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2 The Crisis 10,000 15,000 20,000 25,000 30,000 35,000 40,000 10 wealthiest countries 10 poorest countries GNI Per Capita GNI Per Capita 2003 (atlas method) US$146 US$37,610  POVERTY: More than one billion people in the world live on less than a dollar a day. Another 1.8 billion struggle to survive on less than $2 per day.  ILLITERACY: Around the world, a total of 114 million children do not get even a basic education and 584 million women are illiterate.  PREMATURE DEATH: Life expectancy in sub-Saharan Africa is less than 55 years – and dropping.  WATER AND SANITATION: Four out of every ten people in the world don't have access even to a simple latrine; and two in ten have no source of safe drinking water. 5,000

3 The Action  At the Millennium Summit in September 2000, the largest gathering of world leaders in history adopted the Millennium Declaration, committing their nations to reduce poverty; improve health; and promote peace, human rights, and environmental sustainability.  The Millennium Development Goals set out a mutual commitment between developed and developing countries to make sustained progress towards achieving this vision.  Specifically, the Millennium Development Goals aim to reduce poverty, reduce mortality, fight disease and hunger, get girls and boys in school, empower women and give more people access to safe water. African countries need to make the most progress if they are to meet these Goals.

4 The Opportunity The Millennium Development Goals can be achieved by 2015, even in the poorest countries, if strategic action is taken.  The world already has affordable tools to win this fight, such as: Bed-nets to fight malaria –Vaccinations against disease –Antiretroviral therapies to treat AIDS –Fertilizers and agro-forestry to raise crop yields –Bore wells to provide drinking water –Diesel generators for village electricity. If the Goals are achieved More than 500 million people will be lifted out of extreme poverty and 250 million will no longer suffer from hunger.  30 million children will be saved who would otherwise die before reaching age 5 and 2 million maternal deaths will have been averted.  350 million people will have access to safe drinking water and 650 million people will have access to basic sanitation

5 The Millennium Development Goals Goal 1:Eradicate extreme poverty and hunger Goal 2: Achieve universal primary education Goal 3: Promote gender equality and empower women Goal 4: Reduce child mortality Goal 5: Improve maternal health Goal 6: Halt and begin to reverse the spread of HIV/AIDS, malaria and other diseases Goal 7: Ensure environmental sustainability Goal 8: Develop a Global Partnership for Development The MDGs are the world’s first shared set of integrated, quantitative and time-bound goals for poverty reduction

6 Another Perspective on the Goals Developing Country Responsibility  To eradicate extreme poverty and hunger  To achieve universal primary education  To promote gender equality and empower women  To reduce child mortality  To improve maternal health  To combat HIV/AIDS, malaria, and other diseases  To ensure environmental sustainability Developed Country and Development Assistance Agency Responsibility  To establish a global partnership for development

7 Prerequisites for Countries to Achieve the Goals  Vision  Country ownership  Country-led partnership  Focus on development results

8 What is meant by “vision”?  Coherent long-term-vision  Medium-term strategy derived from vision  Country-specific development targets  Holistic, balanced and well sequenced strategy  Capacity for implementation (e.g., expenditure management)

9 What is meant by “country ownership”?  Vision and strategy homegrown  Government involved stakeholders  Civil society involvement  Private sector involvement  Parliamentary involvement  Capacity to formulate strategy

10 What is meant by “country-led partnership”?  Government leadership and coordination  Partners’ assistance in strategy alignment  Financial and non-financial support alignment  Coherent capacity support  Harmonization of policies and procedures  Appropriate partnership behaviors

11 What is meant by “focus on development results”?  Development information systems  Stakeholders’ access to development information  Managing for development results

12 PROGRESS TO DATE: GROUP 1 A relatively small leading group of 12 countries has made good progress in implementing CDF principles and faces a reasonably good chance of achieving the MDGs defined in their poverty reduction strategies, provided that they stay the course. These countries have put in place the processes needed to achieve success, and have defined relatively clearly the goals they are pursuing. Most have taken action to align government and partners' actions with those goals, and to track development outcomes. Bolivia Burkina Faso Ethiopia Ghana Guinea Kyrgyz Republic Mauritania Rwanda Senegal Tanzania Uganda

13 PROGRESS TO DATE: GROUP 2 An intermediate group of 11 countries is making selective progress in implementing the CDF principles. With concerted internal actions and focused external partner support, they may more firmly embark on the road to achieving the MDGs Albania Cape Verde Gambia Guyana Honduras Malawi Mozambique Niger Pakistan Yemen Zambia

14 PROGRESS TO DATE: GROUP 3 At the other end of the spectrum, a group of 25 countries-more than half of which have features of low-income countries under stress (LICUS)6 or are affected by conflict or both- has made little progress in implementing the CDF principles. They are unlikely to reach the 2015 poverty reduction goals or related country goals under present circumstances. Closer adherence to the CDF principles can help these countries get on the right track ArmeniaAzerbaijan BeninCambodia CameroonCAR ChadCongo DR Cote d’IvoireDjibouti EritreaGeorgia Guinea BissauKenya LaosLesotho MadagascarMali MoldovaMongolia NicaraguaSao Tome e Principe Serbia/MontenegroSierra Leone Tajikistan





19 Ten Key Recommendations #1: Developing country governments should adopt MDG-based poverty reduction strategies bold enough to meet the Millennium Development Goal (MDG) targets for 2015. To meet the 2015 deadline, we recommend that all countries have these strategies in place by 2008. Where Poverty Reduction Strategy Papers (PRSPs) already exist, those should be aligned with the MDGs

20 Ten Key Recommendations #2: The MDG-based poverty reduction strategies should anchor the scaling up of public investments, capacity building, domestic resource mobilization, and official development assistance. They should also provide a framework for strengthening governance, promoting human rights, engaging civil society, and promoting the private sector.

21 Ten Key Recommendations #3: Developing country governments should craft and implement the MDG-based poverty reduction strategies in transparent and inclusive processes, working closely with civil society organizations, the domestic private sector, and international partners.

22 Ten Key Recommendations #4: International donors should identify at least a dozen MDG “fast- track” countries for a rapid scale- up of official development assistance (ODA), recognizing that many countries are already in a position for a massive scale-up on the basis of their good governance and absorptive capacity.

23 Ten Key Recommendations #5: Developed and developing countries should jointly launch a group of Quick Win actions to save and improve millions of lives and to promote economic growth.

24 Ten Key Recommendations #6: Developing country governments should align national strategies with such regional initiatives as the New Partnership for Africa’s Development and the Caribbean Community (and Common Market), and regional groups should receive increased direct donor support for regional projects.

25 Ten Key Recommendations #7: High-income countries should increase official development assistance (ODA) from 0.25 percent of donor GNP in 2003 to around 0.44 percent in 2006 and 0.54 in 2015 to support the Millennium Development Goals, particularly in low-income countries, with improved aid quality (including aid that is harmonized, predictable and largely in the form of grants-based budget support). Each donor should reach 0.7 percent no later than 2015 to support the Goals and other development assistance priorities

26 Ten Key Recommendations #8: High-income countries should open their markets to developing country exports through the Doha trade round and help Least Developed Countries raise export competitiveness through investments in critical trade- related infrastructure, including electricity, roads, and ports.

27 Ten Key Recommendations #9: International donors should mobilize support for global scientific research and development to address special needs of the poor in areas of health, agriculture, natural resource and environmental management, energy and climate. We estimate the total needs to rise to approximately $7 billion by 2015.

28 Ten Key Recommendations #10: The UN Secretary-General and the UN Development Group should strengthen the coordination of UN agencies, funds, and programs to support the MDGs at headquarters and country level.The UN Country Teams should be strengthened and should work closely with the international financial institutions to support the Goals.

29 Priority Interventions: Quick Wins Quick Wins can start countries on the path to the Goals  Eliminating school and uniform fees to ensure that all children, especially girls, are not out of school because of their families’ poverty  Providing impoverished farmers in Sub-Saharan Africa with affordable replenishments of soil nitrogen and other soil nutrients  Providing free school meals for all children using locally produced foods with take-home rations

30 Priority Interventions: Quick Wins  Training large numbers of village workers in health, farming, and infrastructure (in one-year programs) to ensure basic expertise and services in rural communities  Distributing free, long-lasting, insecticide-treated bed-nets to all children in malaria-endemic zones to cut decisively the burden of malaria  Eliminating user fees for basic health services in all developing countries, financed by increased domestic and donor resources for health

31 Priority Interventions: Quick Wins  Expanding access to sexual and reproductive health information and services, including family planning and contraceptive information and services, and closing existing funding gaps for supplies and logistics  Expanding the use of proven effective drug combinations for AIDS, tuberculosis, and malaria. For AIDS, this includes successfully completing the 3 by 5 initiative to bring antiretrovirals to 3 million people  Setting up funding to finance community-based slum upgrading and earmark idle public land for low-cost housing

32 Priority Interventions: Quick Wins  Providing access to electricity, water, sanitation, and the Internet for all hospitals, schools, and other social service institutions using off-grid diesel generators, solar panels, or other appropriate technologies  Launching national campaigns to reduce violence against women  Establishing an office of science advisor to the president or prime minister to consolidate the role of science in national policymaking

33 Time Pressure There is still enough time to meet the MDGs—though barely. With a systematic approach over the next decade, many countries now dismissed as too poor or too far off track could still achieve the Goals, but only if the world moves urgently with specific, scaled-up actions.

34 Next Steps LAUNCHING A DECADE OF BOLD AMBITION To launch the decade of bold ambition towards 2015, several worldwide initiatives are needed to translate the Goals from ambition to action:  Identify fast-track countries  Prepare MDG-based poverty reduction strategies  Launch a global human resource training effort  Launch the Quick Win initiatives  Engage middle-income countries in the challenge


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