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The private health sector was officially recognized in the Republic of Congo over 20 years ago June 6, 1988, establishing the conditions for the independent practice of medicine and the medical-related and pharmaceutical professions. The Congolese government recently expressed its commitment to working with the private health sector in order to strengthen the health system, improve the health of the population and preserve the basic human right to a healthy life through the National Health Care Policy, which it adopted in 2003, the 2007-2011 National Health Development Plan and the 2010 Health Care Services Development Program. Throughout these various documents there is an acknowledgement that the lack of coordination with the private health sector is a weakness of the health system. Nevertheless, the scarcity of information about the private sector in policy and planning documents suggests that the government's engagement with the private health sector is limited. There is no official government policy on the private health sector, or strategies or working plans to encourage cooperation between the public and private sectors. The objective of this assessment was to better determine the role, position, and importance of the private sector within the health system, in order to identify the limitations to its development as well as ways it can be integrated into the efforts to meet the objectives of the Plan national de developpement sanitaire (PNDS) [National Health Development Plan]. The World Bank Group contracted with the Results for Development Institute (R4D, United States) and Health Research for Action (HERA, Belgium) as well as with a team of local consultants, to conduct a 'study of the private health sector in the Republic of Congo.' This study was conducted in close collaboration with the Ministry of Health and Population (MSP), which arranged and oversaw a steering committee consisting of actors from the public and private sectors to facilitate and guide the study. The goal of the study and the workshops was a concrete plan of action for the health sector that could be used by the Congolese government, the private sector in the Republic of Congo, and international development partners. Certain aspects of the action plan should be included in the work programs of the Programme de developpement des services de sante (PDSS) [Health System Development Project] for the years 2011-2013.

This report addresses the large flood exposures of Central Europe and proposes efficient financial and risk transfer mechanisms to mitigate fiscal losses from natural catastrophes. In particular, the Visegrad countries (V-4) of Central Europe, namely, Poland, the Czech Republic, Hungary, and the Slovak Republic, have such tremendous potential flood damages that reliance on budgetary appropriations or even European Union (EU) funds in such circumstances becomes ineffective and does not provide needed cash funds for the quick response and recovery needed to minimize economic disruptions. The report is primarily addressed to the governments of the region, which should build into their fiscal planning the necessary contingent funding mechanisms, based on their exposures. The report is addressed to finance ministries and also to the insurance and securities regulators and the private insurance and capital markets, which may all play a role in the proposed mechanisms. An arrangement using a multi-country pool with a hazard-triggered insurance payout mechanism complemented by contingent financing is proposed, to better manage these risks and avoid major fiscal volatility and disruption.

This study aims to help governments design sustainable Public-Private Partnership (PPP) strategies and projects in the context of the changed circumstances brought on by the global financial and economic crisis that began in the fall of 2008. The study analyses the impact and implication of the crisis on PPP infrastructure projects across the Europe and Central Asia (ECA) region. In the research undertaken for this study, it appears that most crisis-specific issues are cross-sectoral, therefore requiring cross-sectoral responses. The intended audience for this report includes national government stakeholders involved in infrastructure financing, including Ministries in charge of infrastructure, especially transport, energy, and water; state-owned enterprises with operational responsibilities, such as road directorates; and Ministries of Finance and development banks involved in PPP. This report reviewed the region's experience in PPPs in infrastructure before and during the financial crisis period (from late 2006 to 2010). Since not all ECA countries have had successful or ongoing PPP projects during this time, the report draws on lessons from Brazil, India, Spain, and the United Kingdom, countries with established PPP project pipelines to draw on cross-sectoral lessons. The findings can be used by countries wishing to start or re-start their PPP program following the impact of the recent crisis. However, beyond the crisis and its effects, the report can also guide future development of sustainable and crisis-resilient PPP programs. Most of the analysis supporting the report recommendations was undertaken for the highway sector and was financed through from a grant from the transport research support program. Initially, the highway sector was the focus of this study but the scope was later widened to include all infrastructure sectors because most issues facing highway PPP projects are common to other sectors requiring a cross-sectoral approach to PPP. Sector-specific strategies for highways have been documented in a recent World Bank study.

During the past decade, a growing number of scholars have turned to cultural approaches to account for the foreign and security policies of states. Surprisingly, however, these scholars have devoted little attention to the concept that boasts the most venerable tradition in the field of political science, that of political culture, as a possible source of state behavior. This neglect is unjustified. Like other cultural variables, political culture promises to explain phenomena that are enigmatic from the perspective of leading noncultural theories, such as neorealism. Yet it applies to a broader range of cases than do the many alternative cultural concepts, such as strategic culture and organizational culture, that have been employed. I begin by describing an important puzzle in the international relations literature that suggests the need to consider culture as a variable: the failure of neorealism to predict German security policy after unification. I then assess the various cultural approaches used in recent years to explain state behavior. After noting the similarities in these approaches, I discuss the important differences that mark them and identify the reasons for the greater utility of political culture. Finally, I illustrate the explanatory power of the political culture approach by applying it to the case of German security policy since 1990.

The objective of the Review of Risk Mitigation Instruments for Infrastructure Financing and Recent Trends and Developments is to provide a concise yet comprehensive guide as well as reference information for practitioners of infrastructure financing, including private sector financiers and developing country officials. The work is also intended as a reference for institutions offering (or developing) risk mitigation instruments, allowing them to learn from each other's recent practices. The book is organized into five chapters with the following objectives: Chapter 1 Type of Risk Mitigation Instruments: increases awareness of the different types and nature of risk mitigation instruments currently available for private financiers. Chapter 2 Recent Trends in Risk Mitigation: highlights areas in risk mitigation for developing country infrastructure financing receiving recent attention. Chapter 3 Characteristics of Providers and Compatibility: summarizes the characteristics of multilateral, bilateral, and private providers of risk mitigation instruments and the compatibility of those instruments. Chapter 4 Innovative Application of Risk Mitigation Instruments: presents recent developments and innovative applications of risk mitigation instruments through case transactions. Chapter 5 Challenges Ahead: summarizes areas that pose challenges to the use of risk mitigation instruments as catalysts of infrastructure development. The focus of this book is on the multilateral development banks and agencies (that is, The World Bank Group and regional development banks and affiliates) and bilateral development agencies and export credit and investment agencies of major developed countries that have supported the compilation of this information.

Navigate the Complexities of Islamic Banking with Expert Risk Analysis In the rapidly growing world of Islamic finance, understanding and managing risk is paramount. Risk Analysis for Islamic Banks provides a comprehensive framework for navigating the unique challenges and opportunities in this sector. Designed for industry professionals, supervisors, and policymakers, this resource offers a high-level overview of risk assessment, analysis, and management tailored to Islamic financial markets. Discover how to: * Apply Shariah principles to risk management * Implement effective corporate governance structures * Adapt conventional techniques to the specific needs of Islamic banks * Improve transparency and data quality for informed decision-making Gain the knowledge and tools to ensure financial stability and ethical practices in Islamic banking. This book is your essential guide to mastering risk in this dynamic and evolving field. Authored by Hennie van Greuning and Zamir Iqbal, leading experts in Islamic finance.

Since the project of European integration began, at issue has always been whether a European political identity could develop to underpin political unification. Is a genuine European identity possible? Anthony Smith takes up the question from the standpoint of his work on nationalism. Why is it that we are witnessing a revival of nationalism even as the globalizing trends of post-industrial society become clearer? Established cultures are essentially antithetical to the development of a cosmopolitan culture, he writes, which poses problems for a European identity. If this is to do more than coexist weakly alongside national and subnational identities, it may come at a dangerous price-only if Europe defines itself exclusively againstother world actors.

The 1996 intergovernmental conference on the European Union will represent an important test of German influence in the European Union. The two preceding reforms-the Single European Act and the Maastricht treaty-were undertaken under different circumstances. The Single European Act preceded German unification, whereas the Maastricht treaty negotiations were partly a response to German unification and the end of the Cold War. The IGC negotiations will see the unified Germany operating in a more typical set of circumstances. This article examines the Federal Republic's role in European integration on the eve of the IGC. What are the limits and possibilities of German diplomacy in the EU? Is Germany reluctant to use the various sources of influence at its disposal? Alternatively, are there signs of Germany willingly acting as the driving force of European integration?