Despite its status of middle-income country in terms of GDP, Panama still remains a society of sharp contrasts. The robust economic growth of today is a historic opportunity for progress in reducing poverty and inequality.
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ResultsBy mid-2013, 203,220 beneficiaries from 47 underserved rural populations across 10 health regions gained access by way of mobile health units to a basic health package to improve mother and chi... Show More +ld health care, through financial support from The International Bank for Reconstruction and Development (IBRD).Impact results: By the end of 2012:75% of pregnant women completed at least three pre-natal controls by the third trimester (target: 60%)89% of children (under one year old) having a complete vaccination scheme for their age (target: 80%)93% of live births attended by skilled personnel (target: 55%)82% of children (under one year old) with four or more controls for growth and development (target: 67%)Coverage results:Communities visited—achieved 97% (target: 85%)Population groups protected—achieved 100% (target: 80%)Protected population effectively treated—achieved 57% (target: 50%)Protected children (under 24 month’s old) treated—achieved 86% (target: 80%)Days of service/care—achieved 100% (target: 100%) Performance results: 75% of pregnant women with at least three prenatal check-ups (at least one per trimester) by the end of the third trimester (target: 60%)70% of pregnant women registered out of estimated total (target: 98%)95% of pregnant women with second dose or booster of TT or TD (tetanus-diphtheria vaccination according to regulations) (target: 88%)93% of births attended by trained staff (target: 80%)40% of women 20 years or older having Pap smears (target: 44%)82% of children (under one year old) who have had four or more growth and development check-ups (target: 74%)89% of children (under one year old) with a complete vaccination record (target: 80%)73% of children (under four year’s old) with at least two growth and development check–ups during the period (target: 67%)72% of children (from one to four year’s old) with a complete vaccination record (target: 76%)1.9% of symptomatic respiratory diseases recorded out of estimated total (target: 0.9%)Bank Group ContributionThe Bank’s intervention consisted of the Panama Health Equity and Performance Improvement Project – US$40 million – IBRD. The project was approved on August 5, 2008 became effective on December 8, 2008 and will close on December 31, 2014.PartnersThe World Bank works closely with the Ministry of Health’s Financial and Administrative Management Unit (UGSAF, for its Spanish acronym) who maintains fluid communication with the Ministry of Health and Ministry of Economics and Finance. In addition, the project is implemented in a coordinated manner with the Inter-American Development Bank which finances the network of fixed units for health care and covers the indigenous communities health needs while the Bank finances the mobile units for underserved rural areas. Show Less -
ResultsThe project had an ambitious target of facilitating at least four new multinational partnerships per year involving access to biodiversity information within the Americas. Through effective net... Show More +working, the project was able to exceed this target, building as many as 18 new partnerships.IABIN generated over 5 million biodiversity records from over 100 institutions; trained over 1,000 specialists from museums, botanic gardens, academic institutions, and NGOs in data digitization, integration, and analysis; and raised awareness of status and trends in biodiversity and habitats. In the case of the Species-Specimen Thematic Network (SSTN), 36 institutions digitized approximately 1,300,000 specimen records and 12 institutions digitized 36,840 species records that are available in the SSTN data portal. The SSTN integrates more than five million specimen records from 54 institutions and over 41,000 species records from 14 data providers. IABIN also improved the means of gathering and analyzing data, transforming data into knowledge, and transferring this information to the relevant parties for action and decision making. The project developed six value-added information tools to support decision-making using the data provided by the IABIN Data Integration and Analysis Gateway through the integration, overlay and visualization of data shared through IABIN. These tools helped place millions of species, specimen, invasive, and pollinator data on a geospatial platform, as well as ecosystem and protected areas data, coordinating with virtually every engaged Government, NGO and academic institution in the hemisphere. Show Less -
ChallengeIn Latin America and the Caribbean, traffic accidents are the leading cause of death for people between the ages of 15 and 44. By 2020, this fatality rate is expected to increase by approxima... Show More +tely 50 percent, in the absence of targeted road safety initiatives. Low and middle-income countries worldwide experience over 90 percent of road-related traffic fatalities even though they are home to only 48 percent of the world’s registered vehicles. The economic costs of these deaths range from 1 to 3 percent of total gross national product (GNP). To address this global public health crisis, in 2011, the United Nations declared the “Decade of Action for Road Safety,” with the goal of stabilizing and reducing the forecast level of road traffic fatalities by half, by 2020. This commitment is expected to save 5 million lives worldwide and 325,000 lives in the Latin American and Caribbean region alone.SolutionThe Bank facilitated exchanges between Argentina and Spain to give Argentina the necessary guidance to establish quality baseline data (the absence of which is a key challenge for the region) to track progress and inform subsequent road safety policy decisions. This project resulted in the inclusion of Argentina in the widely respected International Road Traffic and Accident Database (IRTAD), an aggregated database in which international accident data are continuously collected. This successful knowledge-sharing experience, coupled with Bank assistance to create the Argentine National Road Safety Agency (ANSV), transformed the country into a model for the region. Show Less -