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Reproducibility package for The Nurturing State: How Governments Can Promote Early Childhood Development In The Middle East And North Africa

2026
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Reference ID
FR_WLD_2026_734
Author(s)
Alaka Holla, Samira Nikaein Towfighian, Mohini Kak, Hiya Mahmassani, Jeremy Mark Tomlinson, Fahmina Rahman Dutta, Rana Yacoub, Amanda Devercelli
Collections
Flagships and Reports
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Created on
Oct 27, 2026
Last modified
Oct 27, 2026
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  • Project Description
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  • Description
  • Scope and coverage
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  • Information on metadata
  • Overview

    Abstract

    This World Bank flagship report focuses on early childhood development (ECD) in the Middle East and North Africa (MENA) region, and it is stuctured around five analytical chapters, covering: (1) the rationale for government investment in nurturing care; (2) early health and nutrition; (3) early learning; (4) social protection for children; and (5) policy recommendations and pathways to action.

    Reproducibility Package

    Scripts
    Readme Get Reproducibility Package
    Link: https://reproducibility.worldbank.org/catalog/681/download/2055/README.pdf
    Reproducibility package for The Nurturing State: How Governments Can Promote Early Childhood Development In The Middle East And North Africa
    File name
    FR_WLD_2026_734
    Zip package
    FR_WLD_2026_734.zip
    Title
    Reproducibility package for The Nurturing State: How Governments Can Promote Early Childhood Development In The Middle East And North Africa
    Date
    2026-10
    Dependencies
    R dependencies are listed in the file renv.lock. Stata dependencies are listed in the ado folder.
    Instructions
    See README in reproducibility package.
    Notes
    Computational reproducibility verified by Development Impact (DECDI) Analytics team, World Bank.
    Source code repository
    Repository name URI
    Reproducible Research Repository (World Bank) https://reproducibility.worldbank.org
    Software
    Stata
    Name
    Stata
    Version
    19.5 MP
    R
    Name
    R
    Version
    4.5.1

    Reproducibility

    Technology environment

    Paper exhibits were reproduced on a computer with the following specifications:
    • OS: Windows 11 Enterprise
    • Processor: Intel(R) Xeon(R) Gold 6226R CPU @ 2.90GHz
    • Memory available: 32.0 GB

    Technology requirements

    Run time: ~25 minutes.

    Reproduction instructions

    To reproduce the findings in this paper, a replicator must:

    1. Secure Access to Data: Access the datasets not included in the package. See the Datasets section for more details.
    2. Run the Package:
    • Open and run code/profile.
    • When requested, select the .here file included in the package.
    • Update the global R_exe in code/master_mnaecd_replication.
    • Run the do-file code/master_mnaecd_replication.

    Since not all the data is included, the package includes the results produced by replicators. These files can be used to review the results presented in the paper.

    Data

    Datasets
    Multiple Indicator Cluster Surveys (MICS)
    Name
    Multiple Indicator Cluster Surveys (MICS)
    Note
    Source: United Nations International Children's Emergency Fund (UNICEF), Multiple Indicator Cluster Surveys (MICS). Access date: March 2026. File location: "data\raw\MICS".
    Access policy
    Data access requires purchase or human approval and is not included in the reproducibility package.
    License
    Custom license
    Data URL
    https://mics.unicef.org/surveys
    Citation
    UNICEF. (2026). "Multiple Indicator Cluster Surveys (MICS)" [dataset]. United Nations Children's Fund. https://mics.unicef.org/surveys. Accessed March 2026.
    Demographic and Health Surveys (DHS) – Jordan
    Name
    Demographic and Health Surveys (DHS) – Jordan
    Note
    Source: The DHS Program. Version DHS-7, 2017-18. Access date: March 2026. File location: "data\raw\MICS\Unzip\jordan_dhs".
    Access policy
    Data access requires purchase or human approval and is not included in the reproducibility package.
    License
    Custom license
    License URL
    https://dhsprogram.com/Data/terms-of-use.cfm
    Data URL
    https://dhsprogram.com/data/available-datasets.cfm
    Citation
    The DHS Program. (2026). "Jordan Demographic and Health Survey" [dataset]. https://dhsprogram.com/data/available-datasets.cfm. Accessed March 2026.
    Pre-primary Education Indicators
    Name
    Pre-primary Education Indicators
    Note
    Source: United Nations Educational, Scientific and Cultural Organization (UNESCO), Institute for Statistics. Indicators used: preprimary net enrollment rate, preprimary expenditure relative to GDP, public/private provision of preprimary education. Access date: April 2026. File location: "data\ch1\data"; "data\ch3\data". File names: PPRIM_ner.csv; PPRIM_NER.csv; PPRIM_GDP.csv; PPRIM_PU_PR.csv; PPRIM_SAP.
    Access policy
    Data is publicly available and included in the reproducibility package.
    License
    Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0)
    License URL
    https://creativecommons.org/licenses/by-sa/4.0/
    Data URL
    https://databrowser.uis.unesco.org/browser
    Citation
    UNESCO Institute for Statistics. (2026). "UIS Data Browser" [dataset]. UNESCO. https://databrowser.uis.unesco.org/browser. Accessed April 2026.
    World Development Indicators (WDI)
    Name
    World Development Indicators (WDI)
    Note
    Source: World Bank. Indicators used: Prevalence of stunting, height for age (modeled estimate, % of children under 5) (SH.​STA.​STNT.​ME.​ZS); Mortality rate, under-5 (per 1,000 live births) (SH.​DYN.​MORT); Prevalence of overweight, weight for height (modeled estimate, % of children under 5) (SH.​STA.​OWGH.​ME.​ZS); Maternal mortality ratio (modeled estimate, per 100,000 live births)(SH.​STA.​MMRT); PM2.5 air pollution, mean annual exposure (micrograms per cubic meter) (EN.​ATM.​PM25.​MC.​M3); Population, total (SP.​POP.​TOTL). Access date: April 2026. File location: "data\ch1\data"; "data\ch2\data"; "data\ch3\data". File names: Stunt_0023.dta; MortU5_2023.dta; Lny_2023.dta; ATM_PM25.dta; TotPop_2020.dta; Overw_2024.dta; Stunt_2024.dta; MMort_2023.dta; Lny_1523.dta.
    Access policy
    Data is publicly available and included in the reproducibility package.
    License
    Creative Commons Attribution 4.0 (CC BY 4.0)
    License URL
    https://datacatalog.worldbank.org/public-licenses?fragment=cc
    Data URL
    https://databank.worldbank.org/source/world-development-indicators
    Citation
    World Bank. (2026). "World Development Indicators" [dataset]. World Bank. https://databank.worldbank.org/source/world-development-indicators. Accessed April 2026.
    World Population Prospects 2024
    Name
    World Population Prospects 2024
    Note
    Source: United Nations, Department of Economic and Social Affairs, Population Division. Access date: April 2026. File location: "data\ch1\data". File names: WPP_0yo.dta; WPP_3_4yo.dta; WPP_4yo.dta.
    Access policy
    Data is publicly available and included in the reproducibility package.
    License
    Creative Commons Attribution 3.0 IGO (CC BY 3.0 IGO)
    License URL
    https://creativecommons.org/licenses/by/3.0/igo/
    Data URL
    https://population.un.org/wpp/
    Citation
    United Nations, Department of Economic and Social Affairs, Population Division. (2024). "World Population Prospects 2024" [dataset]. United Nations. https://population.un.org/wpp/. Accessed April 2026.
    Female Labour Force Participation Rate
    Name
    Female Labour Force Participation Rate
    Note
    Source: International Labour Organization Statistics database, ILOSTAT. Access date: April 2026. File location: "data\ch4\data". File names: FLFP.csv.
    Access policy
    Data is publicly available and included in the reproducibility package.
    License
    Creative Commons Attribution 4.0 (CC BY 4.0)
    License URL
    https://creativecommons.org/licenses/by/4.0/
    Data URL
    https://ilostat.ilo.org/data/?cat_mode=subject
    Citation
    International Labour Organization. (2026). "ILOSTAT" [dataset]. ILO. https://ilostat.ilo.org/data/. Accessed April 2026.
    Mental Health Workforce Density
    Name
    Mental Health Workforce Density
    Note
    Source: World Health Organization, Global Health Observatory. Indicators used: Psychiatrists working in mental health sector (per 100,000); Mental health: nurses working in mental health sector (per 100,000); Mental health services: social workers working in mental health sector (per 100,000); Psychologists working in mental health sector (per 100,000). Access date: April 2026. File location: "data\ch2\data". File names: MHW_1617.csv.
    Access policy
    Data is publicly available and included in the reproducibility package.
    License
    Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Intergovernmental Organization (CC BY-NC-SA 3.0 IGO)
    License URL
    https://creativecommons.org/licenses/by-nc-sa/3.0/igo/
    Data URL
    https://www.who.int/data/gho/data/themes/topics/indicator-groups/indicator-group-details/GHO/mental-health-workers
    Citation
    World Health Organization. (2020). "Global Health Observatory" [dataset]. WHO. https://www.who.int/data/gho/data/indicators. Accessed April 2026.
    Maternal, Newborn and Child Health and Nutrition Indicators
    Name
    Maternal, Newborn and Child Health and Nutrition Indicators
    Note
    Source: United Nations International Children's Emergency Fund (UNICEF). Indicators used: Percentage of surviving infants who received the third dose of DTP-containing vaccine; Antenatal care 4+ visits - percentage of women (aged 15-49 years) attended at least four times during pregnancy by any provider; Postnatal care for mothers - percentage of women (aged 15-49 years) who received postnatal care within 2 days of giving birth; Skilled birth attendant - percentage of deliveries attended by skilled health personnel; Egg and/or flesh foods consumption (6-23months); Exclusive breastfeeding (0-5 months); Introduction to solid, semi-solid foods (6-8 months); Minimum acceptable diet (children aged 6-23 months); Diarrhoea treatment - percentage of children (under age 5) with diarrhoea who received ORT (oral rehydration salts or recommended homemade fluids or increased fluids) and continued feeding; Zero vegetable or fruit consumption (6-23months). Access date: April 2026. File location: "data\ch1\data"; "data\ch2\data". File names: DPT3_0024.csv; ANC4_UR_a15.csv; ANC4_w5_a15.csv; Care_tab22_a15.csv; CEgFl_a15.csv; EXBF_w5_a15.csv; Feed_tab21_a15.csv; MAD_w5_a15.csv; Qual_tab23_a15.csv; ZEFOFV_a15.csv.
    Access policy
    Data is publicly available and included in the reproducibility package.
    License
    Custom license
    License URL
    https://www.unicef.org/legal
    Data URL
    https://data.unicef.org/dv_index/
    Citation
    UNICEF. (2026). "UNICEF Data Warehouse" [dataset]. United Nations Children's Fund. https://data.unicef.org/dv_index/. Accessed April 2026.
    Our World in Data
    Name
    Our World in Data
    Note
    Source: Our World in Data. Indicator used: Share of population that cannot afford a healthy diet. Access date: April 2026. File location: "data\ch2\data". File names: HDUnaff_24.csv.
    Access policy
    Data is publicly available and included in the reproducibility package.
    License
    Creative Commons Attribution 4.0 (CC BY 4.0)
    License URL
    https://creativecommons.org/licenses/by/4.0/
    Data URL
    https://ourworldindata.org/grapher/share-healthy-diet-unaffordable
    Citation
    Our World in Data. (2026). "Our World in Data" [dataset]. Global Change Data Lab. https://ourworldindata.org. Accessed April 2026.
    ASPIRE: The Atlas of Social Protection Indicators of Resilience and Equity
    Name
    ASPIRE: The Atlas of Social Protection Indicators of Resilience and Equity
    Note
    Source: World Bank. Access date: December 2025. File location: "data\ch1"; "data\ch4". File names: ASPIRE Data Export.xlsx.
    Access policy
    Data access was granted directly to the study authors by the data owners/managers. It was obtained with a custom data license that does not allow for redistribution and it is not included in the reproducibility package. Available to World Bank Staff only.
    Data URL
    https://radweb.worldbank.org/aspire/home
    Citation
    World Bank. (2025). "ASPIRE: The Atlas of Social Protection Indicators of Resilience and Equity – Administrative Data" [dataset]. World Bank. https://radweb.worldbank.org/aspire/home. Accessed December 2025.
    World Bank Official Boundaries
    Name
    World Bank Official Boundaries
    Note
    Source: World Bank Data. Access date: April 2026. File location: "data\map". File names: World Bank Official Boundaries - Admin 0_all_layers.zip; shapefile components; WB2025_data.dta; WB2025_coord.dta; spmaplabels.dta.
    Access policy
    Data is publicly available and included in the reproducibility package.
    License
    Creative Commons Attribution 4.0 (CC BY 4.0)
    License URL
    https://datacatalog.worldbank.org/public-licenses?fragment=cc
    Data URL
    https://datacatalog.worldbank.org/search/dataset/0038272/World-Bank-Official-Boundaries
    Citation
    World Bank. (2025). "World Bank Official Boundaries" [dataset]. World Bank. https://datacatalog.worldbank.org/search/dataset/0038272/World-Bank-Official-Boundaries. Accessed April 2026.
    Global Burden of Disease Study Data
    Name
    Global Burden of Disease Study Data
    Note
    Source: Institute for Health Metrics and Evaluation (IHME), Global Burden of Disease Study 2023. Indicators used: prevalence of mental disorders among women ages 15-49, by type (Chapter 2). Access date: April 2026. File location: "data\ch2\data". File names: Chapter_2_GBD.xlsx.
    Access policy
    Data is publicly available but does not allow redistribution and is not included in the reproducibility package.
    License
    IHME Free-of-Charge Non-Commercial User Agreement
    License URL
    https://www.healthdata.org/Data-tools-practices/data-practices/ihme-free-charge-non-commercial-user-agreement
    Data URL
    https://ghdx.healthdata.org/gbd-2023
    Citation
    Institute for Health Metrics and Evaluation (IHME). (2025). "Global Burden of Disease Study 2023 (GBD 2023) Results" [dataset]. IHME, University of Washington. https://ghdx.healthdata.org/gbd-2023. Accessed April 2026.
    Acute Food Insecurity
    Name
    Acute Food Insecurity
    Note
    Source: Integrated Food Security Phase Classification (IPC). Access date: April 2026. File location: "data\ch2". File names: Chapter_2_Exhibits.xlsx.
    Access policy
    Data is publicly available and included in the reproducibility package.
    License
    Creative Commons Attribution-Noncommercial-Share-Alike 3.0 IGO (CC BY-NC-SA 3.0 IGO)
    License URL
    https://creativecommons.org/licenses/by-nc-sa/3.0/igo/
    Data URL
    https://www.ipcinfo.org/ipc-country-analysis/population-tracking-tool/en/
    Citation
    Integrated Food Security Phase Classification. (2026). "Acute Food Insecurity" [dataset]. https://www.ipcinfo.org/ipcinfo-website/ipc-dashboard/en/. Accessed April 2026.
    Nutrition and Food Policy Classifications
    Name
    Nutrition and Food Policy Classifications
    Note
    Source: Authors' compilation from WHO (2022), the Global SSB Tax Database (2023), the Global Fortification Data Exchange, and Al-Jawaldeh and Jabbour (2022). Access date: April 2026. File location: classifications encoded in "code\ch2\dofiles". File names: ch2_map01.do; ch2_map02.do.
    Access policy
    Data is publicly available and included in the reproducibility package.
    Citation
    Authors' compilation. 2026. Nutrition and Food Policy Classifications for the Middle East and North Africa [dataset]. Based on WHO (2022), the Global SSB Tax Database (2023), the Global Fortification Data Exchange, and Al-Jawaldeh and Jabbour (2022).
    Reproducibility package for Children In Monetary Poor Households
    Name
    Reproducibility package for Children In Monetary Poor Households
    Note
    Source: Ibarra et al. (2025) and the World Bank Reproducible Research Repository (RR_WLD_2025_450). Access date: December 2025. File location: "data\ch4\CPR_reprod_package".
    Access policy
    Data is publicly available and included in the reproducibility package.
    License
    Modified BSD3
    License URL
    https://opensource.org/license/bsd-3-clause/
    Data URL
    https://reproducibility.worldbank.org/index.php/catalog/401
    Citation
    World Bank. 2025. "Reproducibility package for Children in Monetary Poor Households: Global, Regional, and Select National Trends in the Progress Against Child Poverty" [dataset]. Reproducible Research Repository. https://doi.org/10.60572/9C9A-RR15.
    Chapter-specific curated spreadsheets
    Name
    Chapter-specific curated spreadsheets
    Note
    Source: Authors' compilation from referenced publications, country questionnaires, World Bank country-team consultations, government reports and administrative sources. Specific sources listed in each Excel sheet. File location: "data\ch2"; "data\ch4"; "data\ch5". File names: Chapter_2_Exhibits.xlsx; Chapter_4_Exhibits.xlsx; Chapter_5_Exhibits.xlsx.
    Access policy
    Data is publicly available and included in the reproducibility package.
    Citation
    Authors' compilation. 2026. MENA Early Childhood Development Flagship Curated Exhibits [dataset]. World Bank, The Nurturing State: How Governments Can Promote Early Childhood Development in the Middle East and North Africa.
    Data statement

    The reproducibility package relies on four types of data: open, accessible, limited-access and restricted. For the source, access type, file location, and citation of each dataset, refer to the Datasets section and the README file.

    Description

    Output
    The Nurturing State: How Governments Can Promote Early Childhood Development In The Middle East And North Africa
    Type
    Flagship Report
    Title
    The Nurturing State: How Governments Can Promote Early Childhood Development In The Middle East And North Africa
    Description
    Flagship and report
    Authors
    Author Affiliation Email
    Alaka Holla World Bank aholla@worldbank.org
    Samira Nikaein Towfighian World Bank snikaein@worldbank.org
    Mohini Kak World Bank mkak@worldbank.org
    Hiya Mahmassani * *
    Jeremy Mark Tomlinson World Bank jtomlinson@worldbank.org
    Fahmina Rahman Dutta World Bank frahman1@worldbank.org
    Rana Yacoub World Bank ryacoub@worldbank.org
    Amanda Devercelli World Bank adevercelli@worldbank.org
    Date of production

    2026-10-22

    Scope and coverage

    Geographic locations
    Location Code
    World WLD

    Disclaimer

    Disclaimer

    The materials in the reproducibility packages are distributed as they were prepared by the staff of the International Bank for Reconstruction and Development/The World Bank. The findings, interpretations, and conclusions expressed in this event do not necessarily reflect the views of the World Bank, the Executive Directors of the World Bank, or the governments they represent. The World Bank does not guarantee the accuracy of the materials included in the reproducibility package.

    Access and rights

    License
    Name URI
    MIT License https://opensource.org/license/mit
    World Bank IGO Rider https://github.com/worldbank/metadata-editor/blob/main/WB-IGO-RIDER.md

    Contacts

    Contacts
    Name Affiliation Email
    Alaka Holla World Bank aholla@worldbank.org
    Reproducibility WBG World Bank reproducibility@worldbank.org

    Information on metadata

    Producers
    Name Abbreviation Affiliation Role
    Reproducibility WBG DECDI World Bank - Development Impact Department Verification and preparation of metadata
    Date of Production

    2026-10-22

    Document version

    1

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