Role of government in rural and agri-finance : Transitioning to private sector involvement: Briefing note 17

The long-term growth and development of agricultural markets depends on access to a range and volume of capital which, over time, naturally eclipses governments’ ability to provide that capital directly. As private capital markets and financial service providers become involved in the agricultural finance market, the challenge for governments becomes how to appropriately create, incentivize and regulate space for the private sector. As countries move to higher levels of agricultural productivity, more mature agricultural markets, more sophisticated banking systems, and larger farm sizes, the commercial business case for financial service provision emerges. However, this process can take decades and often remains incomplete with some market segments requiring on-going subsidy to attract financial services. Questions remain: How to accelerate the participation of private sector financial service providers while markets are still developing? How to do so in ways that are aligned with national development goals, including transitioning subsistence farmers to viable livelihoods and ensuring domestic food security?This Briefing Note builds on previous analysis of the natural stages of agricultural finance and interrogates more deeply the transition that coun-tries make from government-led to more bank-led agricultural finance. By adding the historical experiences of Mexico, Turkey, and Uganda (as well as other specific initiatives in other coun-tries around the world) to past research by ISF Advisors into the United States, Germany, and South Korea, we gain a greater understanding into the unique approaches that different coun-tries have taken to make this transition. While these approaches are heavily influenced by each country’s macro-level approach to managing the economy, analysis shows the importance of meso-level enablers and more direct micro-level interventions. As we unpack government actions into these different levels and acknowledge the dynamic interplay between the agricultural and finance sides of the market we create a more systemic view of these historical experiences.<br/

Validity of self reported utilisation of primary health care services in an urban population in Spain

STUDY OBJECTIVE—To assess the validity and factors related with the validity of self reported numbers of visits to a primary health care centre, in comparison with the recorded number.
DESIGN—Cross sectional study.
SETTING—The urban area served by the Zaidín-Sur Primary Health Care Centre (Granada, Spain).
PARTICIPANTS—Two population samples (236 high users and 420 normal users) who were seen at the centre from 1985 to 1991 were interviewed in 1993.
MAIN RESULTS—A net tendency to overreport the actual number of visits was observed. Absolute concordance between self reported and recorded utilisation decreased as time interval lengthened, although this mainly reflected the increase in maximum variability both with time interval length and with the number of recorded visits. Corrected Spearman ρ coefficients obtained between the number of self reported and recorded visits ranged from 0.602 for the two weeks before the interview to 0.678 for the year before. Regression slopes of self reported utilisation upon recorded utilisation did not change between periods. In multiple regression analyses the actual number of visits was the main factor associated with both underreporting and overreporting. Older age was also significantly associated with underreporting. Poor health status and high satisfaction with health care were significantly associated with overreporting.
CONCLUSIONS—There was a substantial degree of inaccuracy in self reported utilisation, with a net tendency to overreport the number of visits. In relative terms, however, accuracy of self reports did not seem to decrease appreciably as the recall time lengthened. To compare the accuracy of different measures, it is important to take into account the maximum variability of each one. Otherwise, contradictory results may be obtained.


Keywords: self reported utilisation; primary health care; validit

Human health risk assessment for aluminium, aluminium oxide, and aluminium hydroxide.

International audienc