EPAR Technical Report #345
Publication Date: 12/01/2017
Type: Literature Review
Abstract

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.

EPAR Technical Report #359
Publication Date: 11/13/2017
Type: Literature Review
Abstract

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.

EPAR Technical Report #357
Publication Date: 08/01/2017
Type: Literature Review
Abstract

Land tenure refers to a set of land rights and land governance institutions which can be informal (customary, traditional) or formal (legally recognized), that define relationships between people and land and natural resources (FAO, 2002). These land relationships may include, but are not limited to, rights to use land for cultivation and production, rights to control how land should be used including for cultivation, resource extraction, conservation, or construction, and rights to transfer – through sale, gift, or inheritance – those land use and control rights (FAO, 2002). In this project, we review 38 land tenure technologies currently being applied to support land tenure security across the globe, and calculate summary statistics for indicators of land tenure in Tanzania and Ethiopia.

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EPAR Technical Report #338
Publication Date: 05/19/2017
Type: Literature Review
Abstract

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.

EPAR Technical Reports #351a & #351b
Publication Date: 04/13/2017
Type: Literature Review
Abstract

A “new wave” of digital credit products has entered the digital financial services (DFS) market in recent years. These products differ from traditional credit by offering loans to borrowers that can be applied for, approved, and disbursed remotely (often without any brick-and-mortar infrastructure), automatically (generally minimizing or eliminating person-to-person interaction), and instantly (often in less than 72 hours). Digital credit also increasingly considers creditworthiness by using alternative (nontraditional) data—ranging from mobile phone activity to utility payments and social media data—potentially allowing for loans to populations previously unable to access bank credit. Two EPAR reports review the characteristics of digital credit offerings in India, Kenya, Nigeria, Tanzania, and Uganda, and regulations specific to digital credit in Africa and Asia.

EPAR Technical Report #347
Publication Date: 03/17/2017
Type: Literature Review
Abstract

A growing body of evidence suggests that empowering women may lead to economic benefits (The World Bank, 2011; Duflo, 2012; Kabeer & Natali, 2013). Little work, however, focuses specifically on the potential impacts of women’s empowerment in agricultural settings. Through a comprehensive review of literature this report considers how prioritizing women’s empowerment in agriculture might lead to economic benefits. With an intentionally narrow focus on economic empowerment, we draw on the Women’s Empowerment in Agriculture Index (WEAI)’s indicators of women’s empowerment in agriculture to consider the potential economic rewards to increasing women’s control over agricultural productive resources (including their own time and labor), over agricultural production decisions, and over agricultural income. While we recognize that there may be quantifiable benefits of improving women’s empowerment in and of itself, we focus on potential longer-term economic benefits of improvements in these empowerment measures.

EPAR Research Brief #158
Publication Date: 08/03/2011
Type: Literature Review
Abstract

This literature review examines the environmental impacts of water buffalo in pastoral and mixed farming systems in Sub-Saharan Africa, South Asia, and South America). The environmental impacts of water buffalo are less widely studied than those of the other livestock species included in this series; typically, the environmental impacts of water buffalo are incorporated into discussions of cattle without more detailed impacts being broken down by bovine type. In Asia and India, where the majority of buffalo are raised, buffalo are typically kept in small herds of only a few animals, which may minimize the local impacts of their grazing on vegetation, soil erosion and water pollution. Some aspects of buffalo feeding and life cycle patterns, as observed in the Amazon, may cause their greenhouse gas emissions to differ from those of cattle: buffalo can fatten on a wider range of grasses, reach market size in a shorter time, transition better from dry to wet seasons, and are more resistant to bovine diseases. While buffalo grazing and trampling can lead to land degradation, buffalo can contribute to nutrient and resource cycling in farming systems because their manure is considered good fertilizer and they can remove and utilize biomass grown on agricultural plots. Mitigation strategies vary by category of environmental impact, but largely suggest improved productivity to reduce land conversion, modified management systems (e.g., biodiversity, water use and consumption, farm and pastures, and waste), and the reduction of livestock numbers altogether.

EPAR Research Brief #156
Publication Date: 07/31/2011
Type: Literature Review
Abstract

This literature review examines the environmental impacts of goats in pastoral and mixed farming systems in Sub-Saharan Africa and South Asia. We find that the most notable environmental implications of goats stem from their ability to graze on a wide variety of biomass sources in frequently marginal environments; while this intensive grazing stimulates biodiversity loss and may be more severe than grazing by other livestock species, goats are not a major driver of forest clearing due to their low economic value. Environmental benefits of goat production include keeping wildlife corridors open, preventing the spread of noxious weeds, and promoting the growth of local vegetative species through moderate grazing. Goats are also more water-efficient than large ruminants such as cattle. Mitigation strategies vary by category of environmental impact, but largely suggest improved productivity to reduce land conversion, modified management systems (e.g., biodiversity, water use and consumption, grazing intensity and frequency, and waste), and the reduction of livestock numbers altogether.

EPAR Research Brief #157
Publication Date: 07/31/2011
Type: Literature Review
Abstract

This literature review examines the environmental impacts of chickens in pastoral and mixed farming systems in Sub-Saharan Africa and South Asia. Compared to ruminant species (cattle, water buffalo, and goats), chickens produce lower carbon dioxide, methane, and nitrous oxide emissions, are a less significant driver of human expansion into natural habitat or of overgrazing, have lower impacts on the water cycle, and cause less destruction of natural habitats. Poultry’s major impacts on land degradation result from the production of their grain-intensive feed. Chicken production also poses a threat to avian biodiversity, as chickens are susceptible to viruses and act as vectors of disease transmission to avian wildlife. Chicken manure is widely viewed as a valuable fertilizer in developing countries, although transportation costs limit manure sales in local markets and the high nitrogen-phosphorous ratio can impact certain soils and water. Mitigation strategies vary by category of environmental impact, but largely suggest modified management systems (e.g., biodiversity, health, livestock feed efficiency, and waste).

EPAR Research Brief #155
Publication Date: 07/31/2011
Type: Literature Review
Abstract

This literature review examines the environmental impacts of cattle in pastoral and mixed farming systems in Sub-Saharan Africa and South Asia. Cattle are frequently cited as having the most severe overall environmental impacts among livestock species due to: methane and nitrous oxide released from digestion and manure; land use and conversion; desertification; inefficient ratio of weight of feed and water consumed to weight of meat and dairy produced; conflicts between livestock herders and wildlife; the large volume of wastewater produced in meat and hide processing; and overgrazing of riparian areas. However, cattle have also been found to provide several environmental benefits such as keeping wildlife corridors open, preventing the spread of noxious weeds, and promoting the growth of local vegetative species. Mitigation strategies vary by category of environmental impact, but largely suggest improved productivity to reduce land conversion, modified management systems (e.g., biodiversity, water use and consumption, farm and pastures, grain and other feed, and waste), and the reduction of livestock numbers altogether.