Deep inside the sprawling HEAL Africa Hospital complex in the Eastern Congolese city of Goma is a small ward where women recover from injuries they suffered during complicated births and violent sexual attacks. When I entered, I first saw Muwakeso, a fragile-looking elderly woman sitting on a chair next to a bed. It took me a moment to realize that she wasn’t the patient, but rather her 3-year-old granddaughter Sakina, who was curled up into a tiny mound under a hospital sheet on the bed.
Sakina was heavily sedated to numb the pain after the second of three major surgeries she underwent to reconstruct parts of her lower body following a horrific attack about a year ago. Muwakeso recalls five men in civilian clothes approaching her house and beating her. Before she lost consciousness she heard Sakina screaming. The young girl was raped, but Muwaseko doesn’t know by how many men, and Sakina is unable to say.
Even though I didn’t grow up watching football, admittedly I’ve developed an interest in the sport during this month-long emotional World Cup soap opera. And like me, millions of people will be glued to their television sets for this Sunday’s finals match between Argentina and Germany.
Above and beyond the superstars, the fans and controversies, I learned more about how this beautiful game is used to build communities, overcome social and cultural divides and advance peace. It seems sports have a way of changing the lives of people around the world - but what does this exactly look like?
But nothing stays the same forever.
The debate over how to ensure good health services for all while assuring affordability is nothing new.
However, it has recently acquired new impetus under the guise of Universal Health Coverage (UHC). Discussions around UHC are contentious and as Tim Evans recently pointed out, “a lot of the discussion gets stuck on whether financing of the system will be through government revenue, through taxes, or through contributions to insurance.”
Clearly that was no flash in the pan. Last week, I chaired a high-level ministerial dialogue on the margins of the IMF-World Bank Spring Meetings where government ministers and senior representatives of more than 40 countries came together to compare notes on how natural capital accounting is working for them.
Country after country – represented by finance, development, or environment ministers – talked about how natural capital accounting fit their countries’ priorities and how it could be a tool to address some of their key policy challenges. With each statement from the floor, it was clear that natural capital accounting is no longer an academic concept. It is alive and well and being utilized across the world in developing, middle, and high-income countries.
Don’t just believe me. Listen to the Rwandan farmers whose now-terraced hillsides are getting higher yields, producing better nutrition, and improving their livelihoods.
Japan and the Republic of Korea are among those convinced that GAFSP is a good investment in food security. Inspired by a challenge from the Unites States, Japan and South Korea just pledged an additional $60 million to GAFSP at a meeting in Tokyo held in conjunction with the World Bank and IMF Annual Meetings.
The United States announced that it was prepared to contribute an additional $1 to GAFSP for every $2 contributed by other donors, up to a total of $475 million.
Why is GAFSP so successful?
- food security
- gates foundation
- global agriculture and food security program
- Communities and Human Settlements
- Agriculture and Rural Development
- The World Region
- South Asia
- Middle East and North Africa
- Latin America & Caribbean
- Europe and Central Asia
- East Asia and Pacific
- United States
- United Kingdom
- Sierra Leone
- Korea, Republic of
So the big news out of the MDG Summit today is the launch of Every Woman, Every Child, the new joint action plan to help reach MDGs 4 and 5 on child and maternal health.
The World Bank, numerous UN agencies, governments and civil society groups have all pledged their support. But another document with pledges is not going to make much difference to poor mothers and children in developing countries unless we act on three things.
“We are here to listen—tell us how we can better assist you. And please, be frank,” said Obiageli Ezekwesili, World Bank Africa Region Vice President.
Ezekwesili asked the ministers from Liberia, Rwanda and the Democratic Republic of Congo (DRC) to discuss capacity development efforts in their countries, and to identify what has and has not worked, and how donors can provide more effective support for human development, infrastructure, and public sector reforms.
Several common themes emerged from the ministers’ interventions, including:
- Donors prioritizing support for primary and secondary education, and not higher education
- Donors pressing a “one size fits all” approach on countries, trying to replicate programs that were successful elsewhere
- The failure by expatriate advisors in civil service posts to transfer their knowledge and skills to local counterparts
- Tension among returning members of the Diaspora and local populations that stayed behind, partly around incentive structures for civil service
- An urgent need to deliver skills-training and create job opportunities for young ex-combatants
Augustine Ngafaun, Minister of Finance for Liberia, outlined the enormity of the challenges facing his country, which has “75 percent of the educational facilities destroyed” combined with a “massive brain drain” as a result of professionals fleeing during Liberia’s recent conflict.
“We have very few doctors, teachers and hardly any engineers,” said Ngafaun, Liberia's Minister of Finance.
He also noted that, despite the importance of the mining sector for Liberia’s growth, there are not even five geologists in the entire country.
Rwanda’s Finance Minister James Musoni noted that even though the reconstruction challenges were daunting, his country has made significant progress since the 1994 genocide. He said it is crucial for the donor community to understand the context in which each country operates, as in some cases the political leadership may not be ready.
Ezekwesili stressed the need to build confidence in all sectors, pointing out that “development solutions work only to the extent that the capacities of the nation-state, the private sector, and civil society are strong.”
“The lack of capacity is magnified by the stress of the post conflict environment,” Ezekwesili said.