Signal · indexed from World Bank Documents & Reports
World Bank
The paper proposes a phased approach organized around four pillars, drawing on the functionalframework of Frisina Doetter et al. (2025) and international evidence from countries such as Germany, South Korea, China, and Chile. Governance requires establishing national LTC strategies, standardized needs assessment tools, and cross-sectoral coordination mechanisms, alongside progressively introducing quality regulation as formal services develop. For service delivery, the primary principle should be aging in place: integrating home-based personal care with primary health services, utilizing existing spaces for community day centers, providing respite services for family caregivers, and reserving institutional capacity for high-need cases. On financing, the near-term priority is allocating a dedicated budget line for LTC, extending existing social assistance programs to include care-specific supplements for the poorest households with dependent elders, and piloting cash-for-care benefit designs that provide financial recognition for family caregivers. In the medium term, countries with formal sector social insurance like Jordan, Tunisia, and over time Morocco and Egypt could consider introducing a small dedicated LTCcontribution complemented by general revenue subsidies for informal sector workers and the poor. To enhance the workforce, governments should create vocational training pathways for care aides, improve wage floors and labor protections, and embed workforce targets in health and employment strategies.
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| Field | How we know | State | Confidence |
|---|---|---|---|
| Publication date | Official API or feed | Data quality: Source-backed | 100 |
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