President Kim said : In Nepal, the poor today have much greater voice in determining the public services they receive. By combining national poverty data with participatory social assessment tools, the poorest communities in Nepal can be identified and empowered. Community members voice their concerns and needs, enabling decision makers to target more systematically where needed infrastructure should go, to determine which services a local health clinic should provide, and to report how many children are attending schools. As a result, school enrollment has increased by an average of 2.1%, child immunizations by 5.3% and access to safe drinking water by 6% in more than 59 districts covered by the program." There is much more to the standard of public service delivery than whether or not the "customer" is content. Consider that cholera from Nepal was brought to Haiti and caused huge suffering in that disaster-struck country. Why did the Nepalese not eliminate cholera in their country? Can Haiti file a suit against Nepal for damages ? No. Can the Nepal government at least have to hear the "voice" of the devastated Haitian families on the topic of cholera? No way, no accountability. Diseases that spread like this and fast infect people should be a very high priority for the World Bank regardless of whether one village anywhere wants prevention of contagions and the neighbor village does not. If this service preventing contagions is not delivered everywhere, then disease will spread and kill again and again. Just ask the Haitians.