A beverage price increase in the form of an excise tax would reduce sugar-sweetened beverage consumption and increase healthier beverage purchases among low-income families.
Cambodia has developed the health equity fund (HEF) system to improve access to health services for the poor, and this strengthens the health system towards the universal health coverage goal. Given rising healthcare costs, Cambodia has introduced several innovations and accomplished considerable progress in improving access to health services and catastrophic health expenditures for the targeted population groups. Though this is improving in recent years, HEF households remain at the higher risk of catastrophic spending as measured by the higher share of HEF households with catastrophic health expenses being at 6.9% compared to the non-HEF households of 5.5% in 2017. Poverty targeting poses another challenge for the health system. Nevertheless, HEF appeared to be more significantly associated with decreased out-of-pocket expenditure per illness among those who sought care from public providers. Increasing population and cost coverages of the HEF and effectively attracting beneficiaries to the public sector will further enhance the financial protection and pave the pathway towards universal coverage. Our recommendations focus on leveraging the HEF experience for expanding coverage and increasing equitable access, as well as strengthening the quality of healthcare services.
This article examines the effects of ocean-related decadal climate variability (DCV) phenomena on climate and the effects of both climate shifts and independent DCV events on crop yields. We address three DCV phenomena: the Pacific Decadal Oscillation (PDO), the Tropical Atlantic Sea-Surface Temperature Gradient (TAG), and the Western Pacific Warm Pool (WPWP). We estimate the joint effect of these DCV phenomena on the mean, variance, and skewness of crop yield distributions. We found regionally differentiated impacts of DCV phenomena on growing degree days, precipitation, and extreme weather events, which in turn alter distributions of U.S. regional crop yields.
The adverse effects of weather extremes produce widespread damage and cause severe alterations in the normal functioning of household agricultural production in Zambia. Extreme weather events such as floods and drought are expected to increase in intensity and frequency due to climate change. Coupled with high poverty levels and limited institutional capacity, the country is highly vulnerable to the impact of extreme events. We quantify the effects of economic diversification on agricultural productivity of poor farm households with a skew-normal regression approach while accounting for drought and flood shocks. Our analysis finds that economic diversification is a strategy to increase agricultural productivity and mitigate the adverse impact of droughts and floods on agricultural households. The results also support the country's policies to encourage hybrid maize production and to provide crop seeds and fertiliser to poor farmers. This paper provides a framework to plan and inform interventions to enhance household economic resilience to weather shocks through agricultural diversification in Zambia and other countries.
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