Poverty and health

In this review of the book, ‘The bottom billion: Why the poorest countries are failing and what can be done about it’, by Paul Collier (Oxford University Press, 2008), Reinert identifies Collier’s core argument: four ‘traps’ lock Africa into poverty, namely the conflict trap, the natural resource trap, the trap of being landlocked with bad neighbours, and the trap of bad governance in a small country. Collier’s analysis, Reinert argues, represents a departure from traditional development economics to ‘development aid strategy’, and comes at a time when the world has long been dominated by Washington Consensus policies pushing for market liberalisation. Compared to the first decades after the Second World War, the growth record of this neo-liberal period has been dismal, he notes, especially in Africa. However, the reviewer expresses some concern that the book appears to defend the past policies of the World Bank, with the most salient misinterpretation of history being Collier’s presentation of the successes of China and India as a result of the policies of the Washington Institutions, when in fact their success was the result of actually not following the policies and rather opening their markets gradually. Collier tends to reverse the directions of the arrows of causality and even to disregard co-evolution of economic structure and institutions. As a former employee of the Washington Institutions responsible for enforcing neo-liberalism, the reviewer concludes that he attempts to cover up the past rather than present new constructive insights, and the book contains more descriptions of symptoms of poverty than of its root causes.

The United Nations Special Rapporteur on the human right to water and sanitation, Léo Heller, and the Chair of the UN Committee on Economic, Social and Cultural Rights, Waleed Sadi, welcomed the explicit recognition of the ‘human right to sanitation’ as a distinct right, together with the ‘human right to safe drinking water’ by the UN General Assembly in December. Over 2.5 billion people still lack access to improved sanitation - the sanitation target under Goal 7 has been missed by one of the widest margins of all the 18 targets under the Millennium Development Goals. One billion people practise open defecation, nine out of ten in rural areas across the world. The experts explained that while sanitation does not necessarily have to be water-borne, governments tend to focus on this type, rather than on-site sanitation such as pit latrines and septic tanks, which are still widely used. As a result, individual households which rely on on-site sanitation often have to operate the entire system themselves, including collection and disposal, without government support. “The right to sanitation also requires privacy and dignity,” the experts stressed. In the UN General Assembly resolution, adopted by consensus on 17 December 2015, Member States recognized that ‘the human right to sanitation entitles everyone, without discrimination, to have physical and affordable access to sanitation, in all spheres of life, that is safe, hygienic, secure, socially and culturally acceptable and that provides privacy and ensures dignity.’ “We urge all Member States, in both their national budgeting and international development cooperation, to target the allocation of resources to sanitation in particular to the most marginalised and disadvantaged groups and individuals, as those living in urban informal settlements and in rural areas,” the experts said.

A new report by the World Bank- Rising through Cities in Ghana-analyses the rapid transformation of a country whose urban population has grown from 4 million in 1984 to more than 14 million today. 51% of Ghanaians now live in cities. Over the same period annual GDP growth has averaged 5.7%, the number of industrial and service jobs has increased by 21% and the capital city, Accra, has registered a 20% reduction in poverty. In August 2014, a fiscal debt crisis forced the government to request financial assistance from the International Monetary Fund. In May 2015, Accra residents peacefully protested the failure to resolve a three-year long electric power crisis that has sapped businesses and hindered economic growth. The World Bank has presented a report with data on urban development in Ghana and this paper provides a critical analysis of the report and a link to the original publication.

The Summit of Heads of State and Government of the Southern African Development Community (SADC) on Agriculture and Food Security was held in Dar es Salaam, United Republic of Tanzania on 15 May 2004, and was chaired by His Excellency, Benjamin W. Mkapa, President of the United Republic of Tanzania. The Summit was held under the theme: Enhancing Agriculture and Food Security for Poverty Reduction in the SADC Region.
In his official opening statement, President Benjamin Mkapa of Tanzania, the Chairperson of SADC underlined the need for the region to continue to fight together for economic liberation of Southern Africa, especially in finding a lasting solution to the pressing questions of food security and sustainable poverty reduction.