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China is at a critical juncture in its economic transition. A comprehensive reform of its pension and social security systems is an essential element of a strategy aimed toward achieving a harmonious society and sustainable development. Among policy makers, a widely held view is that the approach to pension provision and reform efforts piloted over the last 10-15 years is insufficient to enable China's economy and population to realize its development objectives in the years ahead. This volume suggests a national pension system that no longer distinguishes along urban and rural locational or hukou lines yet takes account of the diverse nature of employment relations and capacity of individuals to make contributions. This volume is organized as follows: the main text outlines this vision, focusing on summarizing the key features of a proposed long-term pension system. It first examines key trends motivating the need for reform then outlines the proposed three-pillar design and the rationale behind the design choices. It then moves on to examine financing options. The text continues by discussing institutional reform issues, and the final section concludes. The six appendixes provide additional analytical detail supporting the findings in the main text. The pension system design can play an important role in supporting or constraining such economic and demographic transitions: 1) fragmentation and lack of portability of rights hinder labor market efficiency and contribute to coverage gaps; 2) multiple schemes for salaried workers, civil servants, and, in some areas, migrants similarly impact labor markets; 3) legacy costs that are largely financed through current pension contributions weaken incentives for compliance and accurate wage reporting; 4) very limited risk pooling and interurban resource transfers limit the insurance function of the urban pension system and create spatial disparities in old-age income protection; 5) low retirement ages affect incentives and benefits and undermine fiscal sustainability; and 6) relatively low returns on individual accounts result in replacement rates significantly less than anticipated while at the macro level, are likely to inhibit wider efforts to stimulate higher domestic consumption.

From the Victorian poor laws in nineteenth century Britain to the post-war recovery of the 1940s, public works programs have historically played an important role as countercyclical interventions to address seasonal and short-term unemployment. In recent times, the role of public works has broadened, because globalization and economic integration, while expanding opportunities for all, has also increased the exposure to and transmission of risk, especially to the poorest. Public works are now being used increasingly across the developing world as an essential part of the social protection toolkit to respond to risk and persistent poverty. And recent flagship public works programs in Argentina, Ethiopia, India, and elsewhere have sparked even greater interest in their effective use in other developing-country contexts. This book provides a comprehensive overview of public works programs as a safety net instrument and their impacts. It also provides a practical review of program design features and implementation methods, and a compendium of operational and how-to knowledge, combining technical expertise with ongoing country experiences. The book thus fills a major knowledge gap in this field. To date, much attention has been devoted to making the case for improved public works, with less attention paid to the how-to aspects. The target audience of the book includes policy makers and practitioners in national and sub-national governments, donors and international organizations, and nongovernmental organizations, particularly those working in countries where a new wave of social protection interventions has been seen in recent years (e.g., Ethiopia, Ghana, Rwanda) or is likely to emerge in the future (e.g., countries emerging from the Arab Spring in the Middle East, like the Arab Republic of Egypt).

Fifty years ago, health outcomes in the countries of Eastern Europe and Central Asia were not far behind those in Western Europe and well ahead of most other regions of the world. But progress since then has been slow. While life expectancy in the ECA region today is close to the global average, the gap with its western neighbors has doubled, and other middle-income regions have all surpassed ECA. Some countries in the region are doing better, but full convergence with the world’s most advanced health systems is still a long way off. At the same time, survey evidence suggests that the health sector is the top priority for additional investment among populations across the region. The experience of high-income countries also suggests that popular demand for strong and accessible health systems will only grow over time. Yet these aspirations must be reconciled with current fiscal realities. In brief, health sector issues are a challenge here to stay for policy-makers across the ECA region. This report draws on new evidence to explore the development challenge facing health sectors in ECA, and highlights three key agendas to help policy-makers seeking to achieve more rapid convergence with the world’s best performing health systems. The first is the health agenda, where the task is to strengthen public health and primary care interventions to help launch the \"cardiovascular revolution\" that has taken place in the West in recent decades. The second is the financing agenda, in which growing demand for medical care must be satisfied without imposing undue burden on households or government budgets. The third agenda relates to broader institutional arrangements. Here there are some key reform ingredients common to most advanced health systems that are still missing in many ECA countries. A common theme in each of these three agendas is the emphasis on improving outcomes, or \"Getting Better\".