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Samuel Paul

Many consider the use of community participation inappropriate, or too difficult, in large-scale internationally funded projects. But in some fields it may be the key to success

Jean-Claude Milleron

This paper presents a snapshot of changes in the world’s health and demographic conditions. The paper highlights that in most parts of the world, individuals are healthier and living longer, thanks to improved health services and living conditions and the more widespread use of immunization, antibiotics, and better contraceptives. Although this trend is likely to continue, hopes are fading in some regions where progress slowed or stopped in the 1990s, primarily as a result of the AIDS epidemic. Moreover, most regions of the developing world will not reach the Millennium Development Goals for health by 2015.

International Monetary Fund. External Relations Dept.

During July 2-8, in his first visit to sub-Saharan Africa since taking office, IMF Managing Director Horst Köhler met with government authorities and representatives of civil society in Nigeria, Senegal, Mozambique, Botswana, and South Africa. The purpose of his visit was, first, to hear from the authorities on the economic situations and challenges facing their countries and, second, to listen to the views of African leaders on the IMF’s role and its involvement in restructuring African economies. In his meetings, he emphasized that there is today a single integrated world economy and the development of Africa is an essential component in ensuring its health. At the same time, he agreed with the African leaders he met that the IMF should stay fully engaged in Africa and should not succumb to any mood of “Afro-pessimism.”

Caroline Mascarell

For the latest thinking about the international financial system, monetary policy, economic development, poverty reduction, and other critical issues, subscribe to Finance & Development (F&D). This lively quarterly magazine brings you in-depth analyses of these and other subjects by the IMF’s own staff as well as by prominent international experts. Articles are written for lay readers who want to enrich their understanding of the workings of the global economy and the policies and activities of the IMF.

International Monetary Fund. External Relations Dept.

Nongovernmental organizations (NGOs) have acquired an impressive status in the past several years, both as powerful agents for reform and as tireless gadflies of officialdom. Have they, on balance, been a positive force for expanding global democracy or a threat to the established process of political representation? What should be their relationship to international financial institutions, such as the IMF?