Good Health and Well-Being
Economic Growth and Social Reproduction
Sep 2015
Working Paper
This work develops a set of regimes that link structures of economic growth with those of social reproduction. These regimes are then linked to groups of countries organized by economic structure and level of development to evaluate the macroeconomic consequences of a decline in gender inequality in the labour market. Social reproduction is defined in terms of the time and money it takes to produce, maintain and invest in the labour force, so it includes both paid and unpaid care work. The analytical emphasis is on how the distributions of production and reproduction among women, men, the state and capital determine investment and growth and how gender inequality is both cause and consequence of these relationships.
Investing in Free Universal Childcare in South Africa, Turkey and Uruguay
May 2019
Working Paper
This discussion paper makes the case for investing in free universal childcare services of high quality in order to reduce gender inequality in earnings and employment. It estimates the employment-generating and fiscal effects of investing in free universal childcare in three middle income countries: South Africa, Uruguay, and Turkey. It calculates the total annual costs of investing in high-quality childcare services that would cover the entire population of children below primary school age, using parameters relevant to each national context. Results show that employment rates can be significantly increased, especially for women, as a result of the combined direct, indirect, and induced job creation. Although the total annual cost of such investment can go up to 3 to 4 per cent of GDP, the net cost can be halved thanks to significant fiscal returns stemming from increased employment and earnings, without changing the tax structure itself (rates and bands). Results are compared with those obtained using a similar method for the United Kingdom and show that the reach of a country’s tax system plays an important role in the funding process. The paper also estimates a theoretical fiscal break-even point, based on longitudinal labour supply effects of mothers closing their lifetime employment and earning gap following such generous childcare offer. In all three countries and the United Kingdom, the fiscal return on investment based on this measure is likely to outstrip the total cost of childcare for a typical mother of two children on average earnings.
The New Landscape of Fertility and Family Planning 30 Years After Cairo and Beijing
Mar 2025
Working Paper
In 1994, the International Conference on Population and Development (ICPD), held in Cairo, ushered in a paradigm shift that would reshape how governments formulate and implement population policies. While recognizing the advantages of population stabilization for sustainable development, the ICPD Programme of Action, adopted by 179 United Nations Member States, affirmed that national policies pertaining to population and development must have at their core a fundamental respect for human rights. The following year in 1995, at the Fourth World Conference on Women in Beijing, 189 countries adopted the Beijing Declaration and Platform for Action. Within their broad scopes, the Cairo Programme of Action and the Beijing Platform for Action emphasized the importance of family planning for fulfilling the basic right of individuals and couples to decide the number, spacing and timing of their children and to have the information and means to do so, and the right to achieve the highest attainable standard of sexual and reproductive health. The two documents highlighted that ensuring universal access to sexual and reproductive healthcare services, including for family planning, information and education, is critical for protecting the rights and futures of girls and women. Within the broad picture of progress and stalls in sexual and reproductive health, this policy brief will examine in more depth the changes in adolescent birth rates and family planning in the context of global fertility decline over the last 30 years. It will highlight inequalities in those changes and discuss the challenges of living up to the commitments made at Cairo and Beijing moving forward.
SDGs as a Framework for Addressing the Root Causes of Crises
Apr 2025
Working Paper
Converging crises such as the COVID-19 pandemic, the war in Ukraine, climate change and various conflicts, have become a defining challenge of our time. Crises that might have previously been contained within a specific geographic space are now propagated rapidly through globally interconnected systems and networks in areas such as economics, finance, the environment and health. This Policy Brief highlights the following: (a) converging crises have reversed and exposed the fragility of global SDG progress and imposed high costs on developing countries, (b) reducing inequality and poverty is critical to building resilience against the impact of shocks and crises, and (c) investment in the SDGs, particularly those that underpin social development, can help build resilience of developing countries to multiple crises, as seen in the case of the COVID-19 pandemic.
The Power of Thick Data: Unveiling the Hidden Facets of COVID-19 Impact and the Next Emerging Development Issues - Country Case Study from the Republic of Moldova
Sep 2021
Working Paper
COVID-19 threw Moldovan governance into chaotic domain (in Cynefin terms), where cause and effect are unclear, events are too confusing to wait for a knowledge-based response and Government has to act and sense before responding. The Republic of Moldova used thick data (micro-narratives) to unveil the hidden facets of COVID’s impact. Using thick data helped to provide a more nuanced response to challenges, for instance by better shaping communication strategy. Thick data should not be considered as contradicting big data, but rather as complimentary and enriching sensemaking. Empowering people to reflect on their assessed anecdotal evidence helps to enrich insights.
Investing in Care: A Pathway to Gender-responsive COVID-19 Recovery
Sep 2021
Working Paper
Building on data from the Europe and Central Asia and Asia-Pacific regions, this brief argues that the time to invest in the care economy is now. Such investment helps advance multiple Sustainable Development Goals (SDGs) by increasing women’s labour force participation and productivity, professionalizing the care sector and generating decent work for men and women, reducing gender inequalities in care work and ultimately ensuring inclusive and resilient growth. The paper offers recommendations based on emerging research and new policy tools for strengthening public policies and workplace measures to recognize and redistribute unpaid care work and build a care economy as a cornerstone of social and economic recovery.
Rethinking Nature, Crisis and Complexity after the Pandemic
Jul 2021
Working Paper
The COVID-19 crisis is evolving into a long-term development emergency, the scale of which is unprecedented in modern times. Among the root causes of the crisis is humanity’s breaching of the planet’s ecological boundaries. COVID-19 is likely a zoonotic disease, a disease passed from animals to humans. As pressures on natural ecosystems and wildlife intensify, channels of viral outbreak have accelerated in recent years, as also seen in outbreaks of other zoonotic diseases such as Ebola, SARS and MERS in recent years. More than ever, the ability to prevent outbreaks depends on our ability to maintain healthy ecosystems and avoid the blurring of ecological boundaries.
What Assets and Innovations Can Governments Mobilize to Transform the Public Sector and Achieve the SDGs?
Oct 2024
Working Paper
The COVID-19 pandemic disrupted the working methods of public institutions. The urgency to respond in real time loosened institutional constraints and forced public agencies to be more agile and to experiment with alternative ways to operate, accelerating innovation. Beyond the implementation of buffer measures to maintain essential public services, the crisis provided opportunities for transformations in public administration that would have been challenging to pursue in “normal” times. Although this urgency presented risks of weakening the checks and balances essential for accountability, it also led to the discovery of more efficient and effective ways to deliver public services, and many of these may become the “new normal”. Nevertheless, it is not clear that the agile decision-making, experimentation and innovation observed during the pandemic will persist. This raises the question of how to foster innovation in public institutions in the absence of crises. To retain public trust, governments must demonstrate they can effectively handle systemic shocks; they must demonstrate capacity to foresee problems and address them proactively before they become crises. Governments can tap into the innovations developed during the pandemic to better serve their constituents and accelerate the implementation of the 2030 Agenda for Sustainable Development.
Anticipating the Extent and Pace of Population Ageing in SIDS Can Help Build a More Sustainable Future
Jul 2025
Working Paper
Over the next decades, most small island developing States (SIDS) are projected to experience a rapid increase in both the share and the number of people aged 65 years or over. In half of the SIDS, the size of the older population will double between now and 2055. All SIDS, even those with youthful populations today, should embrace forward-looking strategies to capitalize on the opportunities that population ageing will bring, while also addressing the context-specific challenges it may pose.
Socio-Economic Impact Assessment of Hurricane Dorian and the COVID-19 Pandemic on MSMEs in The Bahamas
Jan 2022
Working Paper
This report provides an assessment of the social and economic impact and efficacy of post Dorian and COVID support programmes on micro, small and mid-sized enterprises in Grand Bahama and Abaco, as well as Recommendations for policy development to improve resiliency, promote social and economic recovery and mitigate the impact of future disaster on MSMES. This report links the available institutional research on the distinct and separate impacts of Hurricane Dorian and COVID-19 with new data collected from an online survey created on the KOBO Humanitarian platform in collaboration with UNDP SURGE Data Hub, Country Support Management Team of the UNDP Crisis Bureau. The survey, launched from November 2020 to February 2021 and promoted via radio and social media, received 486 responses from affected owners of MSMEs in Grand Bahama and Abaco, some of whom had been displaced because of the storm. The respondents represent almost 14 percent of all registered MSMEs on the islands prior to Hurricane Dorian.
When Juncture Meets Structure
Mar 2022
Working Paper
The book “When Juncture Meets Structure: Vignettes on Development and the COVID-19 Crisis in Latin America and the Caribbean” is based on the “Graph for Thought” series, and brings together 30 data-driven vignettes to tell the story of structural development challenges in the LAC region and how this is changing in the wake of the pandemic.
Situation Report on International Migration in the Arab Region 2025, Migration-development Nexus: Pathways to Prosperity - Policy Brief
Jun 2025
Working Paper
The migration-development nexus has witnessed increasing attention in recent years, both globally and regionally, reflecting the profound impact that population movements have on both countries of origin and of destination, both within and beyond the region. The 2024 edition of the Situation Report on International Migration in the Arab Region examines the critical nexus of migration and development in a region undergoing transformative demographic, economic, social and technological shifts. It offers an analysis of migration trends, challenges and opportunities, emphasizing the dual role of migration as both a driver and a product of development. Key insights highlight the potential of migration to contribute positively to host societies and countries of origin. Migrants bring valuable skills, knowledge and cultural diversity, while remittances support families, reduce poverty, and spur economic growth. However, achieving these outcomes requires policies that safeguard migrants’ rights and maximize their contributions to development. Regional cooperation is also essential, as the interconnected nature of Arab countries means migration policies in one country can significantly affect neighbouring nations. The present report provides a road map to harness migration’s potential, while addressing its challenges. By adopting a holistic and forward-looking approach, the Arab region can position migration as a source of strength, resilience and shared prosperity.
تقرير حالة الهجرة الدولية في المنطقة العربية لعام 2025 العلاقة بين الهجرة والتنمية: مساراتٌ نحو الازدهار: موجز سياسي
Jun 2025
Working Paper
لقد شهدت العلاقة بين الهجرة والتنمية اهتماما متزايدا في السنوات الأخيرة، على الصعيدين العالمي والإقليمي، مما يعكس الأثر العميق لتنقّل السكان على بلدان المنشأ وبلدان المقصد داخل المنطقة وخارجها. وتتناول طبعة عام 2024 من تقرير حالة الهجرة الدولية في المنطقة العربية العلاقة الهامة بين الهجرة والتنمية في منطقة تمر بتحولات ديموغرافية واقتصادية واجتماعية وتكنولوجية تحويلية. ويقدم التقرير تحليلا لاتجاهات الهجرة والتحديات والفرص، مع التركيز على الدور المزدوج للهجرة بوصفها محركا ونتاجا للتنمية. وتسلط الرؤى الرئيسية الضوء على إمكانات الهجرة للمساهمة بشكل إيجابي في المجتمعات المضيفة وبلدان المنشأ. فالمهاجرون يجلبون مهارات ومعارف وتنوّعات ثقافية قيّمة، بينما تدعم التحويلات المالية الأسر وتقلل من الفقر وتحفّز النمو الاقتصادي. لكنّ تحقيق هذه النتائج يتطلب سياسات تحمي حقوق المهاجرين وتعظّم مساهماتهم في التنمية. هذا وإنّ التعاون الإقليمي ضروري أيضا، حيث إن الطبيعة المترابطة للبلدان العربية تعني أن سياسات الهجرة في بلد من البلدان قد تؤثر بشكل كبير على جيرانه. ويقدم هذا التقرير خارطة طريق لتسخير إمكانات الهجرة، مع التصدي للتحديات التي تواجهها. فمن خلال اعتماد نهج شامل واستشرافي، يمكن للمنطقة العربية أن تنصّب الهجرة كمصدر للقوة والقدرة على الصمود والازدهار المشترك.
Breaking the Cycle: Addressing Inequalities in Child Survival to Promote Inclusive Social Development
Oct 2025
Working Paper
Thirty years ago, Member States gathered at the first World Summit for Social Development recognized that good health is both a consequence and a driver of social development and committed to reducing mortality rates among children under age 5. Since then, levels of child mortality have fallen significantly (United Nations, 2024). Yet, as the world prepares for the Second World Summit for Social Development in November 2025, profound disparities in child health and survival persist within and among countries, making it difficult for those furthest behind to break out of mutually rein-forcing cycles of poor health, poverty and social exclusion. This policy brief explores disparities in child mortality within and among countries and provides a series of recommendations aimed at ending preventable child deaths and reducing inequalities in child survival in different contexts.
Social Impact Assessment of COVID-19 in Bosnia and Herzegovina
Jun 2022
Working Paper
The present third edition of the Social Impact of COVID-19 Household Survey is articulated across and covers eight key dimensions: 1) Impact on physical and mental health of people, 2) Access to Services, 3) Economic situation, 4) Household coping strategies to meet basic needs in crisis, 5) Education and transition to online learning, 6) Relationships and well-being, 7) Public perception of the response to the crisis, and 8) Internet usage, e-commerce and digital services. The Survey is people-centred, and it is focused throughout on people’s wellbeing. As such, it detects the emerging vulnerabilities, strengths and coping mechanisms of people. It also captures the consequences of COVID-19 pandemic on social interactions and records changes in gender relations due to shifting power dynamics within households. Data in this Survey show that the social and economic impacts of the COVID-19 pandemic are still felt and are compounded by the recent rise in food and energy prices. Data strongly suggest that these combined and cumulative effects are sending strong shockwaves across Bosnia and Herzegovina, causing increased poverty and food deprivation and worsening inequalities. Furthermore, mental health of the population continues to be severely affected. The COVID-19 pandemic has affected both the economic and social situation across all age groups. Data show a continued and drastic impact of the crisis on those who are either already disadvantaged, at risk or more vulnerable, such as people living below the poverty line, families with children, single parents, Roma, internally displaced people, minority returnees and LGBTI community. The crisis also negatively and disproportionately affected people with disabilities and the elderly, who are, as a result, increasingly struggling in conducting their routine activities. The severity of the impact leads to feelings of inequality, including gender inequality, discrimination, and isolation. Data show that the pandemic also triggered major shifts in the way people think, socialize, communicate and live. Of particular concern are the effects of the crisis on basic social services such as health, including mental health, and access to quality education.
Poverty and Disability: Evidence from Africa
Nov 2025
Working Paper
This paper examines the relationship between disability and poverty among working-age adults in Africa, using nationally representative household surveys from 27 countries that include the Washington Group Short Set of Questions on Functioning. The paper provides the most comprehensive cross-country analysis of disability in Africa to date, documenting disability prevalence, sociodemographic patterns, and the association between disability and poverty at both national and regional levels. Results show that disability is more common among women, rural residents, and older adults, and is closely linked with poverty. Prevalence is 3.6 per cent among women compared to 2.3 per cent among men, 3.4 per cent in rural areas versus 2.6 per cent in urban areas, and 4.4 per cent among adults aged 34–49 compared to 2.3 per cent among those aged 18–33. Weighted probit regressions demonstrate a robust association between disability and an elevated risk of both asset poverty and multidimensional poverty in most countries, even after adjusting for sociodemographic characteristics. These findings underscore the imperative to systematically mainstream disability inclusion into national poverty reduction strategies and directly address the needs of persons with disabilities through targeted interventions.
Strengthening Civic Space and Civil Society Engagement in the HIV Response
Dec 2022
Working Paper
UNDP’s Strategic Plan 2022–2025 and HIV and Health Strategy 2022-2025 view open and inclusive civic spaces as central to achieving broader structural changes to build resilient societies able to respond to conflicts and crises and ensuring that no one is left behind. The meaningful engagement of civil society is critical for successful responses to end AIDS and promote health and well-being for all. Shrinking civic space at the national, regional and international level blocks opportunities for civil society to advocate for health and human rights, monitor access to services, claim redress for rights violations or reach those left behind with health and legal support services. The 2030 Agenda, UNDP Strategic Plan 2022-2025, 2021 Political Declaration on HIV and AIDS, Global AIDS Strategy 2022-2026 and other international frameworks and commitments can be leveraged to create significant opportunities for the protection and promotion of civic space. This discussion paper describes the current state of civic space and provides recommendations to strengthen it and civil society engagement in the HIV response.
A Competition Law Approach to Accessing Insulin: A Working Paper
Feb 2023
Working Paper
The year 2021 marked the centenary of the discovery of insulin. Considered one of the greatest medical achievements, insulin has saved millions of lives, but access remains a challenge, especially in low- and middle-income countries. The barriers to accessing insulin are diverse and often context-specific, but low competition in the supply and production of insulin and high prices are key limitations. This working paper proposes a competition law approach as one means for examining the challenge of promoting access to insulin. This is an area of policy and practice that could prove useful, although often underutilized, in efforts to promote access to health technologies. This paper is published with the aim of soliciting comments and feedback from a broad range of stakeholders, and to stimulate further discussion and analysis. It is important to note that it is not an attempt at drawing conclusions with respect to anti-competitive behaviours; rather, the goal is to provide practical guidance on the potential utility of competition law as a strategy to increase access to insulin. The working paper follows from previous work in this area. In 2015, UNDP published ‘Using Competition Law to Promote Access and Health Technologies: A guidebook for low- and middle-income countries’. More recently in 2022, UNDP published a supplement, which updates the 2014 guidebook. Both publications are intended as guidance to competition and public health authorities in low- and middle-income countries on the use of competition law to promote access to health technologies.
Deteriorated Enrollment and Disrupted Learning: The Impacts of the COVID‑19 Pandemic on Education in Latin America and the Caribbean
Dec 2022
Working Paper
To continue monitoring the consequences of the COVID‑19 pandemic on household welfare in LAC, the World Bank and UNDP joined forces to implement the second phase of High-Frequency Phone Surveys (HFPS) in LAC in 2021.4 The first wave of data in this phase was collected between May 2021 and July 2021, while the second wave was collected between October 2021 and January 2022. This note focuses on education outcomes to unravel the effects of COVID‑19 on human capital accumulation in the region.
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