The Quality of Health and Education Systems Across Africa

Page 72

The Quality of Health and Education Systems Across Africa

Deserves a Quality Education (UNESCO 2013). Despite the expansion of access to schooling in recent decades, many low- and middle-income countries have not been able to translate increased enrollment numbers into higher levels of learning for their children. This shortfall is reflected in the troubling evidence provided by the Learning Poverty measure, according to which 53 percent of children 10 years old in the world today cannot read or comprehend a simple text (World Bank 2019). Before the pandemic, the learning crisis had multiple roots. Unprepared learners, teachers with insufficient skills and motivation, scarce or deficient school inputs, poor school management, and weak governance all contributed. The result in many countries was poor-quality service provision and education systems that did not work for children. However, learning shortfalls did not affect all countries and all children equally. According to the 2016 International Commission on Financing Global Education Opportunity, 90 percent of children in low-income countries, compared to only 30 percent in high-income countries, fail to master basic secondary-level skills on time (International Commission on Financing Global Education Opportunity 2016). Structural differences associated with poverty, gender, ethnicity, disability, and location explain a substantial portion of schooling disparities (World Bank 2018). Worldwide, girls are twice as likely as boys never to start school (International Commission on Financing Global Education Opportunity 2016). The COVID-19 pandemic has exacerbated these preexisting disparities. At the height of the pandemic in 2020, 1.6 billion children worldwide were not physically in school (UN 2020). Coming atop significant losses of family income, this unprecedented disruption of education systems has upended learning in many settings, with the potential to scar children’s learning and school attainment for years—perhaps generations—to come (World Bank 2020). Given differences in access to digital devices, internet connectivity, parental involvement, time for supervision, and other factors, the disruption is likely to affect children from disadvantaged families most severely. In many countries, business closures and lockdowns are taking a heavy economic toll on families engaged in informal work. As a result, pressures are growing on many children in poor and vulnerable households to drop out of school temporarily or permanently. Understanding the bottlenecks to learning is a necessary step for the global education community to rethink and reinvigorate schooling in the face of this disruption.

SDI education surveys: Seeing basic education from the students’ perspective Faced with underlying structural shortfalls in learning, which are exacerbated by the effects of the COVID-19 shock, innovative solutions are needed to protect learning now and lay the foundations for more efficient, equitable, and resilient 54


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Appendix D: Methodological groundwork for the SDI teacher and student assessments

6min
pages 165-169

C.1 Example of a typical SDI education survey instrument

4min
pages 161-164

Appendix C: Survey methodology

7min
pages 157-160

B.1 Typical sampling strategy process for SDI surveys

7min
pages 152-156

Appendix B: Sampling procedures

1min
page 151

A.6 Definition of a correct treatment

4min
page 146

A.3 Definition and calculation of health indicators

3min
page 142

A.4 Definition of education indicators

4min
pages 143-144

SDI surveys: Turning measurement into momentum for reform

4min
pages 132-133

Rethinking service delivery

4min
pages 130-131

Results in action: How SDI surveys inform program operations

8min
pages 120-123

References

6min
pages 126-129

A wider perspective: Measurement as a public good for research

2min
page 124

Notes

2min
page 125

Improving comparability of SDI surveys over time

4min
pages 118-119

Understanding interactions with family background

4min
pages 116-117

Addressing determinants of provider performance

6min
pages 113-115

Adapting SDI surveys to different country contexts

14min
pages 106-112

References

8min
pages 101-105

concern during COVID-19

3min
page 90

Are basic requirements for learning in place?

4min
pages 82-83

location

2min
page 95

Notes

5min
pages 99-100

High- and low-performing schools: How can countries narrow the gaps?

2min
page 89

low-performing groups of students in nine African countries

1min
page 80

3.1 How does language of instruction affect test scores?

2min
page 81

Sample, methods, and framework

2min
page 73

SDI education surveys: Seeing basic education from the students’ perspective

2min
page 72

Background: Reimagining what education can achieve

1min
page 71

References

9min
pages 67-70

Conclusions: What will it take to improve service delivery in health?

6min
pages 63-65

African countries, by country and type of equipment

1min
page 58

Notes

2min
page 66

medicines in six African countries, by country and type of facility

1min
page 60

infrastructure

1min
page 56

Will health care providers be present in the health facility?

2min
page 42

Will health care providers be ready to provide quality care?

4min
pages 48-49

Sample, methods, and framework

2min
page 40

Will the necessary infrastructure, equipment, supplies, and medicines be available?

1min
page 54

Structure of this chapter

2min
page 39

location

1min
page 55

SDI health surveys: A finger on the pulse of primary health care

2min
page 38

by country and health facility ownership

1min
page 43

1.1 What do Service Delivery Indicators surveys measure?

4min
pages 29-30

COVID-19: Challenging the resilience of health and education systems

4min
pages 26-27

Human capital at the core of development

1min
page 25

References

1min
pages 23-24

Aims and structure of the book

2min
page 32

Data to drive change

2min
page 22

Background: An opportunity to transform primary health care

1min
page 37

Learning from the Service Delivery Indicators surveys

2min
page 28
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