Final assignment for the World Bank MOOC

1. The artifact project for Uganda
Preamble
The new global agenda 2030 seeks to use the bottom up approach as the world seeks to look
for the trillions needed to make it a reality. The MDBs are looking at all possible avenues to
leverage the billions to trillions. Everyone must participate, public, private, domestic as well as
international entities. Sustainable development means the present generation is able to meet
its needs without compromising the ability of future generations to provide for themselves.
Governments must incorporate SDGs in their development agenda.
The IDA PSW offers private players concessional loans and grants to projects in all fields of its
jurisdiction. The cascade approach works best here because private providers are more
accountable basing on their drive to bank on credibility for further assistance. It is therefore
inevitable to help stakeholders participate and empower them to envision the SDGs in their
varying contexts.

2. Infrastructure development includes and not limited to building of roads, schools, markets
banks, hostels, factories, apartments, service provision (e.g. Internet, telecommunication,
technical advice, water and sewerage system, energy), hospitals, sports facilities, arcades and
shopping malls.
Financing for development does not happen in a vacuum, there are several subtle and eminent
factors surrounding it (reciprocal determinism). Everyone who dares to romance development
must appreciate its enablers.
Target audience
1. As a constituent health promoter, this artifact intended for the government, the general
public and colleagues.
2. The financing solution; Financing public health and health promotion agenda.
This will help all stakeholders appreciate that as we grapple with the biomedical model
of health (this waits people downstream), upstream approaches to health must be
embraced in the new public health (the social ecological model of health).
Secondly, we are all aware that there can never be development without health and
vice versa.
2(b) The problem or issue is infrastructure development.
 The reasons why the government and aid providers and the private sector
would participate include; health plays a central role in development. Public
health and health promotion is one of the main drivers of development because
it encompasses environmental health which includes, climate change,
infrastructure development, energy, pollution
and waste management.
1. Infrastructure is the main development that usually precedes
other major breakthroughs in development. It forms the back
bone of nearly all development agendas.

3. 2. Infrastructure advancement will promote;
a. Maternal new born and child health
b. Health in humanitarian and emergency situations
c. Occupational health and safety.
d. Disease surveillance e.g. Ebola, Marburg, measles, HIV.
e. Social determinants of health which are also determinants
of development at the same time.
f. It emphasizes community participation and
empowerment.
g. Job creation and economic transformation.
h. Increased revenue from taxes.
i. Governance and institutional building. All of which foster
SDGs
Prevention is better than cure through the above the government, the private players and
individuals can write financing infrastructure projects to IDA that are key to their health and
development concerns.
Obstacles include;
Weak regulatory and investment environments, lack of bankable projects, lack of suitable
investment vehicles to provide investors the required risk/return profile, lack of investor
capacity to analyze infrastructure investments, and misperceptions about actual risk. Low
literacy levels, poor tax policy and administration, poor public expenditure, inflation, instability,
no term limits, corruption, poor infrastructure development, ignorance, skilled labor export,
poor fiscal laws, politicking, disease burden, low citizen participation, inequity in distribution of
resources, climate change (famine, drought, floods, desertification, pollution), no low interest
loans, and the informal sector forming the biggest part of the economy, few skilled workers.

4. How will my solution overcome the above obstacles?
Work with host government to;
 Improve the investment climate and invite private companies in the game.
 Have an independent judiciary especially in dispute resolution, arbitration, and
litigation, and give up sovereign immunity.
 Have financial markets and fiscal regimes especially having foreign exchange
services, a domestic financial market, and allow foreign currency repatriation of
profits.
 Provide local and international plans to mitigate the above risks or the
government bears them.
 Invite private philanthropy to join the infrastructure cause especially the
education and health sectors, let them take risks in new technologies. Lobby for
use of instruments like grants, equity investment, guarantees and debt buy
downs.
 Curb corruption and increase accountability.
 Work closely with IMF and MDBs for advice especially tax policy and
administration (clear and predictable), open trade policy, sound monetary policy,
predictable investment framework and rule of law and how to support
entrepreneurship and innovation.
 Implement user-pays approaches and explain to the masses.
 Embrace long term financing e.g. Financial integrity, debt management and
public expenditure efficiency.
 Ensure business success alongside social progress.
 Adapt to the drivers of private finance, FDIs, blend finance, M&E, social impact
investment and responsible business conduct.
 Tap $75 billion IDA18 grant opportunity in the private sector window. Encourage
eligible private players to get their share.