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International Monetary Fund Programs and Health Spending
This work has now concluded.
Health spending is highly sensitive to overall fiscal policies. As low- and middle-income countries try to optimize health service provision using their own resources and also foreign aid, macroeconomic policies agreed between their governments and the IMF could have the effect of restraining health spending. In this work from 2007, CGD examined the interaction between IMF-supported macroeconomic policies and government health spending in Mozambique, Rwanda, and Zambia, and made suggestions for the IMF, developing country governments, the international community, and civil society.
This paper examines IMF projections of donor aid to low-income countries and whether these projections changed after world leaders pledged at the 2005 Gleneagles G8 summit to double aid to Africa by 2010. The authors find that IMF projections since the post-Gleneagles Summit have shown little change for countries in sub-Saharan Africa: only two out of 30 such projections showed increases consistent with the commitment to double aid to Africa by 2010. The authors also explore the role of IMF aid projections and argue for greater clarity about the role of the IMF in the aid architecture.
G-20 heads of state gathering in Washington this upcoming weekend to seek solutions to the global financial crisis should consider ways to strengthen the IMF and the World Bank, the international financial institutions set up after World War II,
to prevent a repeat of the Great Depression. CGD president Nancy Birdsall outlines why and proposes a "Grand Bargain."