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101. Poor Countries Need Relief from the World Bank's 'Help' on Malaria.

Author:
Roger Bate
Publication Date:
10-2006
Content Type:
Working Paper
Institution:
American Enterprise Institute for Public Policy Research
Abstract:
The World Bank attempts to improve health in poor countries by providing advice in health financing and infrastructure development, as well as grants and loans to poor countries. This is a formidable mission given that the greatest difficulty poor countries have in carrying out public health programs is their lack of infrastructural, managerial and clinical capacity. Its efforts to this end have been diluted by irresponsible forays into disease control financing without a commensurate increase in institutional competence with only limited technical staff capacity. Instead of deferring to the World Health Organization for technical advice on malaria control, Bank staff members have promoted ineffectual malaria prevention and treatment, causing countries to move away from best practices in disease control. The Bank has been criticized in the Lancet medical journal, and its senior staff claim that changes have been made. This working paper reviews the most recent performance from the Bank, which demonstrates the continuing failure of its malaria work. The Bank should stick to its core mission of funding health systems and get out of the disease control business.
Topic:
International Relations, Debt, Economics, and Third World

102. Tariffs, Corruption and Other Impediments to Medicinal Access in Developing Countries

Author:
Roger Bate, Kathryn Boateng, Lorraine Mooney, and Richard Tren
Publication Date:
08-2006
Content Type:
Working Paper
Institution:
American Enterprise Institute for Public Policy Research
Abstract:
There are many factors which hamper health care delivery in the developing world. These factors include tariffs, taxes, corruption, such as bribes and other local price inflators on medicines and medical products. Non-tariff barriers, such as lengthy registration periods for medicines and onerous requirements to clear customs, also restrict the availability of medication in the developing world. According to the World Health Organization, approximately one-third of the world's population lacks access to essential medicine and proper medical treatment. Drawing upon extensive evidence from surveys and accounts from the field, this paper examines the impact of tariffs, taxes and other markups on imported medicines and medical products provided to lesser developed countries by pharmaceutical companies, not-for-profit groups, for-profit corporations, multilateral and bilateral aid and health agencies. The paper discusses how these regulatory barriers affect access to medication. The authors conclude that although efforts to reform the current system of government revenue generation through tariffs collection may meet resistance in many developing countries, especially those featuring systemic corruption and those with domestic production, governments which take steps to eliminate tariffs could in fact expedite health care delivery and consequently improve the well-being of their people.
Topic:
Corruption, Economics, Health, and Third World

103. Developing Countries and the WTO Agriculture Negotiations

Author:
Jennifer Clapp
Publication Date:
03-2006
Content Type:
Working Paper
Institution:
Centre for International Governance Innovation (CIGI)
Abstract:
The Doha 'Development' Round of trade negotiations at the WTO has featured agricultural trade liberalization as one of its key aims. But developing countries were frustrated with both the process and the content of the agricultural agreement negotiations early on in the Round. This prompted these countries, through a number of developing country groupings such as the G-20 and others, to call for changes in the talks to ensure that developing country voices and concerns were heard. Though developing countries were in many ways successful in registering their concerns in the latter half of the negotiations and have maintained a fairly high degree of cohesion across the Global South, it remains unclear whether this cohesion will last as the uneven impacts of agricultural trade liberalization become apparent.
Topic:
Agriculture, Development, International Trade and Finance, and Third World
Political Geography:
Uruguay

104. Trade, Development and the Doha Round: A Sure Bet or a Train Wreck?

Author:
Daniel Drache
Publication Date:
03-2006
Content Type:
Working Paper
Institution:
Centre for International Governance Innovation (CIGI)
Abstract:
This paper explores the strategy and assumptions that are pushing the Doha Round into dangerously troubled waters, and it assesses the different agendas on the table. It summarizes how we reached the current deadlock, and examines the state of the WTO's legal dispute mechanism. It then critically assesses how divergences play out in the key policy areas of water exports, generic drugs, textile quotas, service-sector liberalization, and agricultural subsidies. Lastly, it will try to answer the question of whether Doha is 'a sure bet, or a train wreck' by looking at several of the prospects and possible scenarios that face the WTO post-Hong Kong. What is now evident is that a target deal seems more distant than ever. It would appear that evolution is not going to be kind to the WTO. The Doha Round is too complex which increases the possibility of failure; too intrusive to assuage many of global civil society's concerns and too anti-development for numerous countries in the Global South to come on board. Paradoxically, many countries are proving to be resilient and innovative when faced with the negotiating impasse and are not pushing the panic button. The global economy is not drifting towards protectionism and the core trading nations seem ready to accept a less dynamic WTO.
Topic:
Development, International Trade and Finance, and Third World
Political Geography:
China and Asia

105. Hydrogen Fuel Cells and Transport Alternatives: Issues for Developing Countries

Author:
Grant Boyle and Lynn Mytelka
Publication Date:
05-2006
Content Type:
Policy Brief
Institution:
United Nations University
Abstract:
Recent technological advances in the application of hydrogen fuel cells in the transport sector have drawn considerable attention and increased funding from both public and private sources over the past ten years. The International Energy Agency estimates that about US$1billion per year is currently being invested in public hydrogen and fuel cell research, development, test vehicles, prototype refuelling stations and demonstration projects, as compared to the total annual public budget for energy research, development and demonstration of around US$8billion. While still in the early stages of development and costly in comparison to conventional vehicle propulsion and fuel technologies, fuel cells and hydrogen offer a promising solution to address growing concerns over the transport sector's dependence on oil and its impact on climate change.
Topic:
Development, Energy Policy, Science and Technology, and Third World
Political Geography:
United States and Europe

106. Open Source and Open Standards: A New Frontier for Economic Development?

Author:
Philip Schmidt and Rishab Aiyer Ghosh
Publication Date:
03-2006
Content Type:
Policy Brief
Institution:
United Nations University
Abstract:
Free software (also called open source software or libre software) has become one of the most talked about phenomena in the ICT world in recent years. This is remarkable, not only for the usual reasons—that open source has been around for many years as a volunteer driven success story before being discovered by big business and now government— but also because it has largely developed quietly on its own without the headline coverage and glare of international attention that it now receives.
Topic:
Development, Economics, Science and Technology, and Third World
Political Geography:
United States

107. Automating Public Financial Management in Developing Countries

Author:
Stephen Peterson
Publication Date:
10-2006
Content Type:
Working Paper
Institution:
The John F. Kennedy School of Government at Harvard University
Abstract:
The principal recommendation to developing countries for automating their financial systems is to adopt off ‐ the ‐ shelf integrated financial information system s (IFMISs). The recommendation to adopt an IFMIS goes beyond a strategy of automation. IFMISs are often viewed as the driver of financial reform in developing countries. Experience shows that these systems usually fail or under perform yet research to date has not adequately explained their poor performance. This paper presents two frameworks and a case study from Ethiopia which illustrates an approach to automating financial systems that has worked. The first framework distinguishes between business process innovation (reengineering) and process change. Process innovation is a comprehensive change of procedures and organization driven by information technology. Process change is an incremental strategy driven by procedural reform and supported by information technology. Process change is far less risky than process innovation and is a more appropriate approach because the financial systems in most developing countries are relatively sound and thus provide a basis for improvement. The conventional off ‐ the ‐ shelf IFMIS reform is principally process innovation which exceeds the capacity of most public bureaucracies in developing countries. The second framework concerns the three factors of risk to an automation project: scope, schedule and budget. The availability of concessionary aid to many developing countries means there is not a hard budget constraint to automation projects and there is little discipline with schedule and scope. The virtual absence of a financial and social cost ‐ benefit analysis of these large and questionable investments is a serious failing in the use of development assistance and loans. The custom IFMIS developed to support the Ethiopian reform is presented as an example of a successful low risk strategy of automation in a difficult environment. The case illustrates the two frameworks as the reform focused on process change and the automation component was delivered on budget, ahead of schedule and beyond specification. The Ethiopian case demonstrates several lessons about automation in developing countries: the virtue of process change, the role of automation to support not drive financial reform, the virtue of 'optimal obscurity' of automation projects given that high level commitment cannot be assumed, and the value of an incremental development strategy of frequent operational upgrades of information systems.
Topic:
International Relations, Development, International Trade and Finance, and Third World
Political Geography:
Ethiopia

108. After Gleneagles: What role for loans in ODA?

Author:
Helmut Reisen, Pierre Jacquet, and Daniel Cohen
Publication Date:
12-2006
Content Type:
Policy Brief
Institution:
The Organisation for Economic Co-operation and Development
Abstract:
Suppose a DAC donor earmarks $1 billion of taxpayers' money for official development assistance (ODA). The donor may use two instruments as an outright grant or in combination with a market loan to produce a concessional loan of $2 billion with a percentage grant element of 50 per cent. Many nowadays think the choice should be clear: provide grants only, leave loans to the market. The purpose of this Policy Brief is to qualify and inform this choice.
Topic:
International Relations, Debt, Economics, and Third World

109. Improving Water Management: Recent OECD Experience

Publication Date:
03-2006
Content Type:
Policy Brief
Institution:
The Organisation for Economic Co-operation and Development
Abstract:
Securing safe and reliable water and sanitation services for all is one of the leading challenges facing sustainable development. All but a few OECD countries have connected 100% of their populations to safe water supplies, and the majority are connected to wastewater treatment. Progress has also been made in developing countries, where between 1990 and 2000 access to safe water supply rose from 73% to almost 80% of the population. But there is still a long way to go. Over 1 billion people worldwide still lack access to safe water and 2.6 billion people are without access to adequate sanitation. About 80% of all diseases in developing countries are water-related, leading to an estimated 1.7 million deaths each year.
Topic:
Development, Environment, Health, and Third World

110. The Evolution of the Development Doctrine, 1950-2005

Author:
Erik Thorbecke
Publication Date:
12-2006
Content Type:
Working Paper
Institution:
United Nations University
Abstract:
The evolution of the development doctrine over the last six decades is analysed in some detail in this paper. The development doctrine is defined as the body of knowledge consisting of four interrelated components: (1) the prevailing development objectives; (2) the conceptual state of the art relating to development theories, models, techniques and applications; (3) the underlying data system; and (4) the resulting development strategy. The main contributions and changes in these four components are traced through, decade by decade, starting with the 1950s.
Topic:
International Relations, Development, Politics, and Third World