Research Topics

Dataset

EPAR Technical Report #346
Publication Date: 04/23/2018
Type: Literature Review
Abstract

The private sector is the primary investor in health research and development (R&D) worldwide, with investment annual investment exceeding $150 billion, although only an estimated $5.9 billion is focused on diseases that primarily affect low and middle-income countries (LMICs) (West et al., 2017b). Pharmaceutical companies are the largest source of private spending on global health R&D focused on LMICs, providing $5.6 billion of the $5.9 billion in total private global health R&D per year. This report draws on 10-K forms filed by Pharmaceutical companies with the U.S. Securities and Exchange Commission (SEC) in the year 2016 to examine the evidence for five specific disincentives to private sector investment in drugs, vaccines and therapeutics for global health R&D: scientific uncertainty, weak policy environments, limited revenues and market uncertainty, high fixed costs for research and manufacturing, and imperfect markets. 10-K reports follow a standard format, including a business section and a risk section which include information on financial performance, investment options, lines of research, promising acquisitions and risk factors (scientific, market, and regulatory). As a result, these filings provide a valuable source of information for analyzing how private companies discuss risks and challenges as well as opportunities associated with global health R&D targeting LMICs.

EPAR Technical Report #306
Publication Date: 09/18/2015
Type: Literature Review
Abstract

We review the status and characteristics of 48 national identity programs and initiatives in 43 developing countries, and evaluate how these programs are being connected to—or used for—service provision. The identity programs we review are mainly government-issued national IDs. However, we also review other types of national identity programs with links to various services including voter cards, passports, and two programs targeting the poor and the banking population. Following a brief review of the roles of identity systems in development and recent identity system trends, we present an overview of the 48 national identity programs, including technical features (such as whether physical identities incorporate an electronic component or are embedded with biometric features), implementation status, population enrollment strategies, and coverage. We next review evidence of implementation challenges around accountability, privacy, data management, enrollment, coverage, cost, and harmonization of identity programs. Finally, we present the functional applications of national identity programs, reporting how these programs are linked with services in finance, health, agriculture, elections, and other areas, and analyzing whether particular identity program characteristics are associated with functional applications.

EPAR Technical Report #311
Publication Date: 08/06/2015
Type: Literature Review
Abstract

This report provides a summary of findings from six Financial Inclusion Insights (FII) data analysis reports conducted by various agencies for the Bill & Melinda Gates Foundation (BMGF). These reports investigate barriers to financial inclusion and use of digital financial services (DFS) in Bangladesh, India, Kenya, Nigeria, Pakistan, Tanzania, and Uganda. We compile comparable gender-specific statistics, summarize the authors’ findings to determine commonalities and differences across countries, and highlight gender-specific conclusions and recommendations provided in the studies. 

EPAR Research Brief #312
Publication Date: 07/30/2015
Type: Literature Review
Abstract

This brief reviews the evidence of realized yield gains by smallholder farmers attributable to the use of high-quality seed and/or improved seed varieties. Our analysis suggests that in most cases, use of improved varieties and/or quality seed is associated with modest yield increases.  In the sample of 395 trials reviewed, positive yield changes accompanied the use of improved variety or quality seed, on average, in 10 out of 12 crops, with rice and cassava as the two exceptions.

EPAR Technical Report #293
Publication Date: 03/31/2015
Type: Literature Review
Abstract

This report reviews the current body of peer-reviewed scholarship exploring the impacts of morbidity on economic growth. This overview seeks to provide a concise introduction to the major theories and empirical evidence linking morbidity – and the myriad different measures of morbidity – to economic growth, which is defined primarily in terms of gross domestic product (GDP) and related metrics (wages, productivity, etc.). Through a systematic review of published manuscripts in the fields of health economics and economic development we further identify the most commonly-used pathways linking morbidity to economic growth. We also highlight the apparent gaps in the empirical literature (i.e., theorized pathways from morbidity to growth that remain relatively untested in the published empirical literature to date).

EPAR Technical Report #130
Publication Date: 01/29/2011
Type: Literature Review
Abstract

The purpose of this literature review is to provide qualitative and quantitative examples of technologies, constraints and incentives for efficient waste treatment and reuse in Sub-Saharan Africa and Southeast Asia.  We present relevant case studies and expert observations and experiences on the nutrient content in urine and feces, contaminants frequently found in untreated sludge and wastewater, waste treatment technologies that may be relevant for low-income countries, risks associated with waste reuse, benefits to resource recovery in agriculture. We further discuss reasons for waste treatment failures, including urbanization, observations on challenges with market-driven reuse in less developed countries, and examples of net-positive energy facilities in Europe and the United States. Much of the evidence presented in the literature relates to wastewater treatment processes or the sludge produced from wastewater treatment as opposed to untreated fecal sludge.  However, examples of risks, failures, and opportunities for raw sludge treatment and reuse are discussed when available.  In some cases, empirical evidence or case studies were not available for developing countries and alternatives are presented.  Overall we found the empirical evidence on waste treatment and reuse in developing countries is quite thin. 

EPAR Research Brief #78
Publication Date: 11/06/2009
Type: Literature Review
Abstract

In the decades following independence in 1960, Côte d’Ivoire stood out as a shining example of economic growth in Sub-Saharan Africa. GDP increased at an annual average of 8.1 percent from 1960 to 1979, led largely by cocoa and coffee exports.  Low export earnings from a fall in world cocoa prices and a heavy public debt burden halted this growth in the 1980s, followed by civil conflict beginning in 1999. Three decades of focus on export crops rather than food crops also left Côte d’Ivoire with a growing food deficit. This literature review examines the state of agriculture in Côte d’Ivoire and the history of government involvement in the agricultural sector. We find that while the country is poised to reemerge from a decade of economic stagnation and civil war after signing the Ouagadougou Political Accord in 2007, the political economy of Côte d’Ivoire is still heavily dependent upon and influenced by the production of cocoa. Cocoa is the top export, and cocoa export taxes provide one of the largest sources of revenue for the Government of Côte d’Ivoire (GoCI). Cocoa is not heavily dependent on fertilizer inputs and growers have increased production by expanding cropland. The small contribution of fertilizer to the production of this essential crop may help explain the GoCI’s low priority on expanding fertilizer production and use. Given that a large part of government revenue comes from the export of cocoa and coffee, the government has chosen to focus resources on crops that increase revenue. Even with the food riots in 2008, the GoCI has not made increasing domestic food production an important focus of agricultural policy.

EPAR Research Brief #77
Publication Date: 11/03/2009
Type: Literature Review
Abstract

Agriculture is the most important sector in the Ghanaian economy. In 2008, it accounted for over 32 percent of GDP and employed over half of the labor force. Economic development in Ghana has historically been dependent on the success of agriculture, particularly the main export crop, cocoa. Despite the sector’s importance, Ghanaian farmers have one of the lowest fertilizer application rates in Sub-Saharan Africa. The combination of a dominant agricultural sector, nutrient-poor soils, low fertilizer use among smallholder farmers, and the absence of locally produced inorganic fertilizers has prompted the government of Ghana (GoG) to intervene in the fertilizer market. This literature review examines the state of agriculture in Ghana, the history of the fertilizer market, and the current market structure. We find that the GoG has been a major actor in the inorganic fertilizer market over the past 50 years, from exercising total control of the domestic supply chain in the 1960s and 1970s to more indirect interventions in later years. In recent years, agricultural growth has averaged 5.5 percent as compared to 5.2 percent growth in the rest of the economy.  However, most of this growth has been due to land expansion and favorable weather conditions rather than increased productivity.  Increased fertilizer use among smallholder farmers has the potential to contribute to future agricultural growth and continued economic success.

EPAR Research Brief #80
Publication Date: 10/19/2009
Type: Literature Review
Abstract

Governments in Sub-Saharan Africa have often intervened in the fertilizer sector to promote more optimal levels of fertilizer use. Many West African nations, in particular, have inherited a legacy of government involvement, stemming from French colonial policies that encouraged state participation in the agricultural sector. Senegal's colonial past has influenced much of its present economy, from its principal export crop (peanuts) to its major food import (rice). The colonial legacy includes a relatively high degree of urbanization; limited domestic industrial capacity; institutions, policies, and agricultural networks focused on supporting a single export crop; and a history of state intervention into markets. After government intervention in the 1960s and 1970s, followed by a period of liberalization in the 1980s and 1990s, Senegal is again defining its agricultural policy. This literature review examines the state of agriculture in Senegal and the history of Senegalese agricultural policy in order to understand past and current trends in fertilizer usage. We find that Senegal continues to experience a high level of food price fluctuations as it imports increasing amounts of rice to cover its food deficit. Increased use of fertilizer, along with irrigation technology may help improve rice production and increase food security. To achieve this goal, the Government of Senegal (GoS) has embarked on several initiatives, notably the Agro-Silvo-Pastoral Law (LOASP) and the Grande Offensive Agricole pour la Nourriture et l’Abondance (GOANA), employing subsidies to increase fertilizer demand and making food sovereignty a national priority. In the coming years, GoS will need to determine what role the government should play in the agricultural sector, and what level of intervention can be sustained in the long-term.

EPAR Research Brief #42
Publication Date: 07/31/2009
Type: Research Brief
Abstract

Nigeria’s experience with fertilizer subsidy programs has been different than that of other countries in Sub-Saharan Africa. Nigeria is one of the only African countries capable of producing fertilizer domestically. But Nigeria is also large and densely populated. This makes national agricultural policy difficult due to logistical problems with implementation and the unique fertilizer needs of the various agro-ecological zones. This research brief discusses the effects of Nigeria’s input subsidy programs on maize production and fertilizer consumption. It focuses on the years 2000 to 2007, but also includes a discussion of Nigeria’s subsidy history from the early 1970s to 2009. Researchers have had difficulty studying Nigeria’s subsidy schemes due to a lack of data. In spite of decades of authoritarian, centralized leadership, Nigeria’s states have significant power to implement their own subsidies. This complicates any evaluation of a program’s effectiveness, in part due to the variety of subsidies at any given time, as well as inconsistent accounting practices.