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Africa and the Millennium Development Goalsthe Millennium Development Goals
Shanta DevarajanWorld Bank
http://blogs.worldbank.org/africacan
100%
80%
60%
40%
100%
80%
60%
40%
Developing Countries Sub-Saharan Africa
1. The MDGs are about Africa
20%
0%1a
Poverty2
Education3 Gender Equality
4. U5Mortality
5 MaternMortality
7c AccessWater
7c.Access Sanitation
20%
0%1a
Poverty1cHunger
2Education
3 GenderEquality
4. U5Mortality
7c AccessWater
7c AccessSanitation
5 Matern.Mortality
% of goal achieved by 2007
% of goal needed to be achieved by 2007 to be on track
Sources: UN MDG Report 2009, Global Monitoring Report 2010 (forthcoming)
1. The MDGs are about Africa
2. A decade of rapid progress in Africa
56
58
60
Poverty in Sub-Saharan Africa
46
48
50
52
54
YR1990 YR1993 YR1996 YR1999 YR2002 YR2005
Source: Chen, Shaohua and Martin Ravallion, “The Developing World is Poorer than we Thought, but no less Successful in the Fight against Poverty,” World Bank Policy Research Working Paper 4703, 2009.
2. A decade of rapid progress in Africa
Source: UN MDG Reports 2005, 2006, 2008, 2009 – in Conceição, Mukherjee and Nayyar 2010
2. A decade of rapid progress in Africa
2. A decade of rapid progress in Africa
115
120
125
Inde
x of
pri
mar
y co
mpl
etio
n ra
te, t
otal
(% o
f rel
evan
t ag
e gr
oup)
Latin America & Caribbean
95
100
105
110
1999 2000 2001 2002 2003 2004 2005
Inde
x of
pri
mar
y co
mpl
etio
n ra
te, t
otal
(% o
f rel
evan
t ag
e gr
oup)
Latin America & Caribbean
Middle East & North Africa
Low income
South Asia
Sub-Saharan Africa
High and accelerating growth until 2008
Sub-Saharan Africa GDP Growth
4
34
5
4 3 3 3
4
66 6
6
3.0
4.0
5.0
6.0
7.0
GD
P g
row
th %
(an
nual
wei
ghte
d a
vera
ge)
8
Source: World Bank WDI database. Indices were calculated based on GDP weighted growth rates.
1
22
3
1 1
-1
1
2
4
2 2
3 3 3
-2.0
-1.0
0.0
1.0
2.0
3.0
19851987
19891991
19931995
19971999
20012003
20052007
GD
P g
row
th %
(an
nual
wei
ghte
d a
vera
ge)
SenegalNamibia
MauritaniaMauritius
Gambia, TheGhana
BotswanaBurkina Faso
MaliCape VerdeTanzaniaEthiopia
Sao Tome and PrincipeUgandaRwanda
Sierra LeoneMozambique
Liberia
GabonCongo, Rep.Cameroon
NigeriaSudanChad
AngolaEquatorial Guinea
30%
Percent of total A
frica po
pulation
40%
Oil countries
Growth 4.0% or higher
-10.0 -5.0 0.0 5.0 10.0 15.0 20.0 25.0
ZimbabweGuinea-Bissau
EritreaCote d'Ivoire
TogoCentral African Republic
ComorosCongo, Dem. Rep.
BurundiSeychellesSwazilandLesothoGuinea
South AfricaMalawiKenya
MadagascarZambiaBeninNiger
SenegalNamibia
Average GDP growth rate 1998~2008
Percent of total A
frica po
pulation
30%
Growth less than 4%
Source: World Development Indicators, World Bank
Inflation in Africa
13 137 6 6 7 6 5 4 2 3 2 2
80
100
120
140
Ave
rage
Inflat
ion R
ate
%
25
30
35
40
45
Num
ber
of C
ountr
ies Inflation>20%
10%<inflation<=20%
17
2429 31 33 31 33
30 3227 28
31 33
0
20
40
60
80
Ave
rage
Inflat
ion R
ate
%
0
5
10
15
20
25
Num
ber
of C
ountr
ies
Inflation<=10%
Median inflation rate
Challenge 1: Infrastructure
Infrastructure deficit(billions of dollars per year)
Total gap $93
Already spending $45
Efficiency gains $17Efficiency gains $17________________________
Funding gap $31
Source: AICD 2009Note: Road density is in kilometers of road per thousand square kilometers; telephone density is in lines per thousand population; generation capacity is in megawatts per million population; electricity, water and sanitation coverages are in percentage of population.
SELECTED CORRIDORS
OF THE STUDY
Central Africa East Africa West Africa Southern Africa France
Variable costs (USD per veh-km) 1.31 0.98 1.67 1.54 0.72
Fixed costs (USD per veh-km) 0.57 0.35 0.62 0.34 0.87
Total transport costs (USD per veh-km)
1.88 1.33 2.29 1.88 1.59
Transport costs are not excessively high in Africa comparing to France for example
However, average transport prices in Africa are high in a global comparison
23.5 4
5 5 5
78
11
0
24
68
1012
14
Pak
ista
n
Bra
zil
US
A
Chi
na
Wes
tern
Eur
ope
– lo
ng
dist
ance
Afr
ica-
Dur
ban-
Lusa
ka
Afr
ica-
Lom
é -
Oua
gado
ugou
Afr
ica
–
Mom
basa
Kam
pala
Afric
a-
Dou
ala-
Ndj
amén
a
Ave
rage
tra
nspo
rt p
rices
(in U
S c
ents
per
tkm
)
Corridor Gateway - Destination Price(USD/ veh-km)
Variable cost
(USD/veh- km)
Fixed cost(USD/veh- km)
Average yearly
mileage (‘000)
Profit margin
(%)
West Africa
Tema/Accra - Ouagadougou 3.53 1.54 0.66 30-40 80%
Tema/Accra - Bamako 3.93 1.67 0.62 40-50 80%
Central Douala - N’Djaména 3.19 1.31 0.57 60-70 73%
Central Africa
Douala - Bangui 3.78 1.21 1.08 50-60 83%
Ngaoundéré - N’Djaména 5.37 1.83 0.73 20-30 118%
Ngaoundéré - Moundou 9.71 2.49 1.55 10-20 163%
East Africa
Mombasa - Kampala 2.22 0.98 0.35 130-140 86%
Mombasa - Nairobi 2.26 0.83 0.53 90-100 66%
Southern Africa
Lusaka - Johannesburg 2.32 1.54 0.34 160-170 18%
Lusaka - Dar-es-Salaam 2.55 1.34 0.44 160-170 62%
An interesting observation: On Central Africa corridor, trucks with lower average yearly mileage
have the higher profit margins
Average transport prices (constant and current) from Mombasa to Kigali
200
250
300
350
US
$/Ton 500
600
700
800
900
US
$/Ton
After liberalizationBefore liberalization
0
50
100
150
200
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
Years
US
$/Ton
0
100
200
300
400
500
US
$/Ton
Current transport tariffs (left) Real transport tariffs - GDP deflator (right)
Challenge #2: Investment climate and competitiveness
Jobs• Even in fast-growing economies, little growth in productive employment
• 70-80 percent of labor force in (low-productivity) informal sector
• 7-10 million young Africans enter the labor force each year
• Skills deficit• Skills deficit
Women’s Empowerment• Lack opportunities to access credit, land rights, and legal rights
• Some progress on micro-finance for women
In some countries, improved business climate
Jobs in Uganda: from conflict to rapid growth
Share of all workers Annual growth rate
1992/93 2005/06 1992/93-2005/06Wage employment:Private wage employment – agriculture
2.8 4.5 6.6
Private wage employment – non-agriculture 5.2 8.9 7.3
Wage employment – government 4.7 3.0 -0.6
Non-wage employment:Self-emp & family workers – agriculture
80.7 70.3 1.8
Self-emp & family worker non-agriculture 6.6 13.3 8.6
All economically active 100 100 2.9Memo: GDP growth 8.3
Source: Louise Fox, « Youth and Employment in Low-income Africa »
The inescapable math:Informal is normal
Uganda Labor Force Projection, 2005-2020, elasticity approach, high non ag. growth
Share of all workers2005/06 2010 2020
Private wage employment - agriculture 4.5% 4.5% 4.5%
Private wage employment - non-agriculture 8.9% 11.0% 15.9%
Wage employment - government 3.0% 2.6% 2.0%
Self-employed & family workers - agriculture 70.3% 65.9% 58.9%
Self-employed & family workers non-agriculture 13.3% 15.9% 18.7%
All economically active 100.0% 100.0% 100.0%
Challenge #3: Agricultural ProductivityYi
eld
(196
1-65
=100
)Yi
eld
(196
1
CHALLENGE #4: QUIET CORRUPTION
ESTIMATES OF TEACHER ABSENTEEISMCountry % of teacher absent (direct
observation)Days absent per month (teacher
self report)
Uganda (2003)a 27
Uganda (2007)b 20
Kenya (2003)c 20
Zambia (2007)d 20
Burkina Faso (1995-8)e 2.2
Cameroon (1995-8)e 1.8
Cote d’Ivoire (1995-8)e 1.3
Madagascar (1995-8)e 2.5
Senegal (1995-8)e 4.7
Zambia 2002)f 2.0Sources: a. Chaudhury et al. (2006); b. Habyarimana (2007); c. Glewwe, Kremer, and Moulin (2009); d. Ha;sey, Rogers, and Vegas (2009); e. Postlethwaite (1998); f. Das et al. (2004)
LEAKAGE OF RESOURCES IN HEALTH CARE
Country (year) % of cash/in-kindresources leaked
Resource Category
Kenya (2004) 38 Non-salary budget
Tanzania (1991) 41 Non-salary budgetTanzania (1991) 41 Non-salary budget
Uganda (2000) 70 Drugs and supplies
Ghana (2000) 80 Non-salary budget
Chad (2004) 99 Non-salary budget
Source: Gauthier (2006)
PREVALENCE OF SUBSTANDARD FERTILIZERS IN WEST AFRICA
Product Total Samples Deficient Samples Percentage
Urea 50 4 8
Ammonium sulphate 7 2 28.6
Calcium ammonium nitrate (CAN) 9 3 33.3Calcium ammonium nitrate (CAN) 9 3 33.3
Triple super phosphate (TSP) 4 0 0
Muriate of potash (MOP) 2 0 0
Diammonium phosphates (DAP) 19 1 5.3
Nitrogen phosphorus potassium (NPK) 54 19 35.2
Total 145 29 20
Source: IFDC (2007)
Rwanda: Results-based Financing
Donors
National Government
Sub-National Government
District
Households or Individuals
Results Based Aid
Results Based Contracting for
CCT, RB bonuses
Hospitals, Health Centers
Results Based Planning and Budgeting
National PBF model for Health Centers• Learning from 3 pilot experiences (since 2001)• Roll-out since May/June 2006• Currently 23 out of 30 districts covered• Seven control districts• 16 Primary Health Care indicators, e.g.
– New Curative Consultation = $0.27– Delivery at the HC = $3.63–– Completely vaccinated child = $ 1.82
• 14 HIV/AIDS indicators, e.g. – One Pregnant woman tested (PMTCT) = $1.10– One couple tested voluntarily (PMTCT)= $1.10– HIV+ women treated with NVP = $1.10
• Separation of functions between stakeholders
Rwanda 2005-2008Indicators DHS-2005 DHS-2008
Contraception (modern) 10% 27%Delivery in Health Centers 39% 52%Infant Mortality rate 86 per 1000 62 per
10001000Under-Five Mortality rate 152 per
1000103 per
1000Anemia Prevalence : Children 56% 48%Vaccination : All 75% 80.4%Vaccination : Measles 86% 90%Use of Insecticide treated nets
among children less than 54% 67%
Figure 4 Performance Based Financing leads to more assisted birth deliveries
49.7
55.6
50.0
60.0
Pro
po
rtio
n o
f o
f in
stit
uti
on
al d
eliv
eri
es
7.3 % increasedue to PBF
36.3
34.9
30.0
40.0
Baseline (2006) Follow up (2008)
Pro
po
rtio
n o
f o
f in
stit
uti
on
al d
eliv
eri
es
Control facilities Treatment (PBF facilities)
Source: Basinga Paulin, Paul Gertler, Claude Sekabaraga, Louis Rusa, Jennifer Sturdy, Christel Vermeersch, Agnes Binagwaho, Agnes SoucattImpact Evaluation of Performance Based Financing in Rwanda. World Bank, 2009
27
Figure 5: Performance Based Financing Improves quality (2006-2008).
0
0.15
0.00
0.05
0.10
0.15
0.20
Sta
nd
ard
ize
d P
ren
ata
l e
ffo
rt s
co
re
15 % Standard deviation increase due to PBF
-0.10
0
-0.13-0.15
-0.10
-0.05
0.00
Baseline (2006) Follow up (2008)
Sta
nd
ard
ize
d P
ren
ata
l e
ffo
rt s
co
re
Control facilities Treatment (PBF facilities)
23Source: Basinga Paulin, Paul Gertler, Claude Sekabaraga, Louis Rusa, Jennifer Sturdy, Christel Vermeersch, Agnes Binagwaho, Agnes Soucat. Impact Evaluation of Performance Based Financing in Rwanda. World Bank, 2009
28
New challenge #1: Climate change
• Adaptation strategy: irrigation, hydropower, land management
• Mitigation: renewable energy, low-carbon fuels
4. Hurt by the crisis, but African response gives hope
Real GDP growth rates
Revenue, Expenditure and Deficit (relative to earlier projections)
Fiscal Stance
CountyDebt Distress Risk
Fiscal Projection ChangesCountry
Debt Distress Risk
Fiscal Projection Changes
Revenue Expenditure Balance(Ex. Grant)
Balance(In. Grant) Revenue Expenditure
Balance(Ex. Grant)
Balance(In. Grant)
Fiscal Tightening
Ethiopia Moderate Ghana Moderate
Rwanda Moderate
-0.5
-4.1
3.6
2.3
-10
0
10
0.3
1.1
-0.8
1.3
-1.0
0.5
-1.3
1.9 2.0
2.0
Source: Krumm, Dhar and Choi, “Fiscal Response to the Global Crisis inLow Income African Countries”, August 2009
Partial Adjustment
Mozambi-que
Low UgandaLow
No Adjustment
SenegalLow Burkina
FasoHigh
Stimulus
ZambiaLow
KenyaLow
TanzaniaLow
-1.3-3.0
-0.5
-0.1
-0.5
-0.3-0.5
-2.8 -3.1 0.2
-0.2
-4.0
-2.0
0.0
2.0
-1.5
0.4
-2 -1.9
-4.5
0.5
-0.8
0.0
-1.0
0.4
-2.0
0.0
2.0
-1.0
0.8
-1.7-0.9
-4.0
1.0
0.11.8
-1.6 -1.6
-5.0
0.0
5.0
-0.20.9
-1.1 -1.4
-1.5