World Development Report 2004: Making Services Work for Poor People

Book Description
The World Development Report 2004 investigates how countries can accelerate progress towards the Millennium Development Goals (MDGs) by making services work for poor people. Success in reaching the MDGs will depend not just on faster economic growth and the flow of sources, but on our ability to translate those resources into basic services, especially in health, education, water, and sanitation. Too often, the delivery of services falls far short of what could be achieved, due to issues such as weak incentives for performance, corruption, imperfect monitoring, and administrative logjams. Some countries have addressed the problem by involving poor people in service delivery; the results have been impressive. Giving parents input into their children's education, patients a say over hospital management, and making agency budgets transparent all contribute to improving outcomes in human development. Celebrating the successful innovations--while taking a hard look at some of the failures--this Report offers guidance to policymakers, donors, and citizens on improving the delivery of basic services. It serves to deepen understanding and highlight the importance of empowering and investing in poor people.


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Too often, services fail poor people -- in access, in quality, and in affordability. But the fact that there are striking examples where basic services such as water, sanitation, health, education, and electricity do work for poor people means that governments and citizens can do a better job of providing them. Learning from success and understanding the sources of failure, this year's World Development Report -- Making Services Work for Poor People -- argues that services can be improved by putting poor people at the center of service provision. How? By enabling the poor to monitor and discipline service providers, by amplifying their voice in policymaking, and by strengthening the incentives for providers to serve the poor. Freedom from illness and freedom from illiteracy are two of the most important ways poor people can escape from poverty. To achieve these goals, economic growth and financial resources are of course necessary, but they are not enough. The World Development Report provides a practical framework for making the services that contribute to human development work for poor people. With this framework, citizens, governments, and donors can take action and accelerate progress toward the common objective of poverty reduction, as specified in the Millennium Development Goals.


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