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This book reviews the experience of the MENA region with poverty and human development since the mid-1980s. It finds that poverty rates did not decline by much during this period while health and education indicators improved substantially. The stagnation of poverty rates is ascribed to the stagnation of the region?s economies during this period while the improvement in human indicators is likely due to several factors including improvement in the delivery of public health and education services.

Pre-pandemic the Middle East and North Africa was the only region in the world experiencing increases in poverty and declines in life satisfaction. This Report investigates how the COVID-19 pandemic changed the welfare of individuals and households in the region, by relying on phone surveys and micro-simulation exercises.

As important parts of the Belt and Road Initiative, West Asia and North Africa have rich resources and prominent strategic position. Anti-poverty has always been a crucial social issue of China, West Asia and North Africa. Through literature review and data analysis, this paper analyzed the current situations of anti-poverty in West Asia and North Africa and the causes of poverty, and objectively summarized the realistic foundation of anti-poverty cooperation between China and West Asian and North African countries. On the basis of current situations, it put forward a path for anti-poverty cooperation between China and West Asian and North African countries, in the hope of providing decision-making basis and policy recommendations for China to undertake anti-poverty cooperation in the worldwide range.

Cholera is an ancient disease that remains a public health problem in many impoverished locations around the world. Seven pandemics of cholera have been recorded since the first pandemic in 1817, the last of which is on going. Overcrowding, poverty, insufficient water and sanitation facilities increase the risk for cholera outbreaks. The epidemiology of cholera in the areas in Asia, Africa and the Americas where the disease occurs continues to evolve.

Quantification of the disease burden caused by different risks informs prevention by providing an account of health loss different to that provided by a disease-by-disease analysis. No complete revision of global disease burden caused by risk factors has been done since a comparative risk assessment in 2000, and no previous analysis has assessed changes in burden attributable to risk factors over time. We estimated deaths and disability-adjusted life years (DALYs; sum of years lived with disability [YLD] and years of life lost [YLL]) attributable to the independent effects of 67 risk factors and clusters of risk factors for 21 regions in 1990 and 2010. We estimated exposure distributions for each year, region, sex, and age group, and relative risks per unit of exposure by systematically reviewing and synthesising published and unpublished data. We used these estimates, together with estimates of cause-specific deaths and DALYs from the Global Burden of Disease Study 2010, to calculate the burden attributable to each risk factor exposure compared with the theoretical-minimum-risk exposure. We incorporated uncertainty in disease burden, relative risks, and exposures into our estimates of attributable burden. In 2010, the three leading risk factors for global disease burden were high blood pressure (7·0% [95% uncertainty interval 6·2–7·7] of global DALYs), tobacco smoking including second-hand smoke (6·3% [5·5–7·0]), and household air pollution from solid fuels (4·3% [3·4–5·3]). In 1990, the leading risks were childhood underweight (7·9% [6·8–9·4]), household air pollution from solid fuels (HAP; 6·8% [5·5–8·0]), and tobacco smoking including second-hand smoke (6·1% [5·4–6·8]). Dietary risk factors and physical inactivity collectively accounted for 10·0% (95% UI 9·2–10·8) of global DALYs in 2010, with the most prominent dietary risks being diets low in fruits and those high in sodium. Several risks that primarily affect childhood communicable diseases, including unimproved water and sanitation and childhood micronutrient deficiencies, fell in rank between 1990 and 2010, with unimproved water and sanitation accounting for 0·9% (0·4–1·6) of global DALYs in 2010. However, in most of sub-Saharan Africa childhood underweight, HAP, and non-exclusive and discontinued breastfeeding were the leading risks in 2010, while HAP was the leading risk in south Asia. The leading risk factor in Eastern Europe, Andean Latin America, and southern sub-Saharan Africa in 2010 was alcohol use; in most of Asia, most of Latin America, North Africa and Middle East, and central Europe it was high blood pressure. Despite declines, tobacco smoking including second-hand smoke remained the leading risk in high-income north America and western Europe. High body-mass index has increased globally and it is the leading risk in Australasia and southern Latin America, and also ranks high in other high-income regions, North Africa and Middle East, and Oceania. Worldwide, the contribution of different risk factors to disease burden has changed substantially, with a shift away from risks for communicable diseases in children towards those for non-communicable diseases in adults. These changes are related to the ageing population, decreased mortality among children younger than 5 years, changes in cause-of-death composition, and changes in risk factor exposures. New evidence has led to changes in the magnitude of key risks including unimproved water and sanitation, vitamin A and zinc deficiencies, and ambient particulate matter pollution. The extent to which the epidemiological shift has occurred and what the leading risks currently are varies greatly across regions. In much of sub-Saharan Africa, the leading risks are still those associated with poverty and those that affect children. Bill & Melinda Gates Foundation.

This study details an application of an improved Water Poverty Index (iWPI) to investigate and assess state of water resources in 53 African countries for the period 2000–2012 with a special focus on an international comparison of water poverty among northern and sub-Saharan countries. A multi-faceted approach that combines physical estimates of water availability with socio-economic drivers of poverty and environmental factors, has been used to do such comparison. It is with this in mind that the iWPI was developed based on the theoretical foundations and recent development of the water poverty approach. This would permit an inclusive comprehension of the crosscutting nature of water issues and their impacts on human wellbeing and environment. The results highlight an obvious dissimilarity of water poverty situation between more developed, but water-poor countries located principally in North Africa with that of lower-income and water-rich countries in sub-Saharan region. This can be used to inform policy makers, governments, donors and other stakeholders to assist in prioritization of appropriate policies to be taken towards better service delivery and sustainable water management across space and time.

Is the high degree of gender inequality in developing countries—in education, personal autonomy, and more—explained by underdevelopment itself? Or do the societies that are poor today hold certain cultural views that lead to gender inequality? This article discusses several mechanisms through which gender gaps narrow as countries grow. I argue that although much of the GDP/gender-inequality relationship can be explained by the process of development, society-specific factors are also at play: Many countries that are poor today have cultural norms that exacerbate favoritism toward males. Norms such as patrilocality and concern for women’s “purity” help explain the male-skewed sex ratio in India and China and low female employment in India, the Middle East, and North Africa, for example. I also discuss why the sex ratio has become more male-skewed with development. Finally, I lay out some policy approaches to address gender inequality.

This article examines the impact of energy poverty on social well-being in North Africa over the period 2000-2022, incorporating a dual approach: on the one hand, the mediating role of environmental degradation and, on the other, the moderating effect of green investment. Through an empirical analysis based on macroeconomic data, our results show that energy poverty exerts a significant negative influence on social well-being, mainly by exacerbating inequalities in access to essential services. Environmental degradation appears to be a channel aggravating this relationship, illustrating how energy insufficiency contributes to altered living conditions. However, green investment partially mitigates this negative effect, although its effectiveness remains conditional on the implementation of inclusive policies. These results underline the importance of a balanced energy transition, combining a reduction in energy poverty with a sustainable investment strategy to improve social well-being in the region.

This article examines recent international financial institution and national government policy in North Africa intended to address the climate emergency. It focuses on the role of the World Bank and general policy trends since the 1970s. These policy trends fail to understand the continuing centrality of small-scale family farming to social reproduction and food production. The article stresses the significance of historical patterns of underdevelopment, and the uneven incorporation of North Africa into global capitalism. An understanding of the longue durée is crucial in understanding why, and how, agrarian transformations have taken the form that they have, and why national sovereign projects and popular struggles offer an alternative strategy to counter imperialism and neo-colonialism. International financial institutions' preoccupation with policies of mitigation and adaptation to climate change fails to address how poverty is generated and reproduced.

The world's attention to the countries of the Middle East and North Africa (MENA) region has often been dominated by headline issues: conflict, sanctions, political turmoil, and rising oil prices. Little of this international attention has considered the broad range of development challenges facing this diverse group of countries. Breaking the Barriers reflects the collected thinking of the World Bank's Office of the Chief Economist for the MENA Region on the long-term development challenges facing the region and the reform priorities and strategies for effectively meeting these challenges. It is a comprehensive reform agenda to “break the barriers” to higher economic growth, to ensure sufficient jobs can be created for the region's rapidly growing labor force. At its core, it requires the region's public sector-dominated economies to move to private sector-driven economies, from closed economies to more open economies, and from oil-dominated and volatile economies to more stable and diversified economies. This book examines some of these reforms and the complex issues surrounding their successful implementation. In order for the countries of the MENA region to successfully implement the reforms needed for higher growth and job creation, they will also need to address the fundamental weaknesses in governance throughout the region.