Poverty in Guatemala A WORLD BANK COUNTRY STUDY The World Bank 1678-00_FM.qxd 9/28/03 15:49 Page i A W O R L D B A N K C O U N T R Y S T U D Y Poverty in Guatemala THE WORLD BANK Washington, D.C. 1678-00_FM.qxd 9/28/03 15:49 Page ii Copyright © 2004 The International Bank for Reconstruction and Development / The World Bank 1818 H Street, N.W. Washington, D.C. 20433, U.S.A. All rights reserved Manufactured in the United States of America First printing: October 2003 printed on recycled paper 1 2 3 4 05 04 03 World Bank Country Studies are among the many reports originally prepared for internal use as part of the continuing analysis by the Bank of the economic and related conditions of its develop- ing member countries and to facilitate its dialogues with the governments. Some of the reports are published in this series with the least possible delay for the use of governments, and the academic, business, financial, and development communities. 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I. Series. HC144.Z9P6268 2003 339.4´6´097281—dc21 2003053509 1678-00_FM.qxd 9/28/03 15:49 Page iii C ONTENTS ABSTRACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi ACKNOWLEDGMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii ACRONYMS AND ABBREVIATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv EXECUTIVE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Context for Report: The GUAPA Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Objectives of Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Analytical Framework . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Information Sources: Integrating Qualitative and Quantitative Data . . . . . . . . . . . . . . . . .24 Overview of the Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 PART 1—THE MAGNITUDE AND CAUSES OF POVERTY . . . . . . . . . . . . . . . . . . . . .27 2. Poverty and Social Indicators of “The Problem” . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Monetary Indicators of Poverty and Inequality in Guatemala . . . . . . . . . . . . . . . . . . . . . . .30 Non-Monetary Indicators of Poverty and Living Conditions in Guatemala . . . . . . . . . . . .37 Perceptions of Poverty and Welfare in Guatemala . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 3. The Determinants of Poverty and Inequality: Endowments and Household Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 The Determinants of Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 The Sources of Inequality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52 4. Historical and Contextual Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 Diversity, Ethnicity and Isolation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 Exclusionary Forces in Guatemala’s Historical Pattern of Development . . . . . . . . . . . . . . .59 Guatemala’s 36-Year Civil War: Significant Costs for Long-Term Development . . . . . . . . .63 The 1996 Peace Accords: Towards a More Inclusive Course of Development . . . . . . . . . .65 PART 2—KEY CHALLENGE: BUILDING OPPORTUNITIES AND ASSETS . . . . . .69 5. Growth and Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71 Poverty and Growth over Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71 Poverty and Growth in the Future: Targets and Projections . . . . . . . . . . . . . . . . . . . . . . . .73 Summary of Key Issues and Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 6. Livelihoods, Labor Markets, and Rural Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Incomes and Inequality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Labor Markets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Rural Poverty and Livelihoods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85 Summary of Key Issues and Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 7. Education and Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Sectoral Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Educational Stock, Coverage and Equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95 iii 1678-00_FM.qxd 9/28/03 15:49 Page iv iv CONTENTS Internal Efficiency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 Disparities in the Quality of Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100 Barriers to Enrollment and Attainment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 The Returns to Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Public Spending and Equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Summary of Key Issues and Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 8. Health, Malnutrition, and Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Main Health Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 A Focus on Malnutrition: A Red Flag! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116 Access to Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119 Supply-Side Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Demand-Side Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 Summary of Key Issues and Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 9. Basic Utility Services and Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133 The Benefits of Basic Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133 Sectoral Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Access and Equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135 Barriers to Improved Access: Supply vs. Demand-Side . . . . . . . . . . . . . . . . . . . . . . . . . .138 Achieving Universal Coverage: Time and Costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139 Costs and Subsidies for Basic Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140 Summary of Key Issues and Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 10. Transport, Poverty, and Isolation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .145 Access to Roads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .145 Road Quality and Dependability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Public Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150 The Effects of Isolation: Limited Access to Services and Opportunities . . . . . . . . . . . . .151 Summary of Key Issues and Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152 PART 3—KEY CHALLENGE: REDUCING VULNERABILITY . . . . . . . . . . . . . . . . .153 11. Vulnerability and Vulnerable Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Shocks as a Source of Vulnerability in Guatemala . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .156 Vulnerable Groups in Guatemala . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .165 Summary of Key Issues and Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .170 12. Social Protection, Private Transfers, and Poverty . . . . . . . . . . . . . . . . . . . . . . . . . .173 Overview of SP Programs: Types, Magnitudes and Spending . . . . . . . . . . . . . . . . . . . . .174 Coverage of SP Programs and Private Transfers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Distributional Incidence (Targeting Outcomes) of SP Programs . . . . . . . . . . . . . . . . . .182 Overall Effectiveness of SP Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186 Impact on Poverty and Inequality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Cost-Benefit Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188 Summary of Key Issues and Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188 1678-00_FM.qxd 9/28/03 15:49 Page v CONTENTS v PART 4—KEY CHALLENGE: EMPOWERMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 13. Building Institutions and Empowering Communities . . . . . . . . . . . . . . . . . . . . . . .193 Public Sector Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Governance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Community Participation and Social Capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .202 Role of Other Actors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .207 Summary of Key Issues and Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .208 PART 5—CONCLUSIONS AND RECOMMENDATIONS . . . . . . . . . . . . . . . . . . . . . .209 14. Priority Actions to Reduce Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .211 A Broad Agenda for Poverty Reduction in Guatemala . . . . . . . . . . . . . . . . . . . . . . . . . .212 Some Progress and Key Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .213 Priority Actions for Poverty Reduction in Guatemala . . . . . . . . . . . . . . . . . . . . . . . . . . .215 Priority Target Groups for Poverty Reduction in Guatemala . . . . . . . . . . . . . . . . . . . . . .219 Monitoring Poverty Reduction Efforts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .222 Annexes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227 1. Measuring Consumption Using the ENCOVI 2000 . . . . . . . . . . . . . . . . . . . . . . . .229 2. Measuring Income Using the ENCOVI 2000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .237 3. Measuring Poverty Using the ENCOVI 2000 (Poverty Lines) . . . . . . . . . . . . . . . .241 4. Statistical Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .253 5. Qualitative Poverty and Exclusion Study (QPES): Overview of 10 rural villages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .307 6. Supply Versus Demand-Side Constraints to Coverage of Education, Health and Basic Utility Services: Cluster Methodology . . . . . . . . . . . . . . . . . . . . .339 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .343 LIST OF TABLES A Menu of Options and Key Actions for Poverty Reduction . . . . . . . . . . . . . . . . . . . . .11 B Priority Target Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 2.1 Poverty in Guatemala, 2000—Poverty Indicators by Welfare Measure . . . . . . . . . . .31 2.2 Poverty Patterns in Guatemala . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 2.3 Inequality (Gini coefficients) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 2.4 Trends in the Human Development Index, 1975–97 . . . . . . . . . . . . . . . . . . . . . . . .39 2.5 Perceptions of Welfare from 10 Rural Villages, QPES . . . . . . . . . . . . . . . . . . . . . . . .40 2.6 Perceptions of Poverty from 10 Rural Villages, QPES . . . . . . . . . . . . . . . . . . . . . . . .41 2.7 Summary Report Card for Monetary and Non-Monetary Indicators of Poverty and Living Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 3.1 The Correlates of Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 3.2 Decomposition of Inequality in Guatemala . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53 4.1 Language Ability by Socio-Economic Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 4.2 Performance of Select Peace Monitoring Indicators—A Snapshot for the Years 2000, 2001 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67 1678-00_FM.qxd 9/28/03 15:49 Page vi vi CONTENTS 5.1 Average Real Growth Rates, 1950s–1990s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 5.2 Main Macroeconomic Indicators, 1997–2001 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73 5.3 Pro-Poor Growth? The Sectoral Pattern of Employment and Annual Growth (in %) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74 5.4 GDP Growth and Poverty Reduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 5.5 GDP Growth and Non-Monetary Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76 5.6 Meeting Poverty Strategy and Millennium Targets: Hit or Miss? . . . . . . . . . . . . . . . .76 6.1 Income Sources, by Consumption Quintiles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80 6.2 Rural Poverty by Land Status and Main Source of Income . . . . . . . . . . . . . . . . . . . .86 6.3 Types of Crops Produced, by Type of Household . . . . . . . . . . . . . . . . . . . . . . . . . . .89 7.1 Net Enrollment Rates, by Level and Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97 7.2 The Direct Cost of Schooling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106 7.3 Returns to Education, by Gender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 7.4 Public Expenditures on Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 7.5 Distributional Incidence of Public Spending on Education and Educational Support (Demand-Side) Programs . . . . . . . . . . . . . . . . . . . . . . . . . . .110 8.1 International Comparison of Various Health Indicators, 1999 . . . . . . . . . . . . . . . .115 8.2 Decomposition of Coverage Deficit—Access to Health Facilities . . . . . . . . . . . . . .121 8.3 Public Spending on Health, 1995–2000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .123 8.4 Distributional Incidence of Public Spending, by Facility . . . . . . . . . . . . . . . . . . . . .124 8.5 Use of Different Health Facilities by People with Type of Insurance Coverage . . . .124 8.6 Share of Individuals Covered by Health Insurance . . . . . . . . . . . . . . . . . . . . . . . . .125 8.7 Utilization of Health Services by Children with Diarrhea or ARI . . . . . . . . . . . . . .125 8.8 Utilization of Health Services by Individuals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126 8.9 Prenatal Care and Treatment During Delivery, Pregnant Women . . . . . . . . . . . . . .127 8.10 Average Cost of Prenatal and Delivery Care, by Type of Facility . . . . . . . . . . . . . . .128 9.1 International Comparisons Coverage of Basic Services (Percentage of Households with Access) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135 9.2 Coverage of Basic Services, by Area and Quintile . . . . . . . . . . . . . . . . . . . . . . . . . .136 9.3 Probability that an Unserved Household was Connected . . . . . . . . . . . . . . . . . . . .137 9.4 Coverage Gap for Modern Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138 9.5 How far Away is Universal Coverage? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140 10.1 Access to Roads by Type of Road . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .148 11.1 Shocks Reported in the QPES: Types of Shocks and Impacts . . . . . . . . . . . . . . . . .159 11.2 Ranking the Severity of Shocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161 11.3 Shocks for the Rich and Poor? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162 11.4 Main Coping Strategies, by Wealth Quintiles . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162 11.5 Main Coping Strategies and Formal Assistance in 10 Rural Villages . . . . . . . . . . . .163 11.6 Profile of Poverty and Vulnerability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167 12.1 Public Spending on Social Protection, 2000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175 1678-00_FM.qxd 9/28/03 15:49 Page vii CONTENTS vii 12.2 Overview of Public Social Protection Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . .176 12.3 Coverage of Social Protection Programs and Private Transfers . . . . . . . . . . . . . . . .181 12.4 Absolute Target Incidence of Social Protection Programs and Private Transfers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .184 12.5 Relative Incidence of Social Protection Programs and Private Transfers (the “importance” of the transfers) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185 13.1 Public Spending, 1996–2001 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .195 13.2 Distribution Incidence of Public Spending, by Sector and Socio-Economic Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .196 13.3 Composite Governance Indicators, International Comparisons, 2001 . . . . . . . . . .198 13.4 Social Capital and External Assistance (Percentage of Total Communities in ENCOVI Sample) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .206 14.1 Priority Target Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .220 14.2 Menu of Options and Key Actions for Poverty Reduction . . . . . . . . . . . . . . . . . . . .223 LIST OF BOXES 1.1 The MECOVI Program: Filling a Critical Information GAP . . . . . . . . . . . . . . . . . . .22 1.2 Analytical Framework . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 2.1 Other Studies and Surveys of Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 2.2 Linguistic Approximations of “Welfare” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 2.3 Definitions of Welfare: Examples from QPES Villages . . . . . . . . . . . . . . . . . . . . . . . .41 2.4 Definitions of Poverty: Examples from QPES Villages . . . . . . . . . . . . . . . . . . . . . . .42 4.1 Who is “Indigenous”? A Historical Perspective . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 4.2 Life in a Finca Village: the Story of KA1 (QPES) . . . . . . . . . . . . . . . . . . . . . . . . . . .60 4.3 Rebuilding After the Violence of the 1980s: the Story of K11 (QPES) . . . . . . . . . . .64 6.1 Migration and Livelihoods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 6.2 Rural Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87 6.3 Land Redistribution Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87 7.1 The PRONADE Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 7.2 Schooling in Guatemala: Children’s Perspectives . . . . . . . . . . . . . . . . . . . . . . . . . . .100 7.3 Language, Culture and Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 8.1 Health and Ethnicity: The need for a Culturally Sensitive Approach . . . . . . . . . . . .129 10.1 Classification of Roads in the ENCOVI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 11.1 Disaster Management Programs in Guatemala . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 11.2 Catastrophic Consequences of Hurricane Mitch: the Case of L1 (QPES) . . . . . . . .160 12.1 Access to Market-Based Risk Mitigation Mechanisms . . . . . . . . . . . . . . . . . . . . . . .181 13.1 Internal and External Conflicts: the Case of QE1 (QPES) . . . . . . . . . . . . . . . . . . .201 13.2 Strong Village Bonds: the Case of MI (QPES) . . . . . . . . . . . . . . . . . . . . . . . . . . . .203 14.1 Poverty Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .222 LIST OF FIGURES 2.1 Tentative Trends in Poverty Over Time (1989–2000) . . . . . . . . . . . . . . . . . . . . . . . .33 2.2 Poverty Rates by Department . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 1678-00_FM.qxd 9/28/03 15:49 Page viii viii CONTENTS 2.3 Inequality: % of Total Consumption Received by each Quintile . . . . . . . . . . . . . . . .36 2.4 Inequality—“Jumps”: Ratios Across Quintiles (for consumption) . . . . . . . . . . . . . . .36 2.5 Perceptions of Changes in Household and Community Welfare Over Time . . . . . . .43 5.1 Structure of Growth, 1965–2000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74 5.2 Structure of Economy, 1965–2000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 6.1 Employment Diversity in the Urban Informal Sector, % of Informal Sector Workers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 6.2 Employment Diversity in the Rural Informal Sector, % of Informal Sector Workers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 6.3 Evolution of Real Monthly Wages, by Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84 7.1 Poverty, Illiteracy, and Net Primary Enrollment Deficit by Region . . . . . . . . . . . . . .95 7.2 Poverty, Illiteracy, and Net Primary Enrollment Deficit by Ethnicity . . . . . . . . . . . . .95 7.3 Improvements in Literacy, Primary Enrollment Over Time . . . . . . . . . . . . . . . . . . . .95 7.4 Educational Attainment (Stock): Improvements and Closing of Gender, Poverty, Ethnic Gaps Over Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 7.5 Late Initial Entry in Primary School—% of Students Aged 7–12 Enrolling in First Grade at Age 8+ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97 7.6 Primary School Repetition Rates by Grade, Poverty Group . . . . . . . . . . . . . . . . . . . .98 7.7 Secondary School Repetition Rates by Grade, Poverty Group . . . . . . . . . . . . . . . . . .98 7.8 Supply- vs. Demand-Side Barriers to School Enrollment . . . . . . . . . . . . . . . . . . . . .103 7.9 Reasons for not Enrolling in Primary School—% of Children Aged 7–12 not Enrolled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 7.10 Reasons for not Enrolling in Secondary School—% of Children Aged 13–19 not Enrolled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105 7.11 Incidence of Public Spending on Primary School: International Comparison . . . . .109 7.12 Incidence of Public Spending on Secondary School: International Comparison . . .111 7.13 Incidence of Public Spending on University: International Comparison . . . . . . . . .111 8.1 Population Structure by Poverty Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 8.2 Health Indicators by Quintile—% of Children < 6 . . . . . . . . . . . . . . . . . . . . . . . . . .115 8.3 Poverty and Malnutrition by Ethnicity, % of Individuals Below the Full Poverty Line and % of Children < 5 who are Stunted (HAZ) . . . . . . . . . . . . . .117 8.4 Poverty and Malnutrition by Region, % of Individuals Below the Full Poverty Line and % of Children < 5 who are Stunted . . . . . . . . . . . . . . . . . . . .117 8.5 Reasons for not Seeking Health Care Treatment when Needed, % of those who Needed, % of those who did not Seek Treatment when Ill and Believed Treatment was Necessary . . . . . . . . . . . . . . . . . . . . . . . . . . .121 8.6 Distributional Incidence of Public Spending on Health, International Comparison . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .123 9.1 Social Fund Investment in Rural Infrastructure since 1993 . . . . . . . . . . . . . . . . . . .134 9.2 Coverage of Basic Services by Quintile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 9.3 Decomposing the Coverage Deficit: Supply- or Demand-Side Constraints? . . . . . .137 9.4 Household Spending on Basic Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 9.5 Target Incidence of Electricity Subsidies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 10.1 Lack of Access to Paved and Motorable (paved + unpaved) Roads, by Quintile . . .146 1678-00_FM.qxd 9/28/03 15:49 Page ix CONTENTS ix 10.2 Poverty and Road Access, by Region . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 10.3 Percentage of Population Poor, by Municipio, 2000 Roads . . . . . . . . . . . . . . . . . .147 10.4 Access to Public Transport, % of Households in PSU Sample with Access . . . . . . . .150 10.5 Access to Health Service: Travel Times with and without Access to Motorable Roads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151 10.6 Access to Opportunities: Travel Times with and without Access to Motorable Roads, Rural Areas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151 10.7 Access to Institutions: Travel with and without Access to Motorable Roads, Rural Areas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152 11.1 Incidence of Reported Shocks During the Year 2000 . . . . . . . . . . . . . . . . . . . . . . .157 11.2 Classification of Poverty and Vulnerability: Transient vs. Chronic? . . . . . . . . . . . . .168 11.3 Risk by Main Age Group, Leading Indicators of Risks, Uncovered Poor/Vulnerable and Suggested Interventions . . . . . . . . . . . . . . . . . . .169 12.1 Average Benefit Levels and Dispersion among Social Protection Programs . . . . . . .179 12.2 Average Levels and Dispersion Among Private Transfers . . . . . . . . . . . . . . . . . . . . .179 12.3 Coverage of SA Programs by Poverty Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 12.4 Duplications and Gaps in Social Risk Management Arrangements . . . . . . . . . . . . .183 12.5 Effectiveness of Social Protection and Private Transfers in Reducing Poverty . . . . .186 12.6 Effectiveness of Social Assistance in Reducing Poverty . . . . . . . . . . . . . . . . . . . . . .187 13.1 Estimated Share of Social Fund Spending Received by the Poor . . . . . . . . . . . . . . .196 13.2 Country Policy and Institutional Assessment (CPIA), 1977–98: LAC and Guatemala . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 13.3 Social Capital Participation by Gender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .205 13.4 Participation in Organizations, by Poverty Group . . . . . . . . . . . . . . . . . . . . . . . . . .206 TECHNICAL BACKGROUND PAPERS Available on the web at http://www.worldbank.org/guatemalapoverty 1. Livelihoods, Labor Markets, and Rural Poverty, by Renos Vakis 2. Education Sector Review, by Maria Elena Anderson 3. Education and Poverty LSMS Analysis, by John Edwards 4. Perceptions of Education (Qualitative Study), by Martha Rodriguez 5. Health and Poverty, by Michele Gragnolati and Alessandra Marini 6. Malnutrition and Poverty, by Alessandra Marini and Michele Gragnolati 7. Poverty and Modern Utility Services, by Vivien Foster and Caridad Araujo 8. Transport and Poverty: A Profile Using Data from the ENCOVI 2000, by Jyotsna Puri 9. Vulnerability and Vulnerable Groups: A Quantitative and Qualitative Assessment, by Emil Tesliuc and Kathy Lindert 10. Social Protection, Private Transfers and Poverty, by Emil Tesliuc and Kathy Lindert 11. Exclusion and Poverty in Guatemala’s Rural Villages: The Challenge of Tackling Cumulative Barriers, by Carine Clert and Ana-María Ibáñez 12. Social Capital in Guatemala: A Mixed Methods Analysis, by Ana-María Ibáñez, Kathy Lindert, and Michael Woolcock 13. Qualitative Poverty and Exclusion Study (QPES), Main Report, by COWI Consulting