Guide to Support the Design and Implementation of Measures to Prevent and Address Discrimination Based on Gender and Sexual Orientation

Submitted by SPH DIGITAL on

This guide is part of the inputs intended to support the full implementation of the new Environmental and Social Policy Framework (MPAS) of the Inter-American Development Bank, particularly the Gender Equity Environmental and Social Performance Standard (NDAS 9). This is an input for the incorporation of a broad and plural perspective of gender equality, that is, one that includes sexual orientation, gender identity and gender expression.

Overcoming Obstacles: Barriers to Diabetes Treatment and How Telehealth Can Help 

Submitted by SPH DIGITAL on

Diabetes mellitus is an important health issue in Latin America and the Caribbean as it accounts for 4.3% of the disease burden in the region. Disease management programs (DMPs) aim to improve chronic disease care, but they are often complex, involving a wide range of healthcare professionals—doctors, nurses, nutritionists, and specialists—who need to interact regularly with patients.  

Impact of Monetary Incentives on Teacher Decisions to Leave and Choose Schools: Evidence from a Policy Reform in Sao Paulo

Submitted by SPH DIGITAL on

Teacher turnover is a major challenge for human resource management in schools, adversely affecting student learning. We examine the impact of a monetary incentive program introduced in 2022 in the city of Sao Paulo, Brazil, which aims to reduce teacher turnover by allocating wage premiums ranging from 5% to 25% of base salary based on schools turnover levels. Our results show a significant reduction in turnover: an average decrease of 18% across all schools, with an even more pronounced 30% reduction in schools offering higher incentives.

Droughts and Domestic Violence: Measuring the Gender-Climate Nexus

Submitted by SPH DIGITAL on

Every year, 245 million women are victims of intimate partner violence (IPV). Climate change is hypothesized to exacerbate this figure through its disruptive impact on household livelihoods, among other channels. However, little causal evidence exists on this aspect of the climate-gender nexus, partly due to measurement challenges that have contributed to gaps in the literature. In this paper, we use three different IPV data sources to examine the effect of drought in Mexico and the role of agricultural vulnerability in intensifying these effects.

Employment dynamics during COVID-19 in Uruguay

Submitted by SPH DIGITAL on

This paper provides novel insights into labor market dynamics during the COVID-19 pandemic and the subsequent recovery period in Uruguay. Using social security administrative records, we focus on the gender-differentiated patterns of labor market transitions following the pandemic outbreak, compared to a previous period. Furthermore, we evaluate the role of unemployment insurance (UI) as an instrument for employment protection during the pandemic-induced recession.

Assessing the Role of Tax-benefit Systems in Reducing the Gender Income Gap in Latin America

Submitted by SPH DIGITAL on

This paper aims to assess the extent to which cash transfers, direct taxes, and social contributions help to reduce gender income inequalities in seven Latin American countries: Argentina, Bolivia, Colombia, Ecuador, Mexico, Peru, and Uruguay. We apply microsimulation techniques to household survey data and allocate incomes within the household, assuming that each person retains the income they receive (e.g., earnings, benefits targeting mothers) and pays taxes and social insurance contributions on an individual basis according to each countrys rules.

The IDB’s Work Towards Equality 

Submitted by SPH DIGITAL on

The Inter-American Development Bank (IDB) is dedicated to improving quality of life by reducing inequalities and fostering fairer and more equitable societies where all people can reach their full potential. Detailed analysis of the challenges and opportunities in the region is essential to design effective interventions that promote inclusive development. 

How Many Healthy Life years could Countries in Latin America and the Caribbean Gain with a Better Allocation of Pharmaceutical Spending?: Case Studies for Chile, Colombia, and the Dominican Republic

Submitted by SPH DIGITAL on

Health spending is increasing globally due to demographic and epidemiological changes, rising demand for services driven by higher incomes, aging populations, and the emergence of expensive new health technologies. In Latin America and the Caribbean (LAC), health expenditure has risen from 6.6% to 7.9% of GDP over the past two decades. By 2030, it is expected to increase by another 2 percentage points. This projection excludes additional investments required to strengthen health systems post-pandemic.

Measures of hospital efficiency and quality

Submitted by SPH DIGITAL on

Hospitals are a critical component of health systems. This technical note proposes a policy-oriented framework for measuring hospital performance and provides a short list of indicators related to the efficiency and quality of hospital care in Latin America and the Caribbean. The note draws on international and country-specific experiences, including those of Brazil, Mexico, the OECD, the United Kingdoms National Health Service, and the United Statess Medicare program.

Towards Connected Health Across Borders: The Pan-American Highway for Digital Health

Submitted by SPH DIGITAL on

The Pan-American Highway, which we all know, connects the entire American continent, stretching from Alaska to the southernmost tip of Argentina. However, this highway is not seamless: there is a 130-kilometer gap between Panama and Colombia where the route abruptly ends. In healthcare, interruptions like this are a daily occurrence.