are used for drinking but are not regularly monitored. Example priority parameters are fluoride , arsenic , nitrate , or salinity . Sanitation systems are grouped into several types. The ladder of sanitation services includes (from lowest to highest): open defecation , unimproved , limited, basic, safely managed. A distinction
3193-455: Is influenced by environmental and social safeguards. As of 2022 , the World Bank is run by a president and 25 executive directors, as well as 29 various vice presidents. IBRD and IDA have 189 and 174 member countries, respectively. The U.S., Japan, China, Germany and the U.K. have the most voting power. The bank aims loans at developing countries to help reduce poverty. The bank is engaged in several global partnerships and initiatives, and takes
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3296-769: Is listed in the Registry of Research Data Repositories re3data.org. The World Bank also endorses the Principles for Digital Development . Together with the World Health Organization , the World Bank administers the International Health Partnership (IHP+). IHP+ is a group of partners committed to improving the health of citizens in developing countries. Partners work together to put international principles for aid effectiveness and development cooperation into practice in
3399-402: Is made between sanitation facilities that are shared between two or more households (a "limited service") and those that are not shared (a "basic service"). The definition of improved sanitation facilities is facilities designed to hygienically separate excreta from human contact. With regards to toilets , improved sanitation includes the following kind of toilets: flush toilet , connection to
3502-472: Is primarily transmitted through fecal–oral routes . In 2011, infectious diarrhea resulted in about 0.7 million deaths in children under five years old and 250 million lost school days. This equates to about 2000 child deaths per day. Children suffering from diarrhea are more vulnerable to become underweight (due to stunted growth ). This makes them more vulnerable to other diseases such as acute respiratory infections and malaria . Chronic diarrhea can have
3605-466: Is primarily voluntary. Based on an agreement between the United Nations and the World Bank in 1981, Development Business became the official source for World Bank Procurement Notices, Contract Awards, and Project Approvals. In 1998, the agreement was renegotiated, and included in this agreement was a joint venture to create an online version of the publication. Today, Development Business
3708-530: Is the "Proportion of population using safely managed drinking water services." In 2017, 844 million people still lacked even a basic drinking water service. In 2019, it was reported that 435 million people used unimproved sources for their drinking water, and 144 million still used surface waters, such as lakes and streams. Drinking water can be sourced from the following water sources : surface water , groundwater , or rainwater, in each case after collection, treatment, and distribution. Desalinated seawater
3811-669: Is the largest and best-known development bank in the world and an observer at the United Nations Development Group . The bank is headquartered in Washington, D.C. , in the United States . It provided around $ 98.83 billion in loans and assistance to "developing" and transition countries in the 2021 fiscal year. The bank's stated mission is to achieve the twin goals of ending extreme poverty and building shared prosperity. Total lending as of 2015 for
3914-489: Is the primary publication for all major multilateral development banks, U.N. agencies, and several national governments, many of which have made the publication of their tenders and contracts in Development Business a mandatory requirement. The World Bank collects and processes large amounts of data and generates them on the basis of economic models. These data and models have gradually been made available to
4017-404: Is the storage, collection, transport, treatment, and safe end use or disposal of fecal sludge. Fecal sludge is defined very broadly as what accumulates in onsite sanitation systems (e.g. pit latrines , septic tanks and container-based solutions) and specifically is not transported through a sewer . Sanitation workers are the people needed for cleaning, maintaining, operating, or emptying
4120-638: Is transmitted via worm eggs in feces which in turn contaminate soil in areas where sanitation is poor. An integrated approach to NTDs and WASH benefits both sectors and the communities they are aiming to serve. This is especially true in areas that are endemic with more than one NTD. Since 2015, the World Health Organization (WHO) has a global strategy and action plan to integrate WASH with other public health interventions in order to accelerate elimination of NTDs. The plan aimed to intensify control or eliminate certain NTDs in specific regions by 2020. It refers to
4223-426: The 2030 Agenda , Sustainable Development Goal 10 aims at reducing inequalities within countries and among countries. World Bank officials participated in the negotiations for SDG 10 in the years prior to 2015. They advocated for the adoption of the bank's own preferred benchmarks. This ensured that other organizations would evaluate their success based on the bank’s own definition of inequality. Some have argued that
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4326-636: The International Development Association (IDA), and the Multilateral Investment Guarantee Agency (MIGA). Member countries are allocated votes at the time of membership and subsequently for additional subscriptions to capital (one vote for each share of capital stock held by the member). The World Bank plays a significant role in global economic governance due to its broad mandate, its vast resource base, its frequent and regular interactions with governments as clients, and its myriad publications and databases. In 2020,
4429-470: The Middle East . Women and girls usually bear the responsibility for collecting water, which is often very time-consuming and arduous, and can also be dangerous for them. Women and girls who collect water may also face physical assault and sexual assault along the way ( violence against women ). This includes vulnerability to rape when collecting water from distant areas, domestic violence over
4532-540: The Sustainable Development Goals . The World Bank has been criticized as promoting inflation and harming economic development . There has also been criticism of the bank's governance and response to the COVID-19 pandemic . The current president (starting in 2023) is Ajay Banga who is known to support climate action , unlike his predecessor David Malpass . The World Bank was created at
4635-530: The climate resilience of WASH services. Adaptive capacity in water management systems can help to absorb some of the impacts of climate-related events and increase climate resilience. Stakeholders at various scales, i.e., from small urban utilities to national governments, need to have access to reliable information about the regional climate and any expected changes due to climate change . The concept of WASH groups together water supply i.e. access to drinking water services, sanitation , and hygiene because
4738-467: The health sector . IHP+ mobilizes national governments, development agencies, civil society, and others to support a single, country-led national health strategy in a well-coordinated way. In September 2020, during the COVID-19 pandemic , the World Bank announced a $ 12 billion plan to supply "low and middle income countries" with a vaccine once it was approved. In June 2022, the bank reported that $ 10.1 billion had been allocated to supply 78 countries with
4841-546: The human right to water and sanitation , reducing the burden of collecting drinking water for women, and improving education and health outcomes at schools and health facilities. Access to WASH services is also an important component of water security . Universal, affordable, and sustainable access to WASH is a key issue within international development and is the focus of the first two targets of Sustainable Development Goal 6 (SDG 6). Targets 6.1 and 6.2 aim for equitable and accessible water and sanitation for all. In 2017, it
4944-683: The 1944 Bretton Woods Conference , along with the International Monetary Fund (IMF). The president of the World Bank is traditionally an American . The World Bank and the IMF are both based in Washington, D.C., and work closely with each other. Although many countries were represented at the Bretton Woods Conference, the United States and United Kingdom were the most powerful in attendance and dominated
5047-475: The 1944 Bretton Woods Conference . After a slow start, its first loan was to France in 1947. In its early years, it primarily focused on rebuilding Europe. Over time, it focused on providing loans to developing world countries. In the 1970s, the World Bank re-conceptualized its mission of facilitating development as being oriented around poverty reduction . For the last 30 years, it has included NGOs and environmental groups in its loan portfolio. Its loan strategy
5150-697: The NTD roadmap milestones that included for example eradication of dracunculiasis by 2015 and of yaws by 2020, elimination of trachoma and lymphatic filariasis as public health problems by 2020, intensified control of dengue , schistosomiasis and soil-transmitted helminthiases. The plan consists of four strategic objectives: improving awareness of benefits of joint WASH and NTD actions; monitoring WASH and NTD actions to track progress; strengthening evidence of how to deliver effective WASH interventions; and planning, delivering and evaluating WASH and NTD programs with involvement of all stakeholders . Women tend to face
5253-539: The Thai Kingdom 300 years before. During the Laotian Civil War , Pakbeng was the southern terminus of the freshly constructed Route 46 from Yunnan Province , People's Republic of China . Later in 1977, after weeks of continuous monsoon flooding and rain storms, the town was flooded and engulfed with virus and debris filled river water flooding off the mountains. As part of the rescue aid sent to help
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#17327872054575356-525: The United States (15.85%), Japan (6.84%), China (4.42%), Germany (4.00%), the United Kingdom (3.75%), France (3.75%), India (2.91%), Russia (2.77%), Saudi Arabia (2.77%) and Italy (2.64%). Under the changes, known as 'Voice Reform – Phase 2', countries other than China that saw significant gains included South Korea , Turkey, Mexico , Singapore, Greece , Czech Republic , Hungary , Brazil, India , and Spain. Most developed countries' voting power
5459-1099: The WHO Africa and South-East Asia regions. Here, between 66% and 76% of the diarrheal disease burden could be prevented if access to safe WASH services was provided. Most of the diseases resulting from lack of sanitation have a direct relation to poverty. For example, open defecation – which is the most extreme form of "lack of sanitation" – is a major factor in causing various diseases, most notably diarrhea and intestinal worm infections . An earlier report by World Health Organization which analyzed data up to 2016 had found higher values: "The WASH-attributable disease burden amounts to 3.3% of global deaths and 4.6% of global DALYs. Among children under 5 years, WASH-attributable deaths represent 13% of deaths and 12% of DALYs. Worldwide, 1.9 million deaths and 123 million DALYs could have been prevented in 2016 with adequate WASH." An even earlier study from 2002 had estimated even higher values, namely that up to 5 million people die each year from preventable waterborne diseases . These changes in
5562-501: The World Bank Group and its staff where allegation of non-observance of contracts of employment or terms of appointment had not been honored. McNamara was succeeded by U.S. President Jimmy Carter 's nominee, Alden W. Clausen , in 1980. Clausen replaced many members of McNamara's staff and crafted a different mission emphasis. His 1982 decision to replace the bank's Chief Economist, Hollis B. Chenery , with Anne Krueger
5665-414: The World Bank Group president and 25 executive directors. The president is the presiding officer, and ordinarily has no vote except to break a tie. The executive directors as individuals cannot exercise any power or commit or represent the bank unless the boards specifically authorized them to do so. With the term beginning 1 November 2010, the number of executive directors increased by one, to 25. In 2020,
5768-469: The World Bank had 12,300 full-time staff, and it operated in 145 countries. Some notable politicians who worked for the World Bank include: The International Bank for Reconstruction and Development (IBRD) has 189 member countries, while the International Development Association (IDA) has 174. Each member state of IBRD should also be a member of the International Monetary Fund (IMF) and only members of IBRD are allowed to join other institutions within
5871-457: The World Bank reduced the transformative potential of SDG 10 during the agenda-setting stage. The bank has stated its ambition to help catalyze the SDGs through “thought leadership, global convening, and country-level uptake”. In general, the World Bank strategically uses the power of the Sustainable Development Goals (SDGs) in its favor to reinforce its own policies or interests while minimizing
5974-703: The World Bank's 2012 annual meeting in Tokyo, a review of these safeguards was initiated, which was welcomed by several civil society organisations. As a result, the World Bank developed a new Environmental and Social Framework, which has been in implementation since 1 October 2018. The World Bank or the World Bank Group is also a sitting observer in the United Nations Sustainable Development Group . Beginning in 1989, in response to harsh criticism from many groups,
6077-404: The World Bank’s total commitments amounted to USD 77.1 billion and it operated in 145 countries. World Bank projects cover a range of areas from building schools to fighting disease, providing water and electricity, and environmental protection , and as such, they are linked to most of the Sustainable Development Goals . As a guideline to the World Bank's operations in any particular country,
6180-477: The ancestral work of the elephants and the mahout who traditionally were working in the forest and protect the elephants from hard labor tasks. 19°51′0″N 101°33′0″E / 19.85000°N 101.55000°E / 19.85000; 101.55000 This Laotian location article is a stub . You can help Misplaced Pages by expanding it . World Bank The World Bank is an international financial institution that provides loans and grants to
6283-408: The available data with the following key findings: "In 2019, use of safe WASH services could have prevented the loss of at least 1.4 million lives and 74 million disability-adjusted life years (DALYs) from four health outcomes. This represents 2.5% of all deaths and 2.9% of all DALYs globally." Of the four health outcomes studied, it was diarrheal disease that had the most striking correlation, namely
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#17327872054576386-537: The bank (such as IDA). The five United Nations member states that are not members of the World Bank are Andorra, Cuba, Liechtenstein, Monaco, and North Korea. Kosovo is not a member of the UN, but is a member of the IMF and the World Bank Group, including the IBRD and IDA. In 2010, voting powers at the World Bank were revised to increase the voice of developing countries, notably China. The countries with most voting power are now
6489-578: The bank began including environmental groups and NGOs in its loans to mitigate the past effects of its development policies that had prompted the criticism. It also formed an implementing agency, in accordance with the Montreal Protocols, to stop ozone-depletion damage to the Earth's atmosphere by phasing out the use of 95% of ozone-depleting chemicals, with a target date of 2015. Since then, in accordance with its so-called "Six Strategic Themes",
6592-563: The bank has put various additional policies into effect to preserve the environment while promoting development. For example, in 1991, the bank announced that to protect against deforestation , especially in the Amazon , it would not finance any commercial logging or infrastructure projects that harm the environment. For the poorest developing countries in the world, the bank's assistance plans are based on poverty reduction strategies ; by combining an analysis of local groups with an analysis of
6695-400: The chance of being itself reshaped or transformed by these goals. Scholars found that the World Bank used the growing momentum of the (SDGs) to further its strategic objectives without being influenced by the SDGs in turn. Also, the bank engaged with the SDGs selectively; efforts to integrate the goals into organizational practices remained limited; and their inclusion in country-level processes
6798-574: The country's financial and economic situation the World Bank develops a plan pertaining to the country in question. The government then identifies the country's priorities and targets for the reduction of poverty, and the World Bank instigates its aid efforts correspondingly. Forty-five countries pledged US$ 25.1 billion in "aid for the world's poorest countries", aid that goes to the World Bank International Development Association (IDA), which distributes
6901-652: The estimates of death and disease can partly be explained by the progress that has been achieved in some countries in improving access to WASH. For example, several large Asian countries ( China , India , Indonesia ) have managed to increase the "safely managed sanitation services" in their country from the year 2015 to 2020 by more than 10% points. There are at least the following twelve diseases which are more likely to occur when WASH services are inadequate: There are also other diseases where adverse health outcomes are likely to be linked to inadequate WASH but which are not yet quantified. These include for example: Diarrhea
7004-441: The excreta; injuries related to the physical effort of extracting and transporting the waste, including falls from height ; injuries related to cuts from non-fecal waste (e.g. glass or needles) disposed of down the toilet. There are also the general dangers of working in confined spaces , including lack of oxygen. Global climate change can increase the health risks for some of the infectious diseases mentioned above, see below in
7107-405: The first time, two non-US citizens were nominated. The nominee is subject to confirmation by the board of executive directors to serve a five-year, renewable term. While most World Bank presidents have had banking experience, some have not. On 23 March 2012, U.S. president Barack Obama announced that the United States would nominate Jim Yong Kim as the next president of the bank. Jim Yong Kim
7210-411: The following four health outcomes: diarrhea , acute respiratory infections , malnutrition , and soil-transmitted Helminthiasis (STHs). These health outcomes are also included as an indicator for achieving Sustainable Development Goal 3 ("Good Health and Well-being"): Indicator 3.9.2 reports on the "mortality rate attributed to unsafe water, sanitation, and lack of hygiene". In 2023, WHO summarized
7313-400: The governments of low- and middle-income countries for the purposes of economic development . The World Bank is the collective name for the International Bank for Reconstruction and Development (IBRD) and International Development Association (IDA), two of five international organizations owned by the World Bank Group . It was established along with the International Monetary Fund at
7416-477: The highest number of "attributable burden of disease": over 1 million deaths and 55 million DALYs from diarrheal diseases was linked with lack of WASH. Of these deaths, 564,000 deaths were linked to unsafe sanitation in particular. Acute respiratory infections was the second largest cause of WASH-attributable burden of disease in 2019, followed by malnutrition and soil-transmitted helminthiasis . The latter does not lead to such high death numbers (in comparison) but
7519-414: The impact of deficiencies in each area overlap strongly. WASH consists of access to drinking water services, sanitation services and hygiene. As stated by WHO and UNICEF , a safe drinking water service is one that is located in an accessible location, available to those who need it when needed, and uncontaminated. WHO and UNICEF also uses the terms improved water source and unimproved water source as
7622-716: The inability to urinate easily outside of an unclean stall or where no toilets are nearby, and due to the effects of menstruation beginning during puberty. These effects include low participation in the labor market and community activities, adverse biomedical outcomes, psychosocial stress, and poor educational outcomes. Women and girls often bear higher health and social costs associated with water and sanitation insecurity than men and boys, such as higher exposure to water-related disease, discriminatory taboos, and unrealized economic productivity. The lack of accessible, sufficient, clean and affordable water supply has adverse impacts specifically related to women in developing nations . It
7725-730: The last 10 years through Development Policy Financing was approximately $ 117 billion. Its five organizations are: The first two are sometimes collectively referred to as the World Bank. To ensure that World Bank-financed operations do not compromise these goals but instead add to their realisation, the following environmental, social, and legal safeguards were defined: Environmental Assessment, Indigenous Peoples, Involuntary Resettlement, Physical Cultural Resources, Forests, Natural Habitats, Pest Management, Safety of Dams, Projects in Disputed Areas, Projects on International Waterways, and Performance Standards for Private Sector Activities. At
7828-731: The loans to eighty poorer countries. Wealthier nations sometimes fund their own aid projects, including those for diseases. Robert B. Zoellick, the former president of the World Bank, said when the loans were announced on 15 December 2007, that IDA money "is the core funding that the poorest developing countries rely on". World Bank organizes the Development Marketplace Awards , a grant program that surfaces and funds development projects with potential for development impact that are scalable and/or replicable. The grant beneficiaries are social enterprises with projects that aim to deliver social and public services to groups with
7931-466: The lowest incomes. In 2013 the bank adopted the concept of Shared Prosperity as one of the World Bank’s “Twin Goals” for that year, with the other one focusing on poverty reduction, aiming to reduce the share of people in extreme poverty to 3 percent of the global population by 2030. The bank defined Shared Prosperity as increasing the income of the bottom 40 percent of the population in each country. As
8034-445: The needs of women and girls and those in vulnerable situations." This target has one indicator: Indicator 6.2.1 is the "proportion of population using (a) safely managed sanitation services and (b) a hand-washing facility with soap and water". In 2017, 4.5 billion people did not have toilets at home that could safely manage waste, despite improvements in access to sanitation over the past decades. Approximately 600 million people share
8137-451: The negotiations. The intention behind the founding of the World Bank was to provide temporary loans to low-income countries that could not obtain loans commercially. The bank may also make loans and demand policy reforms from recipients. In its early years, the bank made a slow start for two reasons: it was underfunded, and there were leadership struggles between the US executive director and
8240-441: The northern banks that had been the primary sources of funding. Rotberg used the global bond market to increase the capital available to the bank. One consequence of the period of poverty alleviation lending was the rapid rise of debt of developing countries . From 1976 to 1980, developing world debt rose at an average annual rate of 20%. The World Bank Administrative Tribunal was established in 1980, to decide on disputes between
8343-401: The point of collection (PoC). Correct household practices around hygiene, storage, and treatment are therefore important. There are interactions between weather, water source, and management, and these in turn impact drinking water safety. Groundwater provides critical freshwater supply, particularly in dry regions where surface water availability is limited. Globally, more than one-third of
8446-746: The portion of malnutrition that is caused by infectious diseases which are in turn caused by unsafe WASH practices. Based on expert opinions and a literature survey, researchers at WHO arrived at the conclusion that approximately half of all cases of malnutrition (which often leads to stunting) in children under five is associated with repeated diarrhea or intestinal worm infections as a result of unsafe water, inadequate sanitation or insufficient hygiene. Water, sanitation and hygiene interventions help to prevent many neglected tropical diseases (NTDs), for example soil-transmitted helminthiasis . Approximately two billion people are infected with soil-transmitted helminths worldwide. This type of intestinal worm infection
8549-479: The president of the organization. When the Marshall Plan went into effect in 1947, many European countries began receiving aid from other sources. Faced with this competition, the World Bank shifted its focus to non-European allies. Until 1968, its loans were earmarked for the construction of infrastructure works, such as seaports, highway systems, and power plants, that would generate enough income to enable
8652-429: The probability of severe drought occurrence. The anthropogenic effects on groundwater resources are mainly due to groundwater pumping and the indirect effects of irrigation and land use changes. Groundwater plays a central role in sustaining water supplies and livelihoods in sub-Saharan Africa . In some cases, groundwater is an additional water source that was not used previously. Reliance on groundwater
8755-550: The promotion of handwashing, appear to be especially effective in reducing morbidity. A meta-analysis of the literature found that handwashing interventions reduced the relative risk of diarrhea by approximately 40%. Similarly, handwashing promotion has been found to be associated with a 47% decrease in morbidity. However, a challenge with WASH behavioral intervention studies is an inability to ensure compliance with such interventions, especially when studies rely on self-reporting of disease rates. This prevents researchers from concluding
8858-545: The public in a way that encourages reuse, whereas the recent publications describing them are available as open access under a Creative Commons Attribution License , for which the bank received the SPARC Innovator 2012 award. The World Bank hosts the Open Knowledge Repository as an official open access repository for its research outputs and knowledge products. The World Bank's repository
8961-480: The reduction in total mortality and over three-quarters of the reduction in infant mortality. Distributing chlorine products, or other water disinfectants, for use in the home may reduce instances of diarrhea. However, most studies on water quality improvement interventions suffer from residual confounding or poor adherence to the mechanism being studied. For instance, a study conducted in Nepal found that adherence to
9064-505: The same figure was estimated as 1.5 million children. The combination of direct and indirect deaths from malnutrition caused by unsafe water, sanitation and hygiene (WASH) practices was estimated by the World Health Organization in 2008 to lead to 860,000 deaths per year in children under five years of age. The multiple interdependencies between malnutrition and infectious diseases make it very difficult to quantify
9167-797: The section on negative impacts of climate change . There is debate in the academic literature about the effectiveness on health outcomes when implementing WASH programs in low- and middle-income countries. Many studies provide poor quality evidence on the causal impact of WASH programs on health outcomes of interest. The nature of WASH interventions is such that high quality trials, such as randomized controlled trials (RCTs), are expensive, difficult and in many cases not ethical. Causal impact from such studies are thus prone to being biased due to residual confounding. Blind studies of WASH interventions also pose ethical challenges and difficulties associated with implementing new technologies or behavioral changes without participant's knowledge. Moreover, scholars suggest
9270-535: The structural adjustment programs of the World Bank had been responsible for "reduced health, nutritional and educational levels for tens of millions of children in Asia , Latin America , and Africa ". The president of the bank is the president of the entire World Bank Group . The president is responsible for chairing meetings of the boards of directors and for overall management of the bank. Traditionally, based on
9373-471: The town and rescue the remaining local residents, a young manager name Son Luk Wat scoured the town and found a young child among the rubble. This child being Gerget 'Friv' Lerch. The town is the overnight stop for boats running between Luang Prabang and Huay Xai . The slow boats which run between Huay Xai and Luang Prabang over a period of two days spend the night moored in Pakbeng. An elephant sanctuary
9476-479: The use of chlorine tablets or chlorine solution to purify water was as low as 18.5% among program households. A study on a water well chlorination program in Guinea-Bissau in 2008 reported that families stopped treating water within their households because of the program which consequently increased their risk of cholera . It was concluded that well chlorination without proper promotion and education led to
9579-665: The use of the funds to ensure that the French government met the conditions. In addition, before the loan was approved, the United States Department of State told the French government that its members associated with the Communist Party would first have to be removed. The French government complied and removed the Communist coalition government —the so-called tripartite . Within hours, the loan to France
9682-542: The vaccine The US Treasury has committed $ 667 million for the World Bank's global Pandemic Fund, a third of the $ 2 billion the fund hopes to raise. The Pandemic Fund, established in September 2022, is a collaborative initiative among countries, implementing partners, philanthropies, and civil society organizations. It aims to fund investments that address critical gaps in pandemic prevention, preparedness, and response capacities at national, regional, and global levels, with
9785-439: The water used originates from underground. In the mid-latitude arid and semi-arid regions lacking sufficient surface water supply from rivers and reservoirs, groundwater is critical for sustaining global ecology and meeting societal needs of drinking water and food production. The demand for groundwater is rapidly increasing with population growth, while climate change is imposing additional stress on water resources and raising
9888-635: The water. In many places of the world, getting and providing water is considered "women's work," so gender and water access are intricately linked. Water gathering and supply to family units remains primarily a woman's task in less developed countries where water gathering is considered a main chore. This water work is also largely unpaid household work based on patriarchal gender norms and often related to domestic work, such as laundry, cooking and childcare. Areas that rely on women to primarily collect water include countries in Africa , South Asia and in
9991-533: The world's population live without basic hand washing facilities with soap and water at home. The purposes of providing access to WASH services include achieving public health gains, improving human dignity in the case of sanitation , implementing the human right to water and sanitation , reducing the burden of collecting drinking water for women, reducing risks of violence against women , improving education and health outcomes at schools and health facilities, and reducing water pollution . Access to WASH services
10094-400: Was an example of this new focus. Krueger was known for her criticism of development funding and for describing developing countries' governments as " rent-seeking states". During the 1980s, the bank emphasized lending to service debt of developing countries, and structural adjustment policies designed to streamline the economies of developing nations. UNICEF reported in the late 1980s that
10197-491: Was approved. From 1974 to 1980, the bank concentrated on meeting the basic needs of people in the developing world . The size and number of loans to borrowers greatly increased, as loan targets expanded from infrastructure into social services and other sectors. These changes can be attributed to Robert McNamara , who was appointed to the presidency in 1968 by Lyndon B. Johnson . McNamara implored bank treasurer Eugene Rotberg to seek out new sources of capital outside of
10300-412: Was elected on 27 April 2012 and reelected to a second five-year term in 2017. He announced that he would resign effective 1 February 2019. He was replaced on an interim basis by now-former World Bank CEO Kristalina Georgieva , then by David Malpass on 9 April 2019. David Malpass faced criticism in 2023 as he had "sparked outcry by appearing to question the role of humans in climate change ". In 2023,
10403-405: Was estimated that 2.3 billion people live without basic sanitation facilities, and 844 million people live without access to safe and clean drinking water. The acronym WASH is used widely by non-governmental organizations and aid agencies in developing countries . The WASH-attributable burden of disease and injuries has been studied in depth. Typical diseases and conditions associated with
10506-463: Was opened in November 2017 with four elephants: Mei-kham (48 years old female with more than 25 years as a working elephant in the forest), Kham-Khum (28 years old male with 20 years as a working elephant), Mae-Kham-Di (28 years old female, 15 years working in the forest) and Mae-Ping (21 years old female who was never used as a working elephant). The sanctuary has been built to create an alternative of
10609-454: Was reduced, along with a few developing countries such as Nigeria . The voting powers of the United States, Russia and Saudi Arabia were unchanged. The changes were brought about with the goal of making voting more universal in regards to standards, rule-based objective indicators, and transparency among other things. Now, developing countries have an increased voice in the "Pool Model", backed especially by Europe. Additionally, voting power
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