textbook part 5 Flashcards
Evaluating development aid:
Huge amounts of development aid have been extended by developed countries over the last 50 years.
The obvious question to ask is: have receiver countries fully benefited from this aid?
Unfortunately, there is little data available on which to base a reliable answer to this question. In addition, as indicated in Section 13.1, there is no universal acid test to tell us whether or not the aid has literally paid dividends.
The following are five highly generalised verdicts on development aid.
- The outcomes of development aid have not matched the inputs.
- Three factors might go some way to explaining this discrepancy:
- the inappropriateness of some forms of aid
the siphoning of funds by corruption
a lack of sound governance and, related to this, the civil and political unrest that has characterised the recent histories of too many developing countries. - In the earlier years of development aid there was an emphasis on economic development and on prestige projects, which meant that there was little trickle-down of benefits to the most needy people.
- In more recent times, development aid has been directed more at a grass-roots level and focused on education, skills training and healthcare. The verdict on such aid is altogether more positive.
- There is a school of thought that argues that no matter what form development aid takes, it encourages developing countries to become dependent on donor countries.
- Over the years there has been much debate about the relative merits of bilateral and multilateral aid. The jury is still out on this one.
The Ebola outbreak
- The Ebola outbreak in West Africa was first reported in March 2014 and rapidly became the deadliest occurrence of the disease since its discovery in 1976.
- The epidemic that swept across the region in 2014-15 killed five times more than all other known Ebola outbreaks combined (Figure 13.3).
- Eighteen months on from the first confirmed case, recorded on 23 March 2014, nearly 12,000 people had been reported as having died from the disease in six countries: Liberia, Sierra Leone, Guinea, Nigeria, Mali and the USA (one aid worker).
- The bulk of the deaths were in the first three countries.
- Six months after the first confirmed case, and with the spread of the disease apparently out of control, the UN Mission for Ebola Emergency Response (UNMEER) was set up.
- Its purpose was to lead and co-ordinate the international responses of NGOs such as MSF.
Other tasks assigned to UNMEER included:
- locating and monitoring everyone who had come into contact with an Ebola patient
- overseeing the safe burial of Ebola victims
- establishing and equipping treatment centres for the safe treatment of the sick
- organising the transport of medical supplies and personnel
- accessing adequate food supplies in a situation of decreasing food production, rising food prices and closed national borders.
Thanks to the combined efforts of UNMEER, the governments of the Ebola-stricken countries and a number of NGOs, there was a sharp fall in the number of new cases of Ebola during the first half of 2015.
It was beginning to look as if the epidemic was under control.
However, it soon became clear that the decline in new cases had stalled, particularly in Sierra Leone.
The following factors were allowing the virus to continue to spread:
Fear of reporting to the authorities that a family member or friend might have contracted or died from Ebola.
Fatigue with the 24/7 task of carefully following the necessary stringent precautions.
Denial by a hardcore of the population who were strongly resistant to the idea that they needed to change their behaviour.
The region was finally declared Ebola-free in January 2016.
UNMEER is the first ever mission deployed by the UN to tackle a huge health security challenge.
It has since been admitted that its creation came rather late in the day, however, and that action needs to be taken much sooner in any similar future emergencies.
It is clear that such outbreaks will continue until ways are found to totally eradicate the disease.
It will involve the commitment and co-operation of governments as well as the efforts of medical research scientists to come up with a vaccine.
It bodes well if this sort of co-operation continues and possibly expands into a much broader concern about other aspects of human development.
Contrasting outcomes
Whether emergency aid should be considered as an integral part of development aid is debatable.
Certainly, even in the opening decades of the twenty-first century, the world has been confronted by some major natural disasters.
The aid response to the Haiti earthquake of 2010 was examined in Chapter 12 (see page 209).
The evaluation was not altogether positive. Did the aid response to the Ebola outbreak in West Africa four years later do any better?
Trends in economic inequalities
- One of the widespread concerns about development aid has been its broad impact.
- Has it widened or narrowed the gap between the receiving country’s rich and poor?
- It has been suggested that top-down aid has tended to increase the polarisation, while bottom-up aid has done rather more for the poor in terms of access to basic services (safe water and proper sewage disposal), primary education and healthcare.
Table 13.2 shows some of the small amount of data there are about the changing distributions of income within countries:
- It uses the Gini index or coefficient: a decrease in the Gini index for any country indicates a move towards a more even distribution of income.
- The countries in the table were chosen because they happened to be developing countries where suitable data were available.
- The table shows that just over half the sample of fifteen countries showed a decline in the Gini index and, therefore, a narrowing of the gap between rich and poor.
- To put the values in this table into perspective, in 2010 the UK’s Gini index was 34.8.
- Time sets of data about life expectancy and health are more readily available than that required for calculating Gini indices.
- Because of this they are frequently used in monitoring the impacts of development aid, particularly among the poor.
- In the case of Botswana, however, such indicators need to be treated with caution.
Skills focus: Gini coefficient or index
- The Gini index is a statistical measure that can be used to assess the extent to which the distribution of income among individuals or households within an economy deviates from a perfectly equal distribution.
- A Lorenz curve plots the cumulative percentages of total income received against the cumulative number of recipients, starting with the poorest individual or household.
- The Gini index measures the area between the Lorenz curve and a hypothetical line of absolute equality.
- This is expressed as a percentage of the maximum area under the line.
- Thus, a Gini index of 0 represents perfect equality while an index of 100 implies perfect inequality.
- Use of the Gini coefficient is limited by the lack of income data for those countries in which we are particularly interested, i.e. the least developed countries receiving development aid.
Emergency aid:
Rapid assistance given by organisations or governments to people in immediate distress following natural or man-made disasters.
The aim is to relieve suffering and the aid includes such things as food and water, temporary housing and medical help.
Ebola:
A highly contagious and fatal disease spread through contact with body fluids infected by a filovirus. Its symptoms are fever and severe internal bleeding.
The host species of the virus has not been confirmed but fruit bats and primates have been implicated.
The unusual case of Botswana:
By African standards, Botswana is a beacon of hope. It is:
relatively prosperous
politically stable
fairly free of corruption
reasonably respectful of human rights.
But Table 13.2 (page 223) clearly shows a very uneven distribution of income - a wide gap between rich and poor.
Aid and development in Botswana
- Botswana is a sparsely populated, arid and landlocked country with large areas of wilderness.
- At independence in 1966, it was one of the poorest countries in the world, with a per capita income of just US$70 a year.
- In the first few years of independence about 60 per cent of government expenditure came from international aid.
- Agriculture (mostly cattle farming for beef production) accounted for 40 per cent of GDP.
- Since 1966, however, Botswana has maintained one of the world’s highest economic growth rates.
- Through fiscal discipline and sound government, Botswana has transformed itself into a middle-income country with a per capita income of around US$7500.
- The exploitation of one resource - diamonds - has underlain most of this remarkable economic development.
- Botswana is the world’s largest producer of diamonds (Figure 13.5).
- Diamonds account for a third of GDP and about three-quarters of its exports (by value).
- Upmarket tourism, financial services, subsistence farming and cattle rearing are other significant sectors of the economy.
- An expected levelling off in diamond production within the next 20 years overshadows the country’s long-term prospects.
- A comparison of Botswana’s HDI with those of other African countries of similar size speaks for itself (Figure 13.6).
- It would be even more impressive were it not for a low scoring on life expectancy.
- Despite its economic success, it might seem strange that Botswana still receives overseas aid.
- In financial terms this accounts for only three per cent of GDP, and much of it is to do with Botswana’s number one health problem: HIV/AIDS.
Health in Botswana
The prevalence of HIV/AIDS in Botswana is the second highest in the world and threatens the country’s impressive economic gains.
The UN estimates more than one in three adults in Botswana is currently infected with HIV or has developed AIDS.
The disease has orphaned many thousands of children and has dramatically cut life expectancy.
However, with overseas aid, Botswana now has in place one of the most advanced treatment programmes.
Thanks to the economic growth, the government can afford to make anti-retroviral drugs readily available.
Human rights:
Botswana has the reputation of speaking out against human rights abuses in Africa. Often it is the only regional voice to do so. However, not everything in its own backyard is rosy. For example:
The same political party has been in power for over 40 years. State control of the media makes it difficult for opposition parties to campaign in elections on an equal footing.
Botswana retains the death penalty, which it exercises in cases of murder, treason and assassination.
It continues to criminalise homosexuality and discriminate against it in the workforce.
The government is accused of dispossessing the indigenous Bushmen from their lands and traditional water supplies in the Kalahari Desert, mainly because of the vast diamond fields, but also in order to create large game reserves for the benefit of tourists.
Expressions of cultural diversity are not encouraged.
- As with so many countries, Botswana’s record on human rights has its blemishes.
- But at least the country does have a stable, fairly democratic government that has invested some of the diamond profits in public goods and infrastructure.