McMaster University DOCTOR OF PHILOSOPHY (2019) Hamilton, Ontario (Health Research Methods, Evidence, and Impact) TITLE: Measuring International Health Inequalities and Socioeconomic Status Using Household Survey Data AUTHOR: Mathieu J.P. Poirier, B.Sc., M.P.H. (McMaster University) SUPERVISOR: Dr. Michel Grignon NUMBER OF PAGES: xii, 231 / The methods underlying the quantification of health inequalities have profound consequences for measuring progress in achieving health for all. In Chapter two, associations between household wealth indices, income, and consumption were systematically compiled and different methods of wealth index calculation were evaluated for appropriateness of use in a variety of settings. Researchers are presented with a synthesis of existing evidence about the appropriateness of use of wealth indices in urban and rural areas, their robustness to changes in the asset mix, future applications, and advantages and disadvantages of primary competing methods of quantifying SES using household survey data. In Chapter three, international microdata were analyzed to evaluate how magnitudes of health inequality are affected by different methods of quantifying household socioeconomic status (SES), including income, consumption, and asset wealth. In Chapter four, the need for a transnational approach to measuring health inequalities was justified and the new method was developed using an empirical example. Substantively, these chapters develop the most complete evaluation of the association between the asset wealth, consumption, and income using both critical interpretive synthesis and microdata analysis, as well as the first meta-analysis evaluating changes in health inequality magnitudes according to the SES measure used over time and across country-income levels. The transnational analysis of health inequalities uncovered previously hidden health disparities in the island of Hispaniola, and detailed instructions for all methodological aspects of the new method were presented. The distribution of disease between nations, subnational regions, and urban-rural areas in Hispaniola were analyzed from 1994 to 2013, and the first relative geospatial wealth ranking between Haiti and the Dominican Republic was presented. Global health researchers should strive to measure the equity of health between people, and this sometimes requires analyzing populations that are not neatly contained by national boundaries. / Thesis / Doctor of Philosophy (PhD) / This thesis investigates social inequalities in health and how to measure socioeconomic status (SES) using household surveys in a way that is robust across jurisdictions. It examines how wealth indices compare to income and consumption, and develops a new method to calculate transnational health inequalities. Chapter two conducts a comprehensive evaluation of evidence surrounding the use of wealth indices in urban and rural areas, robustness to changes in assets, future applications, and the advantages and disadvantages of the primary competing methods for quantifying household SES. The third chapter systematically evaluates how health inequality magnitudes evolve over time and across country-incomes according to SES measure. Finally, a transnational measurement of health inequalities was calculated for the island of Hispaniola in chapter four, uncovering the distribution of disease between nations, subnational regions, and urban-rural areas. Detailed instructions for all methodological aspects of the new transnational method are presented.

[pt] Uma questão fundamental na implementação da Agenda 2030 em nível nacional refere-se à análise das interrelações entre os Objetivos de Desenvolvimento Sustentável (ODS) e como suas respectivas metas interagem entre si. Diretamente ligadas a essa análise, surge outra questão de ordem metodológica, qual seja: como a integração de métodos multicritério de tomada de decisão, análise estrutural e teoria de redes poderá contribuir para que um país possa melhor definir que metas globais deverão ser incluídas na sua Agenda 2030, considerando-se aspectos críticos de seus contextos socioeconômico e político. Buscando responder essa questão, a presente dissertação tem por objetivo propor um modelo conceitual sistêmico para priorizar metas globais associadas aos ODS que irão compor a Agenda 2030 de um país, integrando-se métodos multicritério de apoio à decisão, análise estrutural e teoria de redes. A pesquisa pode ser considerada descritiva, metodológica e aplicada. Com base nos resultados da revisão bibliográfica e da análise documental de seus temas centrais e visando preencher as lacunas identificadas na literatura, desenvolveu-se um modelo conceitual sistêmico para priorizar as metas globais a serem incluídas na Agenda 2030 de um país. A aplicabilidade do modelo foi demonstrada mediante um experimento preliminar no contexto da Agenda 2030 brasileira. Acredita-se que o modelo conceitual resultante desta pesquisa possa ser replicado em outros contextos nacionais, particularmente em países que estão para definir as metas que integrarão suas respectivas Agendas para o Desenvolvimento Sustentável. / [en] A fundamental question in the implementation of the 2030 Agenda at the national level is how the Sustainable Development Goals (SDGs) and their respective targets interact with each other. Directly linked to this concern, a methodological question arises – how can the integration of multicriteria decision making methods, structural analysis, and network theory contribute to a country to better define which global targets should be included in its 2030 Agenda, considering critical issues of its socio-economic and political contexts. With an attempt to answer this question, the dissertation aims to propose a systemic conceptual model to prioritize SDG s targets for a country s 2030 Agenda, by integrating multicriteria decision methods, structural analysis, and network theory. The research can be considered descriptive, methodological and applied. Based on the results of the bibliographic review and documentary analysis of its central themes, and seeking to fill the gaps identified in the specialized literature, a systemic conceptual model was developed for prioritizing global targets that should be included in a country s 2030 Agenda, considering critical issues of its socio-economic and political contexts. The model s applicability was demonstrated through a preliminary experiment concerning the definition of the Brazilian 2030 Agenda. It is believed that the conceptual model resulting from this research can be replicated in other national contexts, particularly in countries where the It is believed that the conceptual model resulting from this research can be replicated in other national contexts, particularly in those countries that are going to prioritize the targets that will integrate their respective Agendas for Sustainable Development.

Antalet hållbarhetskrav ökar allt med tiden, vilket även gäller för fordonsindustrin. Tillverkarna förmedlar vidare de krav som ställs mot de till deras leverantörer i försörjningskedjan. Några av dessa krav är inte tillräckligt tydliga för leverantörerna, de vet inte vilka processer som ligger bakom dessa krav för att uppnå dem. Särskilt de aspekter som leverantörerna inte arbetat med tidigare och som är nya liksom miljömässig hållbarhet. Detta examensarbete syftar till att ta reda på vilka hållbarhetskrav - med fokus på miljömässig hållbarhet - som ställs mot leverantörer inom tung fordonsindustri. Frågeställningen som besvaras i detta arbete är följande: Vilka hållbarhetskrav har svenska tillverkare inom tung-fordonsindustrin på sina leverantörer i förhållande till miljömässig hållbarhet? Den metod som använts för att kunna besvara frågeställningen är en egen variant av abduktiv och deduktiv metod. Där har teorin utvecklats med tiden genom de dokument som mottagits från fallföretag och dess kunder, samt de semistrukturerade intervjuer som genomförts. Metoden har varit givande för analysen där alla former av data som samlats in - teori, dokument och intervju - sammankopplas genom de mest förekommande ämnena. Utifrån den givna informationen och analysen framkom resultat och slutsatser. De miljömässiga hållbarhetskraven som ställs mot leverantörer inom tung-fordonsindustri är följande: beräkning av CO2 utsläpp genom GHG-protocol, implementering av förnybar energi i verksamheten, samt välja CO2 snåla och återvinningsbara material. / The number of sustainability requirements are increasing over time, which also applies to the automotive industry. The manufacturers further convey the demands placed on them to their suppliers in the supply chain. Some of these requirements are not clear enough for the suppliers, they do not know what processes are behind these requirements to achieve them. Especially the aspects that the suppliers have not worked with before and which are new, such as environmental sustainability. This thesis aims to find out which sustainability requirements - with a focus on environmental sustainability - are placed on suppliers in the heavy vehicle industry. The question answered in this work is the following: Which sustainability requirements do Swedish manufacturers in the heavy vehicle industry have on their suppliers in relation to environmental sustainability? The method used to be able to answer the question is a variant of the abductive and deductive methods. There, the theory has been developed over time through the documents received from case companies and their customers, as well as the semi-structured interviews that have been conducted. The method has been fruitful for the analysis where all forms of data collected - theory, documents, and interviews - are connected through the most common topics. Based on the given information and analysis, results and conclusions emerged. The environmental sustainability requirements placed on suppliers in the heavy vehicle industry are as follows: calculation of CO2 emissions through the GHG protocol, implementation of renewable energy in the business, and choosing CO2-saving and recyclable materials.

Many African communities are significantly affected by climate change, despite being small contributors to the world's emissions. In Mozambique, the rural Southern region is more vulnerable to climate instability than other rural areas in the country. The purpose of this study is to look at factors that can be vital when deciding whether to stay or to migrate, such as resilience, social sustainability, and development opportunities and challenges. The data was collected through ethnographic fieldwork in a rural community on the Mozambican coast, with the villagers' perspective in the centre of what makes the place relevant to their daily lives. What makes the study village sustain and thrive are the development processes of weather-resistant buildings and developing ideas for more sufficient farming, health, and education. Even though some people migrate from the village to the cities, people often come back as challenges in the village are more familiar and simpler to deal with, development ideas represent a hopeful future for the village, and the villagers' want to live in their community simply because it is home.

Mitigating greenhouse gas emissions from the Swedish industry is central in reaching set up environmental goals on a national level and fighting climate change that results in economic, environmental and social disasters on a global scale. The efforts of mitigating greenhouse gas emissions from the Swedish industry have historically focused on investing in renewable technologies that have no emissions from production. However, to rapidly decrease emissions of greenhouse gases, such as carbon dioxide, could be done by sequestering the gas from point sources at the industry sites and thereafter transport it to geological formations on- and offshore in a process more commonly known as Carbon Capture and Storage. Even so, the Carbon Capture and Storage technology is relatively new and has not yet been implemented on an industrial scale in Sweden. The real potential of Carbon Capture and Storage in relation to helping the Swedish industry in reaching set up national and international environmental goals is therefore unknown. Here we show, via a literature review and performing interviews with stakeholders from the investigated field, that there is a big potential for Carbon Capture and Storage to mitigate carbon dioxide emissions from the Swedish industry and create negative emission rates by storing emissions originated from biogenic sources.   Our results demonstrate that there are regulatory, economic, environmental, and social measures that are needed to create a future market for Carbon Capture and Storage and trading with negative emissions. These include evaluating domestic storage sites, changing laws and regulations, and sharing knowledge between countries and companies to create a wider understanding of the technology. We anticipate that our study on the dynamics of a Carbon Capture and Storage market will help stakeholders to identify levers and restraints in the current market so that the transition towards net zero emissions will accelerate, especially when having the national 2045 net zero emission objective in mind. Nonetheless, there is a great need for research to understand such a market, and more specifically to create a consensus between stakeholders on a national and global level when creating it. / Att minska växthusgasutsläppen från den svenska industrin är centralt för att nå nationella och globala klimatmål och vidare bekämpa klimatförändringar som på en global skala resulterar i ekonomiska, miljömässiga och samhälleliga katastrofer. Historiskt sett har åtgärderna för att minska utsläppen av växthusgaser främst legat på satsningar inom förnybara tekniker där utsläppen från produktion är nästintill noll. Däremot behövs åtgärder för att snabbt minska utsläppen av växthusgaser, såsom koldioxid, där detta kan göras genom att avskilja koldioxiden från industriernas punktkällor och sedan lagra gasen på land och till havs genom en process som är mer känd under namnet koldioxidavskiljning och lagring. Trots detta är koldioxidavskiljning och lagring en relativt ny teknik som inte har tillämpats på industriell skala i Sverige. Teknologins verkliga potential för att uppfylla nationella och globala klimatmål är därför outforskad. Studien visar, genom en litteraturstudie och semistrukturerade intervjuer med intressenter inom forskningsområdet, att tekniken koldioxidavskiljning och lagring har stor potential när det kommer till att minska koldioxidutsläpp från den svenska industrin och även när det kommer till att skapa negativa emissioner av koldioxid genom lagring av biogen koldioxid.   Resultatet visar att det är regulatoriska, ekonomiska, miljömässiga och samhälleliga åtgärder som är nödvändiga för att skapa en framtida marknad för koldioxidavskiljning och lagring och handel med negativa utsläpp. Dessa innefattar utvärdering av inhemska lagringsplatser, ändring av lagar och regler samt att sprida och dela kunskap mellan länder och företag för att skapa en vidare förståelse av teknologin. Vi förutser att användningsområdet för studien av en framtida marknad för koldioxidavskiljning och lagring kan hjälpa intressenter inom forskningsområdet att identifiera åtgärder som kan verka som hävarm och även hinder för en framtida utveckling mot nettonollutsläpp. Detta då de svenska miljökvalitetsmålen fastslår att nettonollutsläpp senast ska nås år 2045. Däremot behövs vidare studier för att förstå en framtida marknad för koldioxidavskiljning och lagring samt negativa emissioner, mer specifikt behövs konsensus mellan intressenter på en nationell och global nivå för att skapa en sådan marknad.

Tesis por compendio / [ES] El emprendimiento sostenible (ES) se ha convertido en un tema central de interés en diversos sectores, como academia, sector privado, sector público y la sociedad civil. Este enfoque emerge de la necesidad de crear entornos donde las personas, el planeta, puedan prosperar de manera sostenible, integrando aspectos económicos, sociales, ambientales, políticos y culturales. La definición de ES varía según autor e intereses de investigación (Belz, 2013). Autores como Cohen & Winn (2007) sostienen que el ES conduce a una economía más sostenible a largo plazo a través de oportunidades de negocio, Mientras que Moya et al. (2019) enfatizan la importancia de modelo de negocio que generen ingresos y, al mismo tiempo, preserven el medio ambiente y promueven el bienestar de la sociedad. En el 2015, la Asamblea General de las Naciones Unidas aprobó la Agenda 2030 para el Desarrollo Sostenible, que incluye 17 Objetivos de Desarrollo Sostenible (ODS) (UN, 2015). Estos ODS, se agrupan en cinco ejes principales: personas, planeta, prosperidad, paz y alianzas, que busca promover el bienestar de las actuales y futuras generaciones de manera inclusiva, equitativa y sostenible, al mismo tiempo que se garantiza la preservación del medio ambiente. La presente tesis doctoral propone aplicar un modelo de emprendimiento sostenible fundamentado en los ODS, como una estrategia para garantizar la perdurabilidad de los emprendimientos sostenibles en el tiempo. Para ello se identificaron seis criterios característicos clave: innovación, oportunidad, responsabilidad, calidad, creatividad y capacidad, que se asocian a diferentes variables para construir la estrategia sostenible. La investigación se divide en tres etapas. En la primera etapa, se realiza una revisión bibliográfica exhaustiva de los constructos ES y ODS. En la segunda etapa, se lleva a cabo un análisis de los avances y desafíos de los ODS, partimos analizando 23 países de América Latina y el Caribe, así como 38 a países miembros de la OCDE, con el objetivo de identificar grupos homogéneos de países en función de cada uno de los cinco ejes de los ODS. En la tercera etapa, se desarrolla la base de datos, integrando variables relacionadas con los indicadores de innovación, los ODS, la actividad y actitud empresarial y las condiciones del marco empresarial. Estas variables se utilizan para examinar la relación entre la estrategia sostenible y la perdurabilidad de los emprendimientos sostenibles a través del indicador propiedad empresarial establecida, utilizando un modelo de datos panel desbalanceado de efectos fijos para 48 países durante el periodo 2015 al 2021. Los resultados de la investigación confirman la importancia de la aplicación de las variables de la estrategia sostenible para la implementación del modelo de ES fundamentado en los ODS. Se observa una relación significativa entre las variables relacionadas con la actividad empresarial y las condiciones del marco empresarial con la perdurabilidad de la propiedad empresarial establecida (EBO). Además, se identifica una relación positiva entre los ODS y la perdurabilidad de la EBO. Sin embargo, en el modelo las variables relacionadas con los indicadores de innovación no muestran una relación significativa con la perdurabilidad de la EBO. Esto sugiere que el impacto de la innovación en la perdurabilidad de la EBO podría ser más complejo y dependa de otros factores contextuales, como nivel de desarrollo económico del país o del sector de actividad económica. En conclusión, la investigación proporciona importantes contribuciones a la literatura y la práctica: Proporcionando herramientas y enfoques para orientar y evaluar el impacto de políticas y programas relacionados con emprendimiento, ES, ODS, el espíritu empresarial, entre otros, que facilitan la toma de decisiones más informadas. Esta investigación permitirá abordar los desafíos de la sostenibilidad de manera efectiva y contribuir al desarrollo sostenible en beneficio de todos. / [CA] L'emprenedoria sostenible (ÉS) s'ha convertit en un tema central d'interés en diversos sectors, com a acadèmia, sector privat, sector públic i la societat civil. Este enfocament emergix de la necessitat de crear entorns on les persones, el planeta, puguen prosperar de manera sostenible, integrant aspectes econòmics, socials, ambientals, polítics i culturals. La definició de ÉS varia segons autor i interessos d'investigació (Belz, 2013). Autors com Cohen & Winn (2007) sostenen que l'ÉS conduïx a una economia més sostenible a llarg termini a través d'oportunitats de negoci, Mentres que Moya et al. (2019) emfatitzen la importància de model de negoci que generen ingressos i, al mateix temps, preserven el medi ambient i promouen el benestar de la societat. En el 2015, l'Assemblea General de les Nacions Unides va aprovar l'Agenda 2030 per al Desenvolupament Sostenible, que inclou 17 Objectius de Desenvolupament Sostenible (ODS) (UN, 2015). Estos ODS, s'agrupen en cinc eixos principals: persones, planeta, prosperitat, pau i aliances, que busca promoure el benestar de les actuals i futures generacions de manera inclusiva, equitativa i sostenible, al mateix temps que es garantix la preservació del medi ambient. La present tesi doctoral proposa aplicar un model d'emprenedoria sostenible fonamentada en els ODS, com una estratègia per a garantir la perdurabilitat de les emprenedories sostenibles en el temps. Per a això es van identificar sis criteris característics clau: innovació, oportunitat, responsabilitat, qualitat, creativitat i capacitat, que s'associen a diferents variables per a construir l'estratègia sostenible. La investigació es dividix en tres etapes. En la primera etapa, es realitza una revisió bibliogràfica exhaustiva dels constructes ÉS i ODS. En la segona etapa, es duu a terme una anàlisi dels avanços i desafiaments dels ODS, partim analitzant 23 països d'Amèrica Llatina i el Carib, així com 38 a països membres de l'OCDE, amb l'objectiu d'identificar grups homogenis de països en funció de cadascun dels cinc eixos dels ODS. En la tercera etapa, es desenvolupa la base de dades, integrant variables relacionades amb els indicadors d'innovació, els ODS, l'activitat i actitud empresarial i les condicions del marc empresarial. Estes variables s'utilitzen per a examinar la relació entre l'estratègia sostenible i la perdurabilitat de les emprenedories sostenibles a través de l'indicador propietat empresarial establida, utilitzant un model de dades panell desbalanceado d'efectes fixos per a 48 països durant el període 2015 al 2021. Els resultats de la investigació confirmen la importància de l'aplicació de les variables de l'estratègia sostenible per a la implementació del model de fon ÉS amentat en els ODS. S'observa una relació significativa entre les variables relacionades amb l'activitat empresarial i les condicions del marc empresarial amb la perdurabilitat de la propietat empresarial establida (EBO). A més, s'identifica una relació positiva entre els ODS i la perdurabilitat de l'EBO. No obstant això, en el model les variables relacionades amb els indicadors d'innovació no mostren una relació significativa amb la perdurabilitat de l'EBO. Això suggerix que l'impacte de la innovació en la perdurabilitat de l'EBO podria ser més complex i depenga d'altres factors contextuals, com a nivell de desenvolupament econòmic del país o del sector d'activitat econòmica. En conclusió, la investigació proporciona importants contribucions a la literatura i la pràctica: Proporcionant ferramentes i enfocaments per a orientar i avaluar l'impacte de polítiques i programes relacionats amb emprenedoria, ÉS, ODS, l'esperit empresarial, entre altres, que faciliten la presa de decisions més informades. Esta investigació permetrà abordar els desafiaments de la sostenibilitat de manera efectiva i contribuir al desenvolupament sostenible en benefici de tots. / [EN] Sustainable entrepreneurship (SE) has become a central topic of interest in various sectors, such as academia, the private sector, the public sector and civil society. This approach emerges from the need to create environments where people, the planet, can thrive in a sustainable way, integrating economic, social, environmental, political and cultural aspects. The definition of SE varies according to author and research interests (Belz, 2013). Authors such as Cohen & Winn (2007) argue that SE leads to a more sustainable economy in the long term through business opportunities, while Moya et al. (2019) emphasise the importance of business models that generate income and, at the same time, preserve the environment and promote the well-being of society. In 2015, the United Nations General Assembly adopted the 2030 Agenda for Sustainable Development, which includes 17 Sustainable Development Goals (SDGs) (UN, 2015). These SDGs are grouped into five main axes: people, planet, prosperity, peace and partnerships, which seek to promote the well-being of current and future generations in an inclusive, equitable and sustainable manner, while ensuring the preservation of the environment. This doctoral thesis proposes the application of a sustainable entrepreneurship model based on the SDGs as a strategy to ensure the permanence of sustainable enterprises over time. To this end, six key characteristic criteria were identified: innovation, opportunity, responsibility, quality, creativity and capacity, which are associated with different variables to build the sustainable strategy. The research is divided into three stages. In the first stage, a comprehensive literature review of the SE and SDG constructs is conducted. In the second stage, an analysis of the progress and challenges of the SDGs is carried out, starting with an analysis of 23 countries in Latin America and the Caribbean, as well as 38 OECD member countries, with the aim of identifying homogeneous groups of countries according to each of the five axes of the SDGs. In the third stage, the database is developed, integrating variables related to innovation indicators, the SDGs, entrepreneurial activity and attitude, and business framework conditions. These variables are used to examine the relationship between sustainable strategy and the permanence of sustainable ventures through the established business ownership indicator, using an unbalanced fixed effects panel data model for 48 countries over the period 2015 to 2021. The research results confirm the importance of the application of sustainable strategy variables for the implementation of the SDG-based SE model. A significant relationship is observed between variables related to entrepreneurial activity and business framework conditions with the permanence of established business ownership (EBO). Furthermore, a positive relationship is identified between the SDGs and the permanence of EBO. However, in the model the variables related to innovation indicators do not show a significant relationship with EBO permanence. This suggests that the impact of innovation on EBO permanence might be more complex and depend on other contextual factors, such as the level of economic development of the country or the sector of economic activity. In conclusion, the research provides important contributions to literature and practice: Providing tools and approaches to guide and assess the impact of policies and programmes related to entrepreneurship, SE, SDGs, entrepreneurship, among others, facilitating more informed decision-making. This research will enable to address sustainability challenges effectively and contribute to sustainable development for the benefit of all. / Benavides Sánchez, EP. (2024). Propuesta de un modelo de emprendimiento sostenible fundamentado en los objetivos de desarrollo sostenible [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/206836 / Compendio

This doctoral thesis focuses on the evaluation of the World Bank (WB) performance in delivering development aid to the Least Developed Countries (LDCs). For this purpose, an extensive research was performed to analyze a set of 790 Implementation Completion and Results reports for key economic and financial indicators. Results of this research provide various insights for the appraisal and the results stage of project delivery of the LDCs in different continents. In the final part of the economic and financial analysis the minimum Social Return on Investment (SROI) of the LDCs including all project costs was calculated. This SROI ratio outcome of 1 and 1.06 in the weighted and 1.3 and 1.72 in the unweighted case indicate that projects delivered by the WB have a positive effect on the poor countries. In the second part of this research project the data set of the ICR reports was qualitatively researched for negative ratings according to 3 core assessment categories for the overall project performance: Sustainability, bank performance and borrower performance. As a result the most critical categories respectively risks were outlined. In conclusion, the research analyses and findings support the general demand to provide even more development assistance to poor countries.:Table of Tables and Figures List of Equations List of Abbreviations 1 Introduction 1.1 Introduction to the Topic 1.2 Assessing Poverty Problems and Achieving Economic Growth 1.3 Millennium Development Goals 1.4 Development Aid 2 Research Approach 2.1 Objective 2.2 Structure 2.3 Least Developed Countries 2.4 World Bank 2.5 Data Access and Relevance 2.5.1 Data Basis 2.5.2 Implementation Completion and Results Reports 2.5.3 Project Types 2.6 Term “Performance” 2.7 Study and Research Questions 2.8 Challenges of this Doctoral Thesis 2.9 Contribution of this Thesis 3 Economic and Financial Analysis 3.1 SROI Concept 3.1.1 SROI Definition 3.1.2 SROI Process and Impact Map 3.1.3 Cost-Benefit-Analysis 3.1.4 SROI Calculation 3.2 SROI of World Bank Projects 3.2.1 Purpose of the Cost-Benefit-Analysis 3.2.2 Indicators of the SROI Calculation 3.2.2.1 Net Present Value 3.2.2.2 Capital and Recurring Costs 3.2.2.3 Project Dates and Duration 3.2.2.4 NPV-horizon 3.2.2.5 Discount Rate 3.2.3 Types of NPV-Cost-Ratios 3.2.3.1 Pro-Rata-Capital-Costs Ratio 3.2.3.2 Total-Capital-Costs Ratio 3.2.3.3 Pro-Rata-Capital plus Recurring-Costs Ratio 3.2.3.4 Total-Capital plus Recurring-Costs Ratio 3.2.4 Calculation of the proper SROI Ratio 3.2.5 Portfolio Analysis 3.2.6 Sensitivity Analysis 3.3 Additional Economic and Financial Indicators 3.3.1 Economic Rate of Return 3.3.2 Benefit-Cost-Ratio 3.3.3 Net Benefit 3.3.4 Financial Net Present Value 3.3.5 Financial Rate of Return 4 Results of the Economic and Financial Analysis 4.1 Analysis Approach and Setup 4.2 NPV Outcomes at the Appraisal Stage 4.2.1 Appraisal NPVs of the LDCs 4.2.2 Appraisal NPV Continent Comparison 4.3 NPV Outcomes of the Result Stage 4.3.1 Result NPVs of the LDCs 4.3.2 Result NPV Continent Comparison 4.4 Appraisal vs. Result NPVs 4.4.1 Results of the LDCs 4.4.2 Continent Comparison 4.5 Economic Rate of Return Result Values 4.5.1 Results of the LDCs 4.5.2 Continent Comparison 4.6 Additional Economic and Financial Indicator Result Values 4.6.1 Benefit-Cost-Ratio and Net Benefit 4.6.2 Financial Net Present Value and Financial Rate of Return 4.7 Overall Project Performance 4.7.1 Definition 4.7.2 Overall Project Performance Ratings 4.7.3 Outcome Calculation for Non-Financial Indicator Projects 4.7.4 Verification of Outcomes and Conclusion 4.8 NPV-Cost-Ratios and SROI Calculation 4.8.1 NPV-Cost-Ratios of the ICR Reports 4.8.1.1 Overall Results 4.8.1.2 Continent Comparison 4.8.2 Standardized NPV-Cost-Ratios 4.8.2.1 Overall Results 4.8.2.2 Continent Comparison 4.8.3 Calculating the Minimum SROI Ratio 4.8.3.1 Overall Results of the Capital SROI Ratio 4.8.3.2 Continental Comparison of the Capital SROI Ratio 4.8.3.3 Overall Results of the Minimum SROI Ratio 4.8.3.4 Continental Comparison of the Minimum SROI Ratio 4.8.4 Making Meaning of the Results 4.9 Summary and Conclusion 5 Qualitative Data Analysis 5.1 Content Analysis 5.2 Sustainability 5.2.1 Sustainability Rating Definition 5.2.2 Sustainability Rating Categories 5.3 Bank Performance 5.3.1 Bank Performance Definition 5.3.2 Bank Performance Categories 5.4 Borrower Performance 5.4.1 Borrower Performance Definition 5.4.2 Borrower Performance Categories 6 Results of the Qualitative Data Analysis 6.1 Sustainability 6.1.1 Quantitative Assessment of Sustainability Ratings 6.1.2 Outcome of the Content Analysis 6.1.2.1 Types of Reasons 6.1.2.2 Overall Results 6.1.2.3 Results in Haiti 6.1.2.4 Continent Comparison 6.1.3 Excursus: Positive NPV Projects 6.1.4 Summary and Conclusion 6.2 Bank Performance 6.2.1 Quantitative Assessment of Bank Performance Ratings 6.2.2 Outcome of the Content Analysis 6.2.2.1 Types of Reasons 6.2.2.2 Overall Results 6.2.2.3 Results in Haiti 6.2.2.4 Continent Comparison 6.2.3 Summary and Conclusion 6.3 Borrower Performance 6.3.1 Quantitative Assessment of Borrower Performance Ratings 6.3.2 Outcome of the Content Analysis 6.3.2.1 Types of Reasons 6.3.2.2 Overall Results 6.3.2.3 Results in Haiti 6.3.2.4 Continent Comparison 6.3.3 Summary and Conclusion 7 Overall Summary and Conclusion 8 Critical Acclaim and Recommendations 9 Outlook and Future Research List of Appendices Appendix References

With the advent of the new National Health Act, health care in South Africa is at a critical point as this will be the first time in history that a National Health Insurance is being implemented in this country. Globally National Health Insurance has been around for more than a hundred years, however some countries with long established national health schemes are currently grappling with funding issues surrounding their health systems. South Africa should take note of these issues as it embarks on this journey. The objective of this study was to perform a literature review on how South Africa’s National Health Insurance can be funded taking cognisance of the history of the country and experiences of other countries. It is imperative for each country to achieve optimal health care funding to ensure the success and long-term sustainability of National Health Insurance. The analysis of the problems experienced by other countries revealed that balancing the three main funding options namely, allocated from the national revenue fund, user charges and or donations or grants from international organisations, is critical as the funds needed in a system to achieve coverage at an affordable cost is dependent on the current state of health care in a country. Considering South Africa’s history and current inequality in society and health care it is clear that the majority of funding for the National Health Insurance should be supplied by the national revenue fund. The required funds can either be raised by increasing existing taxes or introducing a new tax specifically aimed at financing the National Health Insurance. The use of user charges is important however, although not purely for a revenue collection point, but from a cost control point of view as well. Some studies have revealed that the lack of user charges results in a misuse of the system. / Financial Accounting / M. Phil. (Accounting Science)

This research focuses on assessing the extent to which the Principles of Aid Effectiveness were followed and translated into action by taking the General Education Quality Improvement Programme (GEQIP) in Ethiopia as an example. Outcomes of the secondary reviews conducted on the selected government institutions and development partners documents demonstrate that these Principles are taken as overarching strategies to guide the undertakings on GEQIP. The study attests that a number of factors influence the realization of aid effectiveness in Ethiopia. These include, at the recipient level, existence of strong national development plans while demanding improvement on absorptive capacity. At the level of development partners, compliance with pledges made on the provision of resources and better coordination is needed. A common country framework to guide the aid effectiveness process including mutual accountably is important. The study most importantly identifies that beyond sector specific reviews, emphasis should also be given to assess the contribution of the Principles of Aid Effectiveness for efficient delivery of support to the GEQIP. / Development Studies / M.A. (Development Studies)

Obesity and obesity-related diseases – such as type 2 diabetes – have become the most crucial indicators of population health in the 21st century. Formerly understood as ‘diseases of affluence’, obesity is now prevalent in the Global South posing serious risk to socioeconomic development. This is particularly true for rapidly developing countries where nutrition transitions are most apparent. There are many factors which impact on risk of obesity (e.g. gender, culture, environment, socioeconomic status, biological determinants). The problem is further aggravated within small island developing states where food security is exacerbated by factors associated with globalization and development. The thesis examines the surge of obesity and type 2 diabetes within Caribbean populations, using Barbados as a case study. A holistic approach was applied using an ecological health model. Moving away from the lifestyle model, the theoretical framework underpinning included sub-theories (e.g. social constructivism, feminism, post-colonial theory, concepts of memory and trauma).