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The share of private sector funding, relative to public sector funding, for drug, vaccine, and diagnostic research & development (R&D) differs considerably across diseases. Private sector investment in overall health R&D exceeds $150 billion annually, but is largely concentrated on non-communicable chronic diseases with only an estimated $5.9 billion focused on "global health", targeting diseases that primarily affect low and middle-income countries (LMICs). We examine the evidence for five specific disincentives to private sector global health R&D investment: scientific uncertainty, weak policy environments, limited revenues and market uncertainty, high fixed and sunk costs, and downstream rents from imperfect markets. Though all five may affect estimates of net returns from an investment decision, they are worth examining separately as each calls for a different intervention or remediation to change behavior.
In this report we analyze three waves nationally-representative household survey data from Kenya, Uganda, Tanzania, Nigeria, Pakistan, Bangladesh, India, and Indonesia to explore sociodemographic and economic factors associated with mobile money adoption, awareness, and use across countries and over time. Our findings indicate that to realize the potential of digital financial services to reach currently unbanked populations and increase financial inclusion, particular attention needs to be paid to barriers faced by women in accessing mobile money. While policies and interventions to promote education, employment, phone ownership, and having a bank account may broadly help to increase mobile money adoption and use, potentially bringing in currently unbanked populations, specific policies targeting women may be needed to close current gender gaps.
Cash transfer programs are interventions that directly provide cash to target specific populations with the aim of reducing poverty and supporting a variety of development outcomes. Low- and middle-income countries have increasingly adopted cash transfer programs as central elements of their poverty reduction and social protection strategies. Bastagli et al. (2016) report that around 130 low- and middle-income countries have at least one UCT program, and 63 countries have at least one CCT program (up from 27 countries in 2008). Through a comprehensive review of literature, this report primarily considers the evidence of the long-term impacts of cash transfer programs in low- and lower middle-income countries. A review of 54 reviews that aggregate and summarize findings from multiple studies of cash transfer programs reveals largely positive evidence on long-term outcomes related to general health, reproductive health, nutrition, labor markets, poverty, and gender and intra-household dynamics, though findings vary by context and in many cases overall conclusions on the long-term impacts of cash transfers are mixed. In addition, evidence on long-term impacts for many outcome measures is limited, and few studies explicitly aim to measure long-term impacts distinctly from immediate or short-term impacts of cash transfers.
According to AGRA's 2017 Africa Agriculture Status Report, smallholder farmers make up to about 70% of the population in Africa. The report finds that 500 million smallholder farms around the world provide livelihoods for more than 2 billion people and produce about 80% of the food in sub-Saharan Africa and Asia. Many development interventions and policies therefore target smallholder farm households with the goals of increasing their productivity and promoting agricultural transformation. Of particular interest for agricultural transformation is the degree to which smallholder farm households are commercializating their agricultural outputs, and diversifying their income sources away from agriculture. In this project, EPAR uses data from the World Bank's Living Standards Measurement Study - Integrated Surveys on Agriculture (LSMS-ISA) to analyze and compare characteristics of smallholder farm households at different levels of crop commercialization and reliance on farm income, and to evaluate implications of using different criteria for defining "smallholder" households for conclusions on trends in agricultural transformation for those households.
An ongoing stream of EPAR research considers how public good characteristics of different types of research and development (R&D) and the motivations of different providers of R&D funding affect the relative advantages of alternative funding sources. For this project, we seek to summarize the key public good characteristics of R&D investment for agriculture in general and for different subsets of crops, and hypothesize how these characteristics might be expected to affect public, private, or philanthropic funders’ investment decisions.
The concept of global public goods represents a framework for organizing and financing international cooperation in global health research and development (R&D). Advances in scientific and clinical knowledge produced by biomedical R&D can be considered public goods insofar as they can be used repeatedly (non-rival consumption) and it is difficult or costly to exclude non-payers from gaining access (non-excludable). This paper considers the public good characteristics of biomedical R&D in global health and describes the theoretical and observed factors in the allocation R&D funding by public, private, and philanthropic sources.
This report provides a general overview of the markets for yams in Nigeria. The first section describes trends in yam production and consumption and international trade since 1990. The second section summarizes the varieties grown in Nigeria and their uses, followed by a discussion of the importance of yams as a source of nutrition and household income. The final section provides details about the production and marketing systems for yams in Nigeria, including environmental and gender considerations. Nigeria is the world’s largest yam producer in terms of quantity. Yam production and consumption have increased over the past twenty years, though more recently, production has been somewhat in decline and yields have been stagnant. The Nigerian government has played a more active role in improving agricultural production and export of root and tuber crops including yams in recent years, but so far with limited success. Yam producers and traders report diverse constraints to their full participation in the market, including high cost of inputs, planting materials and labor, lack of credit, limited access to proper, secure storage facilities, and high transportation costs.
This report provides a general overview of the sweet potato value chain in Tanzania. The first section describes trends in sweet potato production and consumption since 1990. The second section describes the uses and importance of sweet potatoes in Tanzania. The final section outlines current practices and constraints in production, post-production, and marketing. Tanzania ranks fifth in the world in quantity of sweet potatoes produced. Production and consumption of sweet potatoes have been relatively constant over the past 10 years, although both production and consumption in this period have been high in comparison to earlier decades. We find that sweet potato yields increased in the early 2000s, but have stagnated since, and are far short of potential yields. Sweet potato consumption is almost entirely domestic and plays an important role in nutrition and food security for smallholder farmers. Sweet potato production faces a variety of constraints, including pests and disease, short shelf life, lack of planting materials, damage during handling, and lack of market access.
This report provides a general overview of the markets for sweet potatoes in Nigeria. The first section describes trends in sweet potato production and consumption and international trade since 1990. The second section summarizes the varieties grown in Nigeria and their uses, followed by a discussion of the importance of sweet potatoes for food security and as a source of nutrition and household income. The following section reviews and presents details about the production and marketing systems for sweet potatoes in Nigeria, including environmental and gender considerations.