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9 BenefitCost Analysis of Inaction
Pages 55-62

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From page 55...
... Behrman affirmed that benefit–cost ratios can be an effective guide for policy development and also noted that distributional weights can be included to meet particular policy aims. For instance, certain elements of early child development can be considered as human rights, and distributional weights can be used to incorporate that perspective.
From page 56...
... . The seven major impacts presented by Behrman were reduced infant mortality, reduced neonatal care, reduced costs of infant and child illness, productivity gains from reduced stunting, productivity gains from increased cognitive ability, reduced cost of chronic diseases, and intergenerational effects.
From page 57...
... Owing to the lack of quality data in Colombia, it is difficult to make decisions and develop actions that have an impact on childhood development programs to support families, provide nutritional support, and educate children. Despite this, however, Alarcón noted that Colombia is among many countries with access to early childhood education because a large 2  This section summarizes information presented by Constanza Alarcón, Presidency of the Republic, Colombia.
From page 58...
... Alarcón described the integrated care pathway as a framework that helps to understand the differences in development along the life course from preconception through age 6, as well as how these differences affect policy interventions. This policy framework synthesizes approximately 18 programs moving toward integrated and comprehensive approaches.
From page 59...
... during gestation. Alarcón recommended improving training of community health care workers to understand the risk factors associated with nutrition and other preventable behaviors that can lead to child disability.
From page 60...
... , a tool to help conduct comprehensive policy diagnostics in coun tries, with examples of specific results from of the implementation of the tool in developing countries. Wodon explained that a number of recent World Bank documents recognize and support the importance of ECD.
From page 61...
... In addition, although this is not shown in Figure 9-1, the 25 interventions can also be assembled into five integrated packages of interventions and services by age group: a family support package, a pregnancy package, a birth package, a child health and development package, and finally a preschool package. Wodon then turned to a discussion of a diagnostic tool to help understand the quality of ECD policies in countries.
From page 62...
... However, he cautioned that SABER ECD is not necessarily a useful tool for understanding statistically the impact of policies on outcomes -- it is rather a tool to help frame a policy dialogue with government ministries, donors, and other stakeholders and to identify areas where a country could do better. The World Bank team is currently working on an analysis of the data collected so far, and the next step will be to assess the extent to which countries are indeed implementing the policies they have adopted.


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