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The Geography of Poverty and Inequality in the Lao PDR

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... Peasant engagement in employment may be further influenced by the accessibility of the village and the degree of land dispossession. Accessibility has been shown to impact the availability of development opportunities in Lao PDR, which vary across geographical regions (Epprecht, Minot, Dewina, Messerli, & Heinimann, 2008). Proximity to the provincial capital may offer better access to markets, public services, transportation, and communication networks, and people living in this area tend to have a greater choice of livelihood options. ...
... The eight classes of slope data derive from FAO Soils Portal (Fischer et al., 2008), reclassified into three classes in ArcGIS (ESRI, 2011) Accessibility Measured by travel time (in hours) from the area under land-based investment implementation to the nearest provincial capital Calculation in ArcGIS (ESRI, 2011) using the 2015 PHC data (Epprecht, Bosoni, et al., 2018) following the approach suggested by Epprecht et al. (2008) V. Nanhthavong, S. Bieri, Anh-Thu Nguyen et al. World Development 155 (2022) 105885 of the transformation of rural livelihoods induced by land-based investments and implications for precarity. ...
... First, with greater land dispossession, displaced households who did not retain sufficient land to sustain their livelihoods were forced to engage in low-quality wage-labor within the investments to compensate for their lost livelihoods. Second, proletarianization within the land-based investments may be more prevalent in remote areas, due to the limited availability of alternatives (Epprecht et al., 2008;Nanhthavong et al., 2021). This includes alternative employment, such as those more readily available or attractive options in provincial capitals, or prohibitively high costs of clearing previously uncultivated land for agricultural expansion Epprecht, Weber, et al., 2018;MAF, 2014;Mccarthy, Vel, & Afiff, 2012;Oxfam, 2011). ...
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Labor is central to the debates on global land-based investment. Proponents purport that these investments are an avenue for rural transformation from resource- to wage-based livelihoods through the generation of employment and contribution to poverty reduction. Drawing on a recent, unique national dataset on land concessions in Lao PDR, this paper uses an agrarian political economy lens to investigate how land-based investments live up to this expectation. The paper analyzes potential determinants of the degree to which different social groups engage in wage-labor within land-based investments. Results show that while land-based investments create a significant absolute number of jobs, former land users were offered predominantly low-skilled and seasonal jobs. The effects of these investments on rural employment are uneven depending on degrees of land and resource dispossession, the extent of job creation, and the availability of alternative opportunities in the region. In the majority of cases, former land users, especially women were pushed into precarious conditions through three processes: dispossession without proletarianization; limited proletarianization; and adverse proletarianization. We argue that the promotion of land-based investments as an approach for rural development, particularly along the gradient of transforming resource- to wage-labor based livelihoods, is ineffective without concurrent opportunities within and beyond the agricultural sector to absorb the labor reallocated from traditional livelihoods. Enforcing labor regulations, including restrictions on hiring of foreign labor, compliance with minimum wages, and relevant skills transfer are essential to minimize precarization and increase benefits for local people. Further, protecting peasants’ individual and common land-use rights is imperative to minimize the concurrence of precarization and increasing traditional vulnerability.
... In Lao PDR, accessibility is a primary determinant of well-being outcomes. The availability of well-being resources and accessibility to markets and services vary widely across geographical regions (Coulombe et al., 2016;Epprecht et al., 2008). ...
... Food provision through markets played an important role in improved food security of these villages. This aligns with the overall development patterns in Lao PDR, in which better living standards are observed in urban, lowland areas (Coulombe et al., 2016;Epprecht et al., 2008). ...
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Land acquisitions are transforming land-use systems globally, and their characteristics and impacts on human well-being have been extensively analysed through local case studies and regional or global inventories. However, national-level analysis that is crucial for national policy on sustainable agricultural investments and land use is still lacking. This paper conducts an archetype analysis of a unique dataset on land concessions in Lao PDR to provide a national-scale assessment of the impacts of land acquisitions on human well-being in 294 affected villages. The results show that land acquisitions influence human well-being through 18 distinct pathways. These pathways describe how some land acquisitions enhance or maintain well-being, while others elicit adverse impacts or trade-offs between well-being dimensions, particularly food security, income, and livelihood resilience. They further reveal five archetypical processes that mediate the effects of land acquisitions on well-being through: (i) shifting access to land and natural resources; (ii) commercialization of agriculture; (iii) availability of development opportunities; (iv) environmental impacts; and (v) employment opportunities within and outside land acquisitions. These processes affect well-being by shaping livelihood portfolios and dependence on natural resources. The majority of land acquisitions trigger trade-offs or adverse impacts on well-being. The small number of villages where well-being increased despite the presence of land acquisitions were mainly shaped by narrow and rigid preconditions. The archetypical processes and the explanatory factors suggest that it is imperative to protect smallholders’ land-use rights and to avoid large-scale deals, as their adverse impacts outweigh opportunities and are more severe than the impacts of small-scale acquisitions. Employment opportunities may provide additional cash income but should not be exclusively relied upon.
... In the literature, several studies have employed spatial statistical analyses to explore poverty and have concluded that poverty has a spatial element (Vista and Murayama 2011;Thongdara et al. 2012;Epprecht et al. 2008;Okwi et al. 2007). Using small area estimation to study poverty in the People's Republic of Laos, Epprecht et al. (2008) mapped density of poverty and estimated various measures of poverty and welfare measures at a spatially highly disaggregated level. ...
... In the literature, several studies have employed spatial statistical analyses to explore poverty and have concluded that poverty has a spatial element (Vista and Murayama 2011;Thongdara et al. 2012;Epprecht et al. 2008;Okwi et al. 2007). Using small area estimation to study poverty in the People's Republic of Laos, Epprecht et al. (2008) mapped density of poverty and estimated various measures of poverty and welfare measures at a spatially highly disaggregated level. Baud et al. (2008) mapped a multidimensional composite index of poverty and hotspots of multiple deprivations at the ward level across New Delhi in India, based on census data. ...
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The multidimensional poverty index (MPI) is generally credited for better capturing the various components of poverty. Where such indexes have a spatial component, opportunity arises for analyzing changes in the spatial concentration of multidimensional poverty over given periods across space. Using current available MPI data for Gauteng province, South Africa, we apply spatial statistical analysis techniques to measure the degree of spatial concentration, spread and orientation of poverty across the various wards. Results reveal distinct variations in concentration, spatial spread and orientation of poverty across the province. These results open up possibilities of spatially targeted state interventions for reducing poverty.
... Poverty can be defined as a situation of deprivation that impacts the livelihood of individuals and communities in a country. Poverty has many components, including economic vulnerability to many types of disruptions, a lack of opportunity to participate in decision-making, and a lack of access to knowledge (Epprecht et al. 2008). According to United Nations Educational, Scientific and Cultural Organization (UNESCO), poverty can be described as a scarcity of income and essential resources that makes it hard or challenging for people to live a dignified life and provide for themselves. ...
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Mekong River, known as the beating heart of mainland Southeast Asia, has been facing degradation of its natural flow of water due to anthropogenic activities across the river initiated by the Chinese government through the construction of hydropower dams. As a consequence, the river which provides a key source of water supplies and resources for the millions of people who live across its watershed has suffered significantly resulting in inequality and poverty in the community. The purpose of this study is to examine the root causes of inequality and poverty in the Lower Mekong region, as well as to identify ASEAN’s role in responding to the situation. The findings revealed that due to the Belt and Road Initiative (BRI) projects through the construction of dams along the river as well as ASEAN’s inability to resolve and address the crisis owing to economic dependence and difficulty to reach a consensus among its members has been a contributing factor to the ineffectiveness of ASEAN in the conflict resolution. From the findings, it can be concluded that China’s financial hegemony over the Mekong countries can have an impact on the region’s future levels of poverty and inequality.
... In Laos, fair development is intrinsically tied to the challenges of growing disparities (Warr et al. 2018), inequality of treatment, and unequal opportunities (Epprecht et al. 2008;Chareunsy 2012). According to the World Bank (2021b), the Gini index has increased from 32.6 in 2002 to 38.8 in 2018, reflecting a 19% increase in inequality (Warr et al. 2018). ...
... Roads provide access to services that have a direct impact on socioeconomic well-being such as schools, healthcare, labor markets, and credit facilities. On the other hand, some scholars warn about the unequal capacities of target populations to seize the opportunities brought by rural roads through improved accessibility and transportation [12][13][14]. Roads may exacerbate poverty and vulnerability through sudden increase in economic differentiation. Not all members of the community benefit equally from the access to roads. ...
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Road expansion has played a prominent role in the agrarian transition that marked the integra-tion of swidden-based farming systems into the market economy in Southeast Asia. Rural roads deeply altered the landscape and livelihood structures by allowing the penetration of boom crops such as hybrid maize in remote territories. In this article, we investigate the impact of rural road developments on livelihoods in northern Laos through a longitudinal study conducted over a pe-riod of 15 years in a forest frontier. We studied adaptive management strategies of local stake-holders through the combination of individual surveys, focus group discussions, participatory mapping and remote-sensing approaches. The study revealed the short-term benefits of the maize feeder roads on poverty alleviation and rural development, but also the negative long-term effects on agroecosystem health and agricultural productivity related to unsustainable land use. Lessons learnt about the mechanisms of agricultural intensification helped understanding the constraints faced by external interventions promoting sustainable land management practices. When negoti-ated by local communities for their own interest, roads may provide livelihood-enhancing oppor-tunities through access to external resources, rather than undermining them.
... Around 33.6% of the Lao population lived below the poverty line and they often earned less than the lowest-paid government worker, AEDs would be even less affordable than reported here. 48 Another concern was for children with epilepsy (CWE) because pediatric strength and formulation were available in less than 1% of all facilities (eg, phenobarbital 60 mg, phenytoin 50 mg, no liquid formulation). This issue was documented in several other areas. ...
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Objective Epilepsy is a chronic condition treatable by cost‐effective antiepileptic drugs (AEDs), but limited access to treatment was documented. The availability and affordability of good quality of AEDs play a significant role in access to good health care. This study aimed to assess the availability, affordability, and quality of long‐term AEDs in Lao PDR. Method A cross‐sectional study was performed in both public and private drug supply chains in urban and rural areas in Lao PDR. Data on AEDs availability and price were obtained through drug suppliers. Affordability was estimated as the number of day wages the lowest‐paid government employee must work to purchase a monthly treatment. Samples of AEDs were collected, and the quality of AEDs was assessed through Medicine Quality Assessment Reporting Guidelines. Results Out of 237 outlets visited, only 50 outlets (21.1% [95% CI 16.1‐26.8]) had at least one AED available. The availability was significantly different between urban (24.9%) and rural areas (10.0%), P = .017. Phenobarbital 100 mg was the most available (14.3%); followed by sodium valproate 200 mg (9.7%), phenytoin 100 mg (9.7%), and carbamazepine 200 mg (8.9%). In provincial/district hospitals and health centers, AEDs were provided free of charge. In other healthcare facilities, phenytoin 100 mg and phenobarbital 100 mg showed the best affordability (1.0 and 1.2 day wages, respectively) compared to carbamazepine 200 mg (2.3 days) and other AEDs. No sample was identified as counterfeit, but 15.0% [95% CI 7.1‐26.6] of samples were classified as of poor quality. Significance We quantified and qualified the various factors contributing to the high treatment gap in Lao PDR, adding to diagnostic issues (not assessed here). Availability remains very low and phenobarbital which is the most available and affordable AED was the worst in terms of quality. A drug policy addressing epilepsy treatment gap would reduce these barriers.
... While aggregate poverty levels have declined in Laos, improvement has been faster in lowland areas than in uplands, where pockets of poverty persist in remote areas particularly among groups that struggle to compete in an increasingly competitive market economy. Villages without road access comprise 2 out of every 5 poor households, due to lack of market access and flat land for agricultural production (Epprecht et al. 2008). Of particular concern, some segments of society are experiencing new poverty, prompted by landlessness and dispossession resulting from investment projects, concessions and other factors. ...
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The Mekong region is in the midst of profound social and environmental change. Despite urbanization, the region remains predominantly rural, with more than 60 percent of its population living in rural areas. The vast majority of these people are engaged in agriculture. This population not only continues to grow, but is also disproportionately poor and reliant on land and forest resources. Due to the rapid growth of its agricultural sector, the Mekong region has become a global center of production and trade for agricultural commodities such as rubber, rice, cassava, wood, sugar cane and oil palm. While accelerated flows of global investment and the trade of land-intensive commodities have contributed to growing GDP and the enrichment of some societal actors, outcomes have been highly-unequal; the benefits of development have largely accrued to the urban elite, while costs have largely been borne by the rural poor, transforming rural land relations and presenting new insecurities for land tenure. The Mekong region may be at a tipping-point, and transformational change is imperative to sustainably address the needs of agricultural smallholders. Data and information are urgently needed to understand these changes, to inform more equitable and innovative decision-making, and to monitor the outcomes of these decisions. The State of Land in the Mekong Region thus brings together key data and information on current status and trajectories of change with regard to land resources, their social distribution, and the conditions of governance that shape them.
... Significant variation in household income from cropping, non-agricultural activities and total income between province categories was identified in our study, likely reflecting differences in socio-economic development between provinces in Laos [25,26]. In the survey sites of XYL and XK, commercial maize cultivation is currently more prominent than in HP, due to high local demand and proximity to markets in Thailand and Vietnam, respectively. ...
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