A new report by Transparency International (TI) has lashed out at some of the world's poorest countries for an ‘ongoing humanitarian disaster’, and deplored the wealthiest for not doing enough to help. At the launch of their 2008 Corruption Perceptions Index (CPI) on 23 September in Berlin, TI said: ‘In the poorest countries, corruption levels can mean the difference between life and death, when money for hospitals or clean water is in play, but even in more privileged countries, with enforcement disturbingly uneven, a tougher approach to tackling corruption is needed.’ The 2008 CPI is a composite index, drawing on different expert and business surveys. It scores 180 countries (the same number as in 2007) on a scale from 0 (highly corrupt) to 10 (very clean). Denmark, New Zealand and Sweden share the highest score at 9.3, followed immediately by Singapore at 9.2. Bringing up the rear is Somalia at 1, slightly trailing Iraq and Burma at 1.3 and Haiti at 1.4.
Poverty and health
The UN Secretary-General, Ban Ki-Moon, has warned in a new report that the gains made in reducing extreme poverty are under threat from the rise in global food and fuel prices and global economic slowdown. In the UN’s Millennium Development Goals Report 2008, launched on 11 September, Ban wrote: ‘The largely benign development environment that has prevailed since the early years of this decade, and that has contributed to the successes to date, is now threatened. The economic slowdown will diminish the incomes of the poor; the food crisis will raise the number of hungry people in the world and push millions more into poverty; climate change will have a disproportionate impact on the poor.’
Climate change may affect health outcomes and food utilisation, with additional malnutrition consequences. This paper argues that resources for nutrition, such as agriculture budgets, are inadequate. Appropriate policies should make bioenergy development more pro-poor and environmentally sustainable. Efforts to achieve food security and good nutrition should address the underlying social, economic, cultural and political causes of food insecurity and malnutrition. Some low-income governments are now cutting excessive military spending and allocating more money to the public sector. The paper supports the so-called ‘twin-track approach’ to combating hunger and poverty: strengthening the productivity and incomes of hungry and poor people, targeting rural areas, ensuring direct and immediate access to food by hungry people and putting social safety nets in place.
Less than half of development aid approved by the European Commission is explicitly linked to international objectives on reducing poverty, a new study has found. Health and education assume a central role in the United Nations Millennium Development Goals, which were approved by all of the UN’s member countries in 2000. The eight objectives include targets to substantially reduce illiteracy, deaths of mothers during childbirth and of children before their fifth birthday, and the incidence of major diseases like AIDS, tuberculosis and malaria by 2010. Even though the European Union has undertaken to finance the attainment of these goals, its executive branch or commission appears to be attaching less importance to primary education in poor countries than it did at the start of this decade, according to Alliance 2015, a coalition of anti-poverty groups.
New poverty estimates published by the World Bank reveal that 1.4 billion people in the developing world were living on less than US$1.25 a day in 2005, down from 1.9 billion in 1981. These revised numbers reflect improved household data from a greater number of countries. They are based the International Comparison Programme (ICP) and 675 household surveys covering 116 countries and spanning the period 1981 to 2005. The new numbers show that poverty has become more widespread across the developing world over the past 25 years than previously estimated, but also that there has been strong – if regionally uneven – progress toward reducing overall poverty. On the other hand, they also demonstrate that the developing world is still on track to meet the first Millennium Development Goal of halving extreme poverty by 2015.
The UN Secretary-General has warned in a new report that the gains made in reducing extreme poverty are under threat from the rise in global food and fuel prices and global economic slowdown. According to World Bank data, the number of extreme poor has fallen – from 1.8 billion to 1.4 billion – between 1990 and 2005, with the biggest gains made in eastern Asia, in particular, China. In sub-Saharan Africa and the Commonwealth of Independent States, however, the number of poor has increased in the same period. While these figures confirm that the global poverty rate is likely to be halved by 2015 – achieving the first MDG - the UN report indicates that the worldwide increases in food prices will push another 100 million people into absolute poverty.
This paper argues that it is necessary to reverse the trends in aid, and provide a much larger share of aid for productive sector development, including development of rural and urban areas, and the development of agricultural and non-agricultural sectors. Although urban centres mostly host non-agricultural industries, sustainable urbanisation also strongly depends on what happens in the agricultural sectors. Productive employment opportunities in rural areas are important to combat an unsustainable migration from rural areas to urban centres, and productive employment opportunities in urban centres are essential to absorb the rapidly increasing labour force in the non-agricultural sector. Successful urban development cannot be separated from successful rural development.
Should social protection be universal (provided to everyone) or targeted (restricted to certain groups, like the poor)? Universal programmes reduce the likelihood of excluding those who need them. But programmes such as food subsidies are expensive, and a considerable share of their benefits tends to flow to people who do not need them. Evidence suggests that in terms of reaching the poor, targeted cash transfer programs tend to perform better than untargeted subsidies. But choosing to target requires deciding who should be targeted and how. Ways of doing this include 1) means testing, which has worked reasonably well in South Africa's cash transfer programs; 2) selection by community-based committees, which has worked well on a pilot basis in Zambia and Malawi; 3) targeting categorically by characteristics such as region or age - such as old-age pensions in South Africa that have been shown to improve children's education (increasing attendance by 20-25%) and nutrition (increasing child height-for-age by approximately 1-5 centimeters); and 4) self targeting, where anyone can participate but the poorest tend to self-select, which has worked well in public works programs in many countries. The optimal method depends on the programme objectives, administrative capacity, and social characteristics of communities.
The new edition of the annual Food Aid Flows report provides a comprehensive view of trends in global food aid, which include food aid deliveries by governments, non-governmental organisations and the World Food Programme. It shows that food aid deliveries continued to decline in 2007, reaching the lowest level since 1961. The report argues that there is an urgent need to reverse this trend. In particular, increased resources for food assistance are urgently needed to address the serious negative effects of the higher food prices on hunger and malnutrition across the world. The report provides data of food aid flows in 2007 by category, mode, channel, sale recipient, region and donor. Key trends identified in 2007 include: food aid deliveries reached a record low in 2007, with all three categories of food aid – emergency, project and programme – declining. The share of food aid that was channelled multilaterally continued to increase and reached 55%, the highest share ever. The share of food aid commodities procured in developing countries increased but there was a decline in direct transfers of wheat and maize, which can be partly explained by higher wheat and maize prices. Of 31 main government donors, 24 reduced their food aid donations in 2007 as all regions faced a decline in food aid deliveries in 2007, except Asia. Sub-Saharan Africa remained the largest recipient of food aid. Based on these findings, the report emphasises the need for increased food assistance, particularly in the context of recent food price rises. Given that food prices are expected to remain high during the next decade, it argues that, without additional interventions, higher food prices could jeopardise the prospects for the achievement of Millennium Development Goals and the fight against hunger and malnutrition.
A combination of new and ongoing forces is driving global food prices up. Recent studies in Botswana, Swaziland, Malawi, Zambia and Tanzania have shown associations between acute food insecurity and unprotected transactional sex among poor women. Sudden increases in food insecurity often lead to ‘distress migration’ as people search for work and food. Mobility is a marker of enhanced risk of HIV exposure and food insecurity at the household level is likely to translate over time into higher rates of adult malnutrition with possible detrimental effects on immune status.