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 IMPOVERISHING A CONTINENT:
The World Bank and the IMF in Africa

Asad Ismi
Canadian Centre for Policy Alternatives
July 2004   

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 This report was commissioned by the Halifax Initiative Coalition but 
does not necessarily reflect its views.


--------------------------------------------------------------------------------

For PDF version go to www.policyalternatives.
ca/documents/National_Office_Pubs/africa.pdf

To order this report, please contact:
Ed Finn, editor
Canadian Centre for Policy Alternatives
#410-75 Albert Street
Ottawa, Ontario
K1P 5E7
Telephone: 613.563.1341 ext 304
Email: [log in to unmask] 
Website www.policyalternatives.ca


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CONTENTS

Introduction

The World Bank and the IMF

The U.S. Connection 
Structural Adjustment 
LIC-FLIC 
Adjusting Africa
- Impacts of Adjustment

Zimbabwe 
Ghana 
Cote d'Ivoire 
Conclusion

Endnotes


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INTRODUCTION



Just between you and me, shouldn't the World Bank be encouraging more 
migration of the dirty industries to the LDCs [less-developed 
countries]?... I think the economic logic behind dumping a load of 
toxic waste in the lowest wage country is impeccable and we should face 
up to that...I've always thought that underpopulated countries in 
Africa are vastly under-polluted, their air quality is probably vastly 
inefficiently low compared to Los Angeles or Mexico City...The concern 
over an agent that causes a one in a million change in the odds of 
prostrate cancer is obviously going to be much higher in a country 
where people survive to get prostrate cancer than in a country where 
under 5 mortality is 200 per thousand...The problem with the arguments 
against all of these proposals for more pollution in LDCs (intrinsic 
rights to certain goods, moral reasons, social concerns, lack of 
adequate markets, etc.) could be turned around and used more or less 
effectively against every Bank proposal for liberalization. 

- Lawrence H. Summers, chief economist of the World Bank, in an 
internal memo dated December 12, 1991. Summers went on to become the U.
S. Treasury Secretary in the Clinton Administration as well as 
president of Harvard University. (See Appendix). 



The World Bank and the International Monetary Fund (IMF) are the two 
most powerful institutions in global trade and finance.(1) Since 1980, 
the United States government which dominates both bodies, has used them 
to economically subjugate the developing world. The World Bank and the 
IMF have forced Third World countries to open their economies to 
Western penetration and increase exports of primary goods to wealthy 
nations. These steps amongst others have multiplied profits for Western 
multinational corporations while subjecting Third World countries to 
horrendous levels of poverty, unemployment, malnutrition, illiteracy 
and economic decline. The region worst affected has been Africa.

For two decades the World Bank and the IMF have forced developing 
countries to create conditions that benefit Western corporations and 
governments. These conditions are known as Structural Adjustment 
Programs (SAPs). SAPs require governments to: cut public spending,
(including eliminating subsidies for food, medical care and education); 
raise interest rates, thus reducing access to credit; privatize state 
enterprises; increase exports; and reduce barriers to trade and foreign 
investment such as tariffs and import duties. These measures are 
supposed to generate export-led growth that will attract foreign direct 
investment and can be used to reduce debt and poverty. (2)

According to a three-year, multi-country (including three African 
countries) study released in April 2002 by the Structural Adjustment 
Participatory Review International Network (SAPRIN), which was prepared 
in collaboration with the World Bank, national governments and civil 
society, SAPs have been "expanding poverty, inequality and insecurity 
around the world. [They have] torn at the heart of economies and the 
social fabric...increasing tensions among different social strata, 
fueling extremist movements and delegitimizing democratic political 
systems. Their effects, particularly on the poor are so profound and 
pervasive that no amount of targeted social investments can begin to 
address the social crises that they have engendered."(3)

SAPRIN explains this damning indictment by identifying four ways in 
which reforms under SAPs have impoverished people and increased 
economic inequality. Firstly, trade and financial sector reforms have 
destroyed domestic manufacturing leading to massive unemployment of 
workers and small producers. Secondly, agricultural, trade and mining 
reforms have reduced the incomes of small farms and poor rural 
communities as well as their food security. Thirdly, labour market 
flexibilization measures and privatizations have caused mass lay-offs 
of workers and resulted in lower wages, less secure employment, fewer 
benefits and "an erosion of workers rights and bargaining power." 
Privatization of major national assets and essential services has also 
allowed multinational corporations to remove resources and profits from 
countries as well as increase rates for water and electricity which has 
hit the poor the hardest. Fourthly, the cutting of health and education 
spending under SAPs and the introduction of user fees for these 
services, when combined with higher utility rates, has resulted in "a 
severe increase in the number of poor as well as a deepening of 
poverty."(4)

In the following sections we look at the effects of conditions imposed 
by the World Bank and the IMF's SAPs, on Africa generally and on three 
African countries, Zimbabwe, Ghana and Cote d'Ivoire, in particular. 
But first an overview of the World Bank, the IMF and structural 
adjustment.


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THE WORLD BANK AND THE IMF 

The World Bank or the International Bank for Reconstruction and 
Development (IBRD) and the International Monetary Fund (IMF) were 
created in 1944 by leaders of the 44 nations at the Bretton Woods 
Conference. The Bank was responsible for financing long-term productive 
investment in member countries while the IMF was to provide loans to 
overcome short-term balance of payments deficits. Western leaders 
feared an unregulated world market would mean a return to depression, 
poverty and another world war.(5) At Bretton Woods (located in New 
Hampshire, U.S.), "the decisive factor was the reality of American 
power." With much of Europe destroyed by the Second World War, the U.S. 
was economically the world's most powerful country; thus a U.S. vision 
prevailed at the conference and the World Bank and the IMF were created 
along U.S. lines. Unlike the U.N. also founded at the time, the World 
Bank and the IMF were controlled by one-dollar one-vote rather than one-
country one-vote. Washington alone has a veto over decisions about the 
mandates and structure of the organizations. This is because the U.S.' 
voting share is 17.16% in the IMF and 16.41% in the World Bank and in 
both organizations changes to the Articles of Agreement require 85% of 
the votes. Japan holds the next highest voting shares with 6.27% and 
7.87% respectively.(6) The U.S. also has the unique privilege of 
appointing the President of the World Bank and is the only country 
entitled to a permanent place among the Bank's executive directors.(7)

The World Bank Group is made up of five organizations: The IBRD which 
provides loans and development assistance to middle-income and 
creditworthy poor countries; International Development Association 
(IDA), the Bank's concessional lending arm, focused on the poorest 
countries to which it provides near zero-interest loans. International 
Finance Corporation (IFC) which finances private sector investments in 
the developing world and provides technical assistance to governments 
and businesses. Multilateral Investment Guarantee Agency (MIGA) which 
encourages foreign investment in developing countries by providing 
guarantees to foreign investors against loss caused by non-commercial 
risk. Lastly, the International Centre for Settlement of Investment 
Disputes (ICSID) provides international facilities for arbitration of 
investment disputes.(8) As constituted, the World Bank is supposed to 
be both a bank and a development agency focused on poverty alleviation 
whereas the IMF is only a financial institution (for more on the IMF 
see section on structural adjustment below).

The U.S. Connection 

Washington's predominance ensured that whatever their theoretical 
mandates might be, the World Bank and the IMF would become instruments 
of U.S. foreign policy. The role of both has been to fully integrate 
the Third World into the U.S.-dominated global capitalist system in the 
subordinate position of raw material supplier and open market. As such 
these institutions complement the U.S.' use of the Pentagon and the CIA 
to crush Third World governments aspiring to independent development. A 
good example of this kind of coordination was the ending of World Bank 
loans in 1972 to the elected government of Salvador Allende in Chile-
the first step in a U.S.-planned destabilization. President Richard 
Nixon and his National Security Adviser, Henry Kissinger, used the Bank 
to (as the President stated) "make the Chilean economy scream." The 
subsequent economic crisis "paved the way for the bloody coup of 1973." 
The U.S. then poured aid on the military dictatorship of General 
Augusto Pinochet who killed Allende and up to 130,000 Chileans in a 17-
year reign of terror. From 1973 to 1976, the World Bank gave Chile 
$350.5 million, almost 13 times the $27.7 million it gave during the 
three-year Allende presidency. (9)

Robert McNamara, who became the World Bank's president in 1968, best 
epitomized the close U.S. connection. McNamara had been Secretary of 
Defense before being transferred to the World Bank by President 
Johnson. The Secretary had grown disillusioned with his idea of bombing 
North Vietnam since this had failed to stop Northern support for 
insurgency in South Vietnam. Under McNamara's presidency (1968-1981), 
the World Bank experienced its most dramatic growth with annual lending 
growing from U.S.$2.7 billion a year to U.S.$12 billion.(10) McNamara 
sought to speed up the Third World's integration into the global 
capitalist order by promoting "export-oriented growth." He declared 
that development which depended on small, protected internal markets 
was "a losing strategy." Instead, Third World economies should attach 
themselves to the expanding markets of the U.S. and other wealthy 
countries. McNamara wanted the World Bank to support "special efforts...
in many countries to turn their manufacturing enterprises away from the 
relatively small markets associated with import substitution towards 
the much larger opportunities flowing from export promotion." (11)

Structural Adjustment

The debt crisis in the 1980s gave Washington the opportunity to "blast 
open" and fully subordinate Third World economies through World Bank-
IMF structural adjustment programs (SAPs). (12) Starting in 1980, 
developing countries were unable to pay back loans taken from Western 
commercial banks which had gone on a huge lending binge to Third World 
governments during the mid to late1970s when rising oil prices had 
filled up their coffers with petro-dollars.(13) The World Bank and the 
IMF imposed SAPs on developing countries who needed to borrow money to 
service their debts. The World Bank's SAPs, first instituted in 1980, 
enforced privatization of industries ( including necessities such as 
healthcare and water), cuts in government spending and imposition of 
user fees, liberalizing of capital markets (which leads to unstable 
trading in currencies) market based pricing (which tends to raise the 
cost of basic goods) higher interest rates and trade liberalization. 
SAPs evolved to cover more and more areas of domestic policy, not only 
fiscal, monetary and trade policy but also labour laws, health care, 
environmental regulations, civil service requirements, energy policy 
and government procurement. (14) 

With the imposition of its own SAPs in 1986, the IMF became "one of 
the most influential institutions in the world." Its 2,500 staff 
dictate the economic conditions of life to over 1.4 billion people in 
75 developing countries. As one observer put it, "Never in history has 
an international agency exercised such authority." Until the 1980s, IMF 
involvement with Third World countries had been short-term and its 
impact minimal but after the debt crisis it took on an greatly expanded 
role in imposing austerity conditions on countries in financial 
difficulties. (15) The Fund became the gendarme for Western commercial 
banks ensuring that they would get repaid and helping them "consolidate 
their power over poor nations." Borrowing countries knew that they 
would not get further loans from other sources without the IMF seal of 
approval. One observer called the Fund, "a sort of Godfather figure-it 
makes countries offers they can't refuse." (16) Classic IMF 
stabilization programs involve: a standard set of policies aimed at 
reducing current account deficits. These invariably include a 
contraction of the money supply and fiscal austerity measures aimed at 
reducing "excessive demand" in the domestic economy; demands for strict 
anti-inflationary monetary policy, privatization of public enterprises, 
trade liberalization and dismantling of foreign exchange controls; more 
flexible labour markets (in other words, a lowering of labour 
standards) and reducing the size of the public sector. This has meant 
cutbacks to education, health care and the social sector, and the 
elimination of subsidies and marketing boards for agricultural products 
as well as the privatization of such basic services as potable water, 
health care and education. (17)

During 1980-93, 70 developing countries were subjected to 566 
stabilization and structural adjustment programs with disastrous 
consequences; the 1980s became known as the "lost decade." Between 1984 
and 1990, Third World countries under SAPs transferred $178 billion to 
Western commercial banks. So enormous was the capital drain from the 
South that Morris Miller, a Canadian former World Bank director 
remarked: "Not since the conquistadors plundered Latin America has the 
world experienced such a flow in the direction we see today." (18) By 
severely restricting government spending in favor of debt repayment, 
the loan terms of the Bank and the IMF eviscerated the Third World 
state leaving in its wake spiraling poverty and hunger fueled by 
slashed food subsidies and decimated health and education sectors. 
Growth stagnated and debt doubled to over $1.5 trillion by the end of 
the 1980s, doubling again to $3 trillion by the end of the 1990s.(19) 
As U.N. Secretary General Javier Perez de Cuellar noted in 1991: "The 
various plans of structural adjustment-which undermine the middle 
classes; impoverish wage earners; close doors that had begun to open to 
the basic rights of education, food, housing, medical care; and also 
disastrously affect employment-often plunge societies, especially young 
people, into despair."(20)

After 15 years of following World Bank and IMF-imposed policies, Latin 
America, by the late 1990s, was going through "its worst period of 
social and economic deprivation in half a century." By 1997, nearly 
half of the region's 460 million people had become poor-an increase of 
60 million in ten years. Populations, overall, were worse off than they 
were in 1980. The United Nations Economic Commission for Latin America 
and the Caribbean (ECLAC) stated in 1996: "the levels of [poverty] are 
still considerably higher than those observed in 1980 while income 
distribution seems to have worsened in virtually all cases." (21)

SAPs imposed on Peru by the World Bank and the IMF pushed four million 
people into extreme poverty, almost halved real wages, and cut those 
with "adequate employment" to 15 percent of the workforce. 
Consequently, there was a forced migration of impoverished peasants and 
urban unemployed into coca growing (for drug traffickers) as an 
alternative to starvation. In 1991, in exchange for $100 million from 
the United States, Peru put in place the IMF structural adjustment 
clause opening its markets to U. S. corn. As a result, by 1995, corn 
cultivation had fallen tenfold and coca production had grown by 50 
percent. Under these conditions, corruption flourished; indeed almost 
an entire economy was criminalized. Increased coca production meant 
more cocaine trafficking which led to deepening official corruption in 
Peru as the amount of money in the hands of drug lords increased. (22)

An IMF-sponsored stabilization package implemented in Peru in 1990 had 
the following consequences: "From one day to the next, fuel prices 
increased 31 times-by 2,968%. The price of bread increased 12 times-by 
1,150%. The prices of most basic food staples increased by six or seven 
times-446% in a single month-yet wages had already been compressed by 
80% in the period prior to the adoption of these measures in August 
1990." (23) IMF SAPs were first imposed on Mexico in 1982; in the 
following decade infant deaths due to malnutrition tripled, the minimum 
wage fell by 60% and the percentage of the population living in poverty 
rose from less than half to more than two-thirds. More recently, World 
Bank-IMF SAPs played a major role in causing the collapse of the 
Argentine economy in December 2001; these SAPs also fuelled the Asian 
financial crisis of 1997. (24)

LIC-FLIC

The World Bank-IMF SAPs were "the second prong of the massive assault 
that Washington mounted against the South" during the 1980s. The other 
prong was "low-intensity conflicts" (LIC), the U.S. launched against 
governments in Afghanistan, Angola, Nicaragua, Panama, and Grenada, and 
against liberation movements in El Salvador, Guatemala, and the 
Philippines. One observer has called the World Bank-IMF debt management 
strategy, "financial low-intensity conflict" (FLIC). U.S. officials are 
clear about the link between economic and military strategies in 
controlling the Third World. The Presidential Commission on Integrated 
Long-Term Strategy stated in 1988: "We... need to think of low-
intensity conflict as a form of warfare that is not a problem just for 
the Department of Defense. In many situations, the United States will 
need not just DoD personnel and material but diplomats and information 
specialists, agricultural chemists, bankers and economists...and scores 
of other professionals." (25)

The Reagan Administration came into office in 1980 determined to 
discipline an increasingly independent Third World and make it serve U.
S. economic interests. The 1950-1980 era was marked by high economic 
growth rates in parts of the developing world as well as successful 
national liberation struggles. The Administration's sense of "a rising 
threat from the South" was fed by the humiliating U.S. defeat in 
Vietnam, the Nicaraguan revolution, the OPEC oil embargoes of 1973 and 
1979, the threat of new cartels for other raw materials, the Iran 
hostage crisis, restrictions on multinational corporations in Mexico 
and Brazil, and the Third World's demand for a New International 
Economic Order (NIEO). (26) Since the Third World state was the main 
culprit in all these threats, this is what had to be broken down 
through both LIC and FLIC. In the case of Nicaragua, Reagan used the 
Contras to militarily attack the revolutionary Sandinista government 
and the World Bank to pressure it economically as Nixon had done with 
Chile. Thomas Clausen, Reagan's appointed World Bank President, stopped 
all loans to Nicaragua in 1982. (27)

By 1993 when the Reagan-Bush period ended, "the South had been 
transformed" by the LIC-FLIC combination. Radical governments and 
liberation movements had been defeated, overthrown or compromised, the 
state's role in the economy had been drastically reduced, government 
enterprises had been privatized on a massive scale, limits on foreign 
investment and protectionist barriers to Northern imports had been 
removed (ensuring an open market) and the emphasis on export growth had 
integrated Third World economies into the global capitalist system as 
raw material suppliers. (28) Even Vietnam was under World Bank-IMF 
tutelage. The World Bank and the IMF thus proved to be extremely 
effective instruments of U.S. policy: their neocolonization of the 
Third World through SAPs ensured that 80% of humanity would remain 
servants of the West.



ADJUSTING AFRICA 

According to the UN Economic Commission for Africa (ECA) "the major 
thrust of economic policy making on the continent has been informed for 
the last decade or so by the core policy content of adjustment programs 
(of the type supported by the IMF and the World Bank)."(29) The New 
York Times called the World Bank and the IMF, "the overlords of 
Africa." Beginning in 1980, SAPs have been imposed on 36 of Sub-Saharan 
Africa's 47 countries.(30) As a result of SAPs, Africa is more 
integrated into the global economy than ever. SAPs' emphasis on export-
led growth has significantly expanded African trade levels. From 1989 
to 1999, Sub Saharan Africa's trade as a percentage of GDP (a key 
indicator of globalization) increased from 78.1% to 95.6%; in dollar 
terms, trade grew from $175 billion in 1990 to $187 billion in 1999; 
for the same period, foreign direct investment jumped from $923 million 
to $7.9 billion in 1999 and portfolio investment (for equity) shot up 
from $2 million to $3.9 billion; debt service increased from 12.9% to 
13.9% of exports. Only official aid to Sub Saharan Africa fell from 
$19.4 billion in 1994 to $12.5 billion in 1999.(31) But contrary to 
World Bank dogma, export expansion and rising foreign investment in 
Africa have not increased growth or reduced debt and poverty-in fact, 
as seen below, they have had exactly the opposite effect. Most African 
exports are raw materials and non-oil commodity prices have dropped by 
35% on average since 1997.(32) Foreign investment contributes little to 
African economies due to incentives given to the companies such as tax 
holidays and profit repatriation allowances. After considerable social 
and economic progress during 1960-1980, the following 20 years of 
structural adjustment have devastated the continent. 

Impacts of Adjustment

- Slower Growth

During 1960-1980, Sub Saharan Africa's GDP per capita grew by 36%; in 
the 1980-2000 period it actually fell by 15%. As the Center for 
Economic and Policy Research puts it, "These are enormous differences 
by any standard of comparison and represent the loss to an entire 
generation - of hundreds of millions of people - of any chance of 
improving its living standards."(33)

- Increased Poverty

According to the World Bank, in 2003, over 350 million people (more 
than half of Africa's population of 682 million) lived below the 
poverty line of U.S.$ 1 a day, a 75% increase over the 200 million 
figure for 1994.

- Lower incomes

Africa's estimated per capita income in 1990 was at the same level it 
had been in 1960. Per capita incomes for most Sub Saharan countries 
fell by 25% during the 1980s and for 18 countries these incomes were 
lower in 1999 than in 1975. In 1960, Sub-Saharan Africa's per capita 
income was about 1/9 of that in high-income OECD countries; by 1998, it 
had deteriorated dramatically to about 1/18. 

- Low Human Development Indicators

According to the UN Development Programme (UNDP), 80% of low human 
development countries - those with low income, low literacy, low life 
expectancy and high population growth rates - are in Africa.(34) 
Average life expectancy for Sub Saharan Africa is only 47 years (the 
lowest in the world), a drop of 15 years since 1980. Forty per cent of 
the population suffers from malnutrition that causes low birth weight 
among infants and stunts growth in children. In 2000, 30% of children 
under five were underweight in Sub-Saharan Africa; thirty-seven percent 
of such children were under height.(35)

- Increased Debt Burdens

Under SAPs, Africa's external debt has increased by more than 500% 
since 1980 to $333 billion today. SAPs have transferred $229 billion in 
debt payments from Sub-Saharan Africa to the West since 1980. This is 
four times the region's 1980 debt. In the past decade alone, African 
countries have paid their debt three times over yet they are three 
times as indebted as ten years ago. Of Sub-Saharan Africa's 44 
countries, 33 are designated heavily indebted poor countries by the 
World Bank. Africa, the world's poorest region, pays the richest 
countries $15 billion every year in debt servicing. This is more than 
the continent gets in aid, new loans or investment. Jubilee 2000 U.K. 
warns that "Foreign indebtedness now poses a fatal impediment to 
Africa's development." In 1997, the UNDP stated that in the absence of 
debt payments, severely indebted African countries could have saved the 
lives of 21 million people and given 90 million girls and women access 
to basic education by the year 2000. The All-African Conference of 
Churches has called the debt "a new form of slavery, as vicious as the 
slave trade." According to Africa Action, a Washington D.C.-based 
advocacy group,: "The U.S. appears unwilling to support debt 
cancellation for Africa because the U.S. actually gains a great deal 
from Africa's economic enslavement. The U.S. and other rich countries, 
as well as the World Bank and IMF, use Africa's debt as leverage to 
manipulate the continent's economic fate to serve their interests."(36)

- Decrease in health care and increase in disease:

Africa spends four times more on debt interest payments than on health 
care. This combined with cutbacks in social expenditure caused health 
care spending in the 42 poorest African countries to fall by 50% during 
the 1980s. As a result, health care systems have collapsed across the 
continent creating near catastrophic conditions. More than 200 million 
Africans have no access to health services as hundreds of clinics, 
hospitals and medical facilities have been closed; those remaining open 
were generally left understaffed and without essential medical supplies.
(37) This has left diseases to rage unchecked, leading most alarmingly 
to an AIDS pandemic. With about 12% of the world's population, Africa 
accounts for 80% of the world's deaths due to AIDS and almost 90% of 
the world's deaths due to malaria. More than 17 million Africans have 
died of HIV/AIDS and an estimated 28 million of the 40 million people 
living with the disease worldwide are in Sub- Saharan Africa. More than 
12 million African orphans have lost their mothers or both parents to 
AIDS. Presently, Malaria is killing 900,000 people annually across the 
continent and according to the World Health Organization (WHO) 3.3 
million Africans will have tuberculosis by 2005.(38)

- Lack of clean drinking water: 

More than half of Africa's population is without safe drinking water 
and two-thirds do not have access to adequate sanitation. 39 Water 
privatization schemes in Ghana and South Africa are further depriving 
poor people of access to potable water.

- Decrease in education levels:

Ten African governments spent more on debt repayments than on primary 
education and health care combined in 2002. Forty percent of African 
children are out of school and Africa is the only region where this 
number is rising. 

Between 1986 and 1996, per capita education spending fell by 0.7% a 
year on average. The adult literacy rate in Sub-Saharan Africa is 60%, 
well below the developing country average of 73%.(41) More than 140 
million young Africans are illiterate.(42)

Given the horrifying social impact of SAPs all over Africa, it is not 
surprising that Emily Sikazwe, director of the Zambian anti-poverty 
group "Women for Change," asked: "What would they [the World Bank and 
the IMF] say if we took them to the World Court in The Hague and 
accused them of genocide?"(43)

HIPC

In response to public demands to address the debt crisis of poor 
countries and provide debt relief, the World Bank and the IMF 
introduced the Highly Indebted Poor Countries (HIPC) initiative in 
1996. This has been seen as a failure due to the limited debt relief 
provided and its SAP requirements. Countries must successfully complete 
six years of structural adjustment before they become eligible for debt 
relief under HIPC. By the end of 2000, the 22 countries promised debt 
relief under HIPC had their debt reduced by $34 billion which is 
equivalent to only 8% of the total debts of the 52 low income countries.
(44) For Mali and Burkina Faso, an internal World Bank-IMF report 
projects that debt service payments will actually increase after debt 
relief under HIPC.(45) As Jubilee 2000 put it, "The HIPC is failing 
because it is a creditor-controlled process, designed to limit creditor 
losses, while increasing creditor leverage over HIPC countries. Its 
objective is not debt sustainability for poor countries, but rather to 
limit losses for rich countries."(46) 

PRSPs

In another attempt at repackaging structural adjustment, the World 
Bank and the IMF introduced Poverty Reduction Support Papers (PRSPs) in 
2000 which were supposed to transform SAPs into poverty reduction 
programs established by national governments who would consult with 
civil society in writing the PRSPs. However, country experiences with 
PRSPs show that the essence of SAPs has not changed; SAP orthodoxy is 
being grafted on top of PRSPs. This is confirmed by John Page of the 
World Bank who explained: "The PRSP is a compulsory process wherein the 
people with the money tell the people without the money what to do to 
get the money."(47) A recent report on the PRSP process in Uganda found 
that "Ugandan NGOs were invited to provide input on the development of 
the poverty-reduction goals, but not on the nature of the policies to 
achieve those goals." The IMF publicly claimed that "key macroeconomic 
policies, including targets for growth and inflation, and the thrust of 
fiscal, monetary, and external policies, as well as structural policies 
to accelerate growth, [would be] subjects for public consultation;" 
these consultations, however never took place in Uganda. The PRSP loan 
policies "were determined by the IMF and World Bank representatives in 
consultation with small technical teams within the Ministry of Finance 
and the Central Bank." (48) The Case of Uganda, April 2002, pp. 4-5. 



ZIMBABWE 

During the 1980s, Zimbabwe's economic growth rate averaged about 4% a 
year. It's exports were increasingly manufactured goods, debts were 
regularly repaid, food security was attained, and education and health 
services were greatly expanded by major increases in government 
spending. Consequently, the infant mortality rate fell from 100 per 
1,000 births to 50 between 1980 and 1988 and life expectancy increased 
from 56 to 64 years. Primary school enrollment doubled.(49)

Zimbabwe implemented structural adjustment in 1991 when it signed an 
agreement with the IMF in exchange for a $484 million loan. The 
government turned to the Fund in an effort to "jump start economic 
growth" after several years of economic stagnation. The IMF's SAP for 
Zimbabwe required reducing trade tariffs and import duties, eliminating 
foreign currency controls, removing protections for the manufacturing 
sector, deregulating the labour market, lowering the minimum wage, 
ending employment security, cutting the fiscal deficit, reducing the 
tax rate and deregulating financial markets.(50) These measures brought 
"massive closings of companies," leading to increased poverty and 
unemployment. The Zimbabwean economy went into recession in 1992 when 
real GDP fell by nearly 8%. Twenty-five percent of public workers were 
laid off and unemployment reached between 35% and 50% in 1997. By 1999, 
68% of the population was living on less than $2 a day and with the 
collapse of wages many workers lived far below the poverty line.(51)

Manufacturing production "has been the main victim of liberalization 
policies" it's share of the GDP falling to 16% during the 1990s for the 
first time since 1960, compared to an average of 25% during 1970-1990. 
Manufacturing output declined more than 20% between 1991 and 2000 due 
to high interest rates and the cost of foreign currency. The sector has 
stagnated since the introduction of the SAP and the loosening of import 
controls, and the 1990-97 period has been characterized by "a lack of 
industrial development."(52) Zimbabwe's real GDP per capita fell by 
5.8% during 1991-1996 and total private investment fell by 9% between 
1991-96. During the same period, private per capita consumption dropped 
by 37%. "This alone transformed the group of those who lost from the 
reforms from a minority to a majority."(53) Employment growth in 
manufacturing fell from 3% during 1985-1990 to -3% in 1999-2000.(54) 
Real wages declined by 26% between 1991-96 to the point where even 
those with full-time jobs were no longer guaranteed a living wage; food 
prices rose faster than other consumer prices, having the greatest 
impact on the rural poor.(55)

Farmers have been hurt by high interest rates, the removal of 
subsidies on agricultural inputs and a reduction of government spending 
on roads and transport systems. The price of fertilizer has shot up 
300% in five years leading to the drastic reduction of acreage under 
cultivation. Trade liberalization has resulted in a shortfall in maize 
production (required for human consumption and livestock feed) which 
experienced a persistent surplus before 1991. (56)

The IMF required that Zimbabwe reduce non-interest expenditures by 
46%. Though the government never met this incredible target, health 
care spending under the SAP fell to to 4.3% of the budget in 1996 from 
6.4% in 1990. The per capita budget for health care fell from U.S.$22 
in 1990 to U.S.$11 in 1996. As the SAPRIN study states "[Zimbabwe's] 
public health budget is not enough to meet health needs. The per capita 
budget has fallen since 1991 to a level where it does not even pay for 
prevention, clinics and district hospital costs per capita." Education 
spending also declined significantly under the SAP by 36% and 25% 
respectively for primary and secondary education between 1990-94. 
Teachers' wages fell by at least 26% during 1990-93.(57)

The establishment of user fees for health care services led to 
dramatic cost increases for patients "in some cases exceeding 1000%." 
This has resulted in "a serious negative impact on the utilization of 
health care services in both rural and urban areas particularly for the 
poor." The drop in health care spending has caused a 30% decline in the 
quality of health care services. Twice as many women were dying in 
childbirth in Harare hospitals in 1993 than before 1990. High rates of 
stunting and wasting in children under five were found in 1998 
especially in rural areas. Infant and child mortality rates have also 
been increasing and life expectancy at birth has dropped from 61 to 48 
years. By 1995, the number of cases of tuberculosis had quadrupled. As 
a Harare newspaper put it, "In the context where the HIV/AIDS pandemic 
is claiming 1,700 people a week....the deplorable state of the health 
delivery system could be seen as a bombshell of seismic proportions." 
One fourth of Zimbabwe's population is infected with HIV/AIDS.(58)

The IMF's fiscal demands have thus created a health care crisis in 
Zimbabwe and reversed "the previous trend of improving health outcomes."
(59)

Similarly, the introduction of user fees in education has "led to a 
dramatic increase in dropout rates." By 2000, only 70% of children 
completing primary school were going on to secondary school and the 
fourth and final year of lower secondary school had an average dropout 
rate of 92% for males and 93.4% for females during 1990-97.(60)

SAPs emphasize export-led growth in order to generate foreign currency 
to reduce debt. However, trade liberalization in Zimbabwe's case (and 
that of many other countries) has led to imports growing more than 
exports; this has raised trade and current-account deficits thereby 
significantly increasing the country's debt burden.(61) Overall, 
structural adjustment in Zimbabwe has gutted an economy making rapid 
progress before 1991. The SAP has destroyed Zimbabwe's productive 
capacity(62) causing massive unemployment and poverty; the reforms have 
further impoverished Zimbabweans by denying them access to health care 
and education.



GHANA

Structural adjustment has had a similar impact on Ghana where it was 
first implemented in 1983 under a military government. Seen as a "star 
pupil" by the World Bank and the IMF, Ghana privatized more than 130 
state enterprises(63) including the mining sector (its main source of 
revenue), removed tariff barriers and exchange regulations and ended 
subsidies for health and education. As a result 20% of Ghanaians are 
unemployed and the cost of food and services has gone beyond the reach 
of the poor.(64) GDP per capita was lower in 1998 ($390) than it was in 
1975 ($411); 78.4% of Ghanaians live on $1 a day and 40% live below the 
poverty line; 75% have no access to health services and 68% none to 
sanitation.(65) As with Zimbabwe, the World Bank's emphasis on export 
expansion to reduce debt has only increased Ghana's external debt from 
$1.4 billion in 1980 to $7 billion in 1999. This has made Ghana subject 
to the World Bank's Highly Indebted Poor Countries (HIPC) initiative.
(66)

In agriculture, Ghana used to be self sufficient in rice but the World 
Bank insisted that subsidies had to stop and markets had to open. As a 
result, the Katanga valley, once Ghana's rice bowl now lies fallow and 
U.S. rice has become the staple for Ghanaians. Why is this? Because U.
S. rice is subsidised and therefore cheaper than that grown in Ghana.
(67)

The introduction of user fees for health care in 1985 combined with 
falling wages and increasing poverty has reduced out-patient attendance 
at hospitals by a third especially in rural areas. As one observer put 
it, "Patients pay for everything - for surgery, drugs, blood, scalpel, 
even the cotton wool." This is what the World Bank calls "full cost 
recovery" and it has priced the poor out of hospital care. Those who 
use services and cannot afford to pay such as Betty Krampa, who gave 
birth in Tarkwa General Hospital, are kept prisoner until the fees are 
collected.(68) User fees in education have raised the primary school 
drop-out rate to 40%. Sharp fee rises at the secondary and again at the 
college level have led to only one in 400 Ghanaians being enrolled at 
post secondary institutions. As the SAPRIN study notes, "User fees have 
led to increasing inequalities both between and within communities as 
the poor are left behind."(69)

Ghana's SAP experience has been particularly damaging in the areas of 
mining sector reform and privatization of water. Gold mining is Ghana's 
main source of revenue and foreign exchange. In 1998, gold exports 
totalled $793 million which was 46% of gross foreign exchange earnings.
(70) Under the SAP, beginning in 1986, there has been massive 
privatization of the mining sector accompanied by generous incentives 
for companies which include the repatriation of up to 95% of their 
profits into foreign accounts and the ending of income tax and duties. 
Environmental regulation has been minimized. Such a favourable 
investment climate has attracted multinational corporations and boosted 
production. Seventy to eighty-five percent of the large-scale mining 
industry is now foreign owned (the government owned 55% of all mining 
companies before 1986) with more than half the 200 active concessions 
belonging at least in part to Canadian companies. Ghana is now Africa's 
second largest producer of gold after South Africa and gold constitutes 
more than 90% of the total value of minerals output. Gold production 
reached a record high in 1995 and has since gone up by a further 45%.
(71)

All this has, however, not benefited the Ghanaian economy and people. 
As the SAPRIN study states: "liberalization, deregulation and 
privatization of the mining sector have enabled transnational 
corporations to remove resources and profits from poor countries while 
failing to generate sustainable economic growth that is of net benefit 
to national or local economies." Due to the tax breaks and incentives 
given to foreign companies, mining's net foreign exchange contribution 
to Ghana's economy has been minimal. The sector's contribution to 
government revenue has also been small at 14.4% in 1995. Mining's 
ability to generate employment is also limited given that all 
operations are of the surface-mining kind which is capital-intensive. 
The sector employs about 20,000 people but privatization and the 
decline in commodity prices has led to cost-cutting which has meant 
massive layoffs; many mines substantially reduced their labour force 
particularly during 1997-2000. At the same time mining has caused high 
unemployment in surrounding communities by taking away large tracts of 
land from farmers and not providing enough jobs to make up for the 
number of people laid off from agriculture.(72)

The district of Tarkwa which contains half of Ghana's large mines 
shows the enormous social and environmental impact of the gold boom. 
Mining here displaced 30,000 people during 1990-98, contaminated rivers 
and streams and destroyed farm and forest lands. Two-thirds of the land 
in Tarkwa has been sold off to multinationals with minimal compensation 
to local owners. The dislocation effects "every aspect of the social 
fabric" and has led to high levels of prostitution, a rise in the 
incidence of AIDS, family disorganization and unemployment as people 
lose their farms. The police have intervened when people have refused 
to leave and demanded fair compensation from the company for their lost 
land, crops and home. In December 1999, police shot and wounded nine 
people during demonstrations against the lay off of 1,000 workers by 
Goldfields (Ghana) Limited (18.9% owned by IAMGOLD Corporation of 
Toronto). (73)

Air and water pollution stemming from mining operations in Tarkwa have 
spread malaria, tuberculosis, silicosis, acute conjunctivitis and skin 
diseases. The mines use cyanide heap leach technology which involves 
spraying cyanide on ore to extract gold. The dams used to hold the 
cyanide in tend to fail. In June 1996, a spill at Teberebie Goldfields 
sent 36 million litres of cyanide solution into the Angonaben stream, a 
tributary of the Bonsa River. Cocoa crops and fish ponds were destroyed 
and local people complained of rashes. The affected farmers sued the 
company for compensation in 1997 and the case continues.(74)

Not satisfied with mining's destruction of forestry, the World Bank 
has pushed the government to intensify commercial forestry. Timber 
production more than doubled between 1984 and 1987, speeding up the 
destruction of Ghana's already diminished forest cover, which is now 25 
percent of its original size. Ghana is expected to soon become a net 
importer of wood from being a net exporter.(75)

The SAP has denied Ghanaians not only their most lucrative resource 
but also their most basic and necessary one: water. The World Bank has 
decreed the privatization of Ghana's water supply for the purpose of 
"increased cost recovery" (as with health care and education) arguing 
that a debt-laden government should not subsidize water and sanitation 
(never mind that many industrialized countries do). Instead, consumers 
will have to cover the costs of operating, maintaining and expanding 
water services. This will mean higher water rates for people who have 
already been made amongst the poorest in the world by the World Bank's 
SAP. Thirty-five percent of Ghanaians lack access to safe water; poor 
and very poor households who have no water pipes laid to their 
residence make up 50 to 70% of Accra's (Ghana's capital) population. 
These households buy water or get it from untreated hand-dug wells. As 
Rudolf Amenga-Etego of the Integrated Social Development Centre in 
Ghana explained: "Most people in Accra do not earn the minimum wage 
[5,000 cedis a day] and a significant number have no regular 
employment. An average price for a bucket of water which used to be 400 
cedis rose to 800 cedis following an over 100% increase in water and 
electricity tariffs announced on April 20, 2001. Privatization is 
expected to increase water tariffs even further. The current water 
tariff rates that the government of Ghana and the World Bank think are 
below the market rate are already beyond the means of most of the 
population. So how will the population possibly be able to absorb a so-
called "open market" price in the context of privatization?...As water 
becomes less affordable, it is highly likely that there will be a 
corresponding increase in diseases stemming from reduced access to 
clean water."(76)

The water privatization process in Ghana has been marred by scandal 
and accusations of corruption. In 2000, the government awarded the 
contract to Enron/Azurix, a consortium of British and American 
companies. Enron, the biggest bankruptcy in U.S. history, is now of 
course a byword for fraud and corruption. The contract had to be 
withdrawn due to public protest in reaction to allegations that a $5 
million kickback had been paid to the Minister of Works and Housing. 
The bidding process was started again but remained untransparent. Two 
of the corporations bidding for the water service, Lyonnaise des Eaux 
and Bouygues/Saur have annual sales larger than Ghana's GDP which 
limits government influence over them. Both these companies have been 
dogged by corruption scandals in France and Lesotho.(77) Joseph 
Stiglitz, former Chief Economist at the World Bank, called 
privatization, "briberization." He spoke of "national leaders told to 
sell their countries' water and electricity companies, who were keen to 
get commissions paid into Swiss bank accounts." As he put it, "You 
could see their eyes widen" at the prospect and "objections to selling 
off state industries were silenced."(78)

Clearly, the World Bank's structural adjustment of Ghana is a textbook 
example of how to ruin a country. The ruthless denial of mineral 
wealth, food, medical care, education and even water has made the 
population destitute spectators to the plunder of Ghana by foreigners.



COTE D'IVOIRE 

After two decades of economic growth starting in 1960, Cote d'Ivoire 
experienced economic decline in the 1980s due to falling world prices 
for coffee and cocoa, its main exports. The country came under World 
Bank/IMF structural adjustment in 1989. Under the SAP, Cote d'Ivoire 
was required to cut government spending by 30%, capital expenditures by 
15%, increase taxes, privatize state enterprises, deregulate the labour 
market, reduce the civil service, eliminate price controls, devalue the 
currency.and enact trade and financial reforms.(79) 

As one observer put it, "the social impact of IMF structural 
adjustment on Cote d'Ivoire was severe." During 1989-1993, per capita 
GDP fell by 15%. "Between 1988-1995, the incidence and intensity of 
poverty doubled, with the number of people earning less than $1 a day 
increasing from 17.8% of the population to 36.8%. In the largest city, 
Abidjan, the rate of urban poverty rose from 5% to 20% between 1993 and 
1995. During 1990-1995, public spending on education fell by more than 
35% and that on health fell slightly. By 1995, only 45% of girls from 
the poorest quintile of households were getting primary education. The 
enrollment rate at the secondary level fell from 34% to 31% between 
1986 and 1995. After user fees were mandated for the public health care 
system by the IMF in 1991, many health problems deteriorated. The 
incidence of stunted growth in children shot up from 20% in 1988 to 35% 
in 1995. A study of the SAP carried out by Harvard University concluded 
that "the required reductions in public expenditures were imposed on a 
system which was already failing to meet basic social needs." As with 
Zimbabwe and Ghana, structural adjustment only increased Cote 
d'Ivoire's external debt which grew by $3.7 billion during 1989-1991. 
According to the Harvard study, Cote d'Ivoire's external debt increased 
from 132.4% to 210.8% of GDP.(80)

A horrendous consequence of increased poverty in both Cote d'Ivoire 
and Ghana has been the encouragement of widespread child slavery. Cote 
d'Ivoire is the world's leading cocoa producer with 40 percent of 
global output and Ghana ranks second. Those who own the countries' 
large cocoa plantations use children to clear land for the planting of 
cocoa trees, and for weeding and harvesting crops. The boys and girls 
who are as young as 7 years are unpaid or paid "pitiful amounts." Cocoa 
is used to make chocolate and also in the beverage industry. According 
to a documentary produced by Channel Four in England, 90% of the cocoa 
farms in Cote d'Ivoire use child slave labour which harvests most of 
the cocoa imported into England from there.(81)

Working conditions for the children have been described as "akin to 
hell." They include twenty hour work days (seven days a week), 
malnutrition, the threat of physical, psychological and sexual abuse as 
well as poisoning by chemicals. The story of 'ID' (which he related 
when he was 15) is typical: "Our day began at 5 am. Carrying heavy 
tools on our head, we had to walk six kilometres through mud and stones 
in bare feet to reach the fields. By the time we reached them we were 
soaked through and exhausted. Once we arrived the overseer showed us 
the area we each had to plant before the day's end. We were afraid of 
what he would do to us if we could not finish the work. This threat and 
the threat of being denied food if we could not finish in time forced 
us to work quickly. The work was hard and bending all day gave us back 
pains. If we were ill and couldn't work we were afraid that we would be 
tortured to death. One day I witnessed two of my colleagues being 
tortured for trying to escape. They became seriously ill and died."(82)

The children's parents are compelled by poverty to sell them to 
middlemen for as low as $10. The World Bank agrees with UNICEF and the 
ILO that poverty is the main cause for this trafficking in children.
(83) According to Anti-Slavery International, "slavery... needs to be 
tackled at its source. Poverty and the lack of education and health 
care are central to child trafficking's existence."(84) Thus, by 
doubling poverty levels and reducing public access to health care and 
education in Cote d'Ivoire and Ghana, the World Bank has literally 
transformed debt into slavery confirming the statement made by the All-
African Conference of Churches.



--------------------------------------------------------------------------------



CONCLUSION: ALTERNATIVE STRATEGIES 

Twenty years of World Bank and IMF SAPs have de-developed Africa and 
left it in a state of economic and social collapse. The destructive 
effect of these two institutions cannot be over-emphasized. The 
elimination of the Bank and the Fund along with the end of SAPs is a 
prerequisite for any kind of progress. This needs to be followed by the 
total cancellation of Africa's debt. However, the World Bank and the 
IMF are not the main problem; they are merely instruments for the 
imposition of a U.S. imperial design upon Africa and the rest of the 
Third World. Thus in the guise of economic measures, Africa is faced 
with a political strategy to recolonize it and therefore must firstly 
come up with a political answer. For this the continent needs to draw 
upon its anti-imperialist revolutionary tradition personified by 
leaders and thinkers such as Patrice Lumumba, Samora Machel, Thomas 
Sankara, Kwame Nkrumah, Steven Biko, Frantz Fanon and Julius Nyerere. 
Sankara, the late President of Burkina Faso, was overthrown and 
assassinated in a military coup after refusing to pay his country's 
debt. Shortly before his murder he stated in a speech at the 
Organization of African Unity (OAU) Summit in 1986: 

The Debt problem needs to be analysed starting from its origins. Those 
who lent money to us are the same people who colonised us, are the same 
who so long managed our states and our economies; they indebted Afrika 
with `donations' of money. We were not involved in the creation of this 
Debt, so we should not pay it. 

The Debt, moreover, is linked to the machinery of neo-colonialism: the 
colonisers became technical assistants; I would call them technical 
assassins; and they suggested, recommended to us the financiers; they 
told us about the financial advantages. That is why we indebted 
ourselves for decades and renounced the satisfaction of our people's 
needs. In today's shape, controlled and dominated by imperialism, the 
foreign Debt is a well-organised tool of colonial re-conquest: in order 
to make the Afrikan economy a slave of those who were so clever as to 
give us capital with the obligation of reimbursing them. We are asked 
to reimburse our Debt. But if we do not pay, the capital lenders will 
not die; if we pay, we will die. We cannot pay; and we don't want to 
pay. 

We are not responsible for the Debt burden. We have already paid a lot 
of the Debt. We are asked to co-operate in researching balance 
mechanisms: balance in favour of those who own the financial 
institutions and use the power against the peoples. We cannot be 
accomplices. The Paris Club is there; let's create the Addis Ababa Club 
for cancelling our foreign Debt. Our Club should say: our Debt will not 
be paid. Don't think it is a proposal made only by young people like 
us. Mrs. Bruntland said Afrikan countries cannot pay, as did Mr. 
Mitterand and Fidel Castro. ... we should explain in other conferences 
that we cannot pay. We must be united, otherwise, individually we will 
be murdered. Avoiding Debt repayment is a condicio sine qua non to 
allow us to free resources for our development.(85)

Only a revolutionary, anti-imperialist African leadership can 
implement alternative development strategies at the national level. 
These leaders would need to be united on a continental basis in their 
refusal to pay the debt as Sankara emphasized. Their developmental 
agenda would need to include:

(A) Participation:
There is a crucial need for governments to consult their poor 
majorities, so damaged by SAPs, about the best development course to 
take; development must not remain an "elite" issue. Farmers, workers, 
women's groups and students amongst others should be engaged in 
discussion and debate and participate in setting economic policy 
according to national and regional priorities and not those set in 
Washington for the interests of rich Western countries. This will 
produce a diversity of solutions for different countries rather than 
the irrational uniformity of SAPs. Such dialogue and diversity is the 
key to successful development.

(B) Redistribution:
The first task of a radical state must be redistribution of wealth in 
order to eliminate poverty and help create a domestic market. Since 
most African countries are still largely agricultural this means large-
scale land reform. It also includes official provision of essential 
services such as education, medical care, water and electricity, free 
of charge.

(C) Promotion of Agriculture:
Land reform should increase production, and generate a surplus for 
industrialization. Cheap agricultural imports should be banned in order 
to protect farmers and farm inputs should be subsidized and credit 
provided. 

(D) An industrial strategy:
Industry should be agriculture-linked and aimed at supplying the needs 
of farmers. The increased buying power of industrial workers will in 
turn provide an expanding market for farm goods.(86) Such a strategy 
emphasizes utilizing the productive labour of a country instead of 
consigning workers and farmers to unemployment and poverty as SAPs do. 
Only the encouragement of productive activity both agricultural and 
industrial can generate jobs, income and a rising standard of living. 
This will require protecting domestic industry through high tariffs and 
import duties as well as stringent exchange controls and strict limits 
on foreign investment.

(E) Regional Integration:
This will mean one African market for the continent's manufactured 
goods which would lessen its external dependence, promote export 
diversification and lead to greater value-added of local products. 
Integration will also include setting up cartels for exports such as 
coffee and cocoa to ensure a fair price. As one observer put it "The 
new approach must also focus on the search for the continent's 
collective self-reliance on essential and strategic needs, at the 
agricultural and industrial level. For this, it is must be within 
African integration, a fundamental framework of sustainable endogenous 
development. It is a truism to say that without integration, Africa has 
no chance to develop. The vicissitudes of history have made Africa one 
of the most fragmented continents in the world. That is one of the 
essential factors for its current marginalization."(87)

(F) South-South cooperation:
Greater trade and exchanges and political coordination with the rest 
of the Third World will lessen African dependence on developed 
countries and strengthen the continent's position in relation to the 
West. The Group of 77 now contains133 countries (including many African 
ones) which make up 80% of the Earth's population. At the Group's 
summit in Havana in 2000, the delegates called for a "new Global Human 
Order" aimed at reversing the growing disparities between rich and poor 
and giving developing countries much more control over the world 
financial system. Many Third World leaders sharply criticized the World 
Bank and the IMF for stabilizing poverty.(88)

The Dakar Manifesto stressed that "The need for an approach to 
endogenous development proceeds from the basic historical fact that 
there is no "universal model", out of space and time, e.g., valid 
everywhere and at all time. Development depends on the history, culture 
and experience of a people. It cannot be a carbon copy of another 
experience, especially one based on a reductionist view of the true 
history of the people, full of abiding cultural prejudices and built on 
the domination, exploitation and looting of the resources of other 
peoples." The conference called for "a vision of development inspired 
by the values of the African political, social, cultural, economic and 
scientific Renaissance promoted by an African people's consensus. The 
fundamental values associated with this Renaissance include restoring 
confidence in Africans, rejecting all forms of exploitation and 
domination, reinforcing the culture of solidarity and the spirit of 
self-reliance, relying on the creative genius of the African people in 
order to create a new civilization of autonomous development so as to 
bring a great contribution to world civilization."(90) 



--------------------------------------------------------------------------------



ENDNOTES 

1. Halifax Initiative, "What is the G8?" p. 3; "The World Bank and the 
IMF: Walking the Talk of the G7," p. 1. 

2. Robert Naiman and Neil Watkins, "A Survey of IMF Structural 
Adjustment in Africa: Growth, Social Spending and Debt Relief," Centre 
for Economic and Policy Research (CEPR), April 1999, p. 4. 

3. SAPRIN, The Policy Roots of Economic Crisis and Poverty: A Multi-
Country Participatory Assessment of Structural Adjustment, April 2002, 
Executive Summary, p. 21. 

4. SAPRIN, Executive Summary (ES), pp.18-19, Main Report (MR), pp. 173-
74. 

5. Teresa Hayter and Catherine Watson, Aid: Rhetoric and Reality, 
London, Pluto Press, 1985, p. 66; Halifax Initiative, "The World Bank 
and the IMF: Walking the Talk of the G7," p. 3; Bernard Sanders, "The 
International Monetary Fund is Hurting You," Z Magazine, July/August 
1998, p. 94. 

6. Halifax Initiative, op.cit., p. 1. 

7. Richard Feinberg et al.,eds., Between Two Worlds: The World Bank's 
Next Decade, New Brunswick, N.J., Transaction Books, 1986, p. 2. 0. 

8. Halifax Initiative, op.cit., p. 2. 

9. Walden Bello, "The Role of the World Bank in U.S. Foreign Policy," 
Covert Action Quarterly, Winter 1991-92, p. 21. 

10. Halifax Initiative, op.cit., p. 2. 

11. Bello, Covert Action Quarterly, op.cit., p. 22. 

12. Ibid, p. 24. 

13. Susan George, A Fate Worse Than Debt, London, Penguin, 1988, p. 
46. 

14. Halifax Initiative, op.cit., p. 2. 

15. Halifax Initiative, op.cit., p. 3; George, p. 75; Richard Gwyn, 
"IMF Now Defacto Government for Millions," Toronto Star, December 19, 
1997. 

16. George, pp. 48, 51. 

17. Halifax Initiative, op.cit., p. 3. 

18. Walden Bello, Shea Cunningham, and Bill Rau, "IMF/World Bank: 
Devastation by Design," Covert Action Quarterly, Winter 1993-94, p. 
44. 

19. Halifax Initiative, op.cit., p. 3. 

20. Quoted in John Raymond, "IMF Medicine is Killing Those it Aims to 
Save," The Globe and Mail, February 7, 1991. 

21. David Schrieberg, "Dateline Latin America: The Growing Fury," 
Foreign Policy, Spring 1997, pp. 165, 173. 

22. Asad Ismi, "Plunder with a Human Face: The World Bank," Z 
Magazine, February 1998, p. 10. 

23. Raymond, The Globe and Mail, op.cit. 

24. Bernard Sanders, "The International Monetary Fund is Hurting You," 
Z Magazine, July/August 1998, p. 95. 

25. Bello, Covert Action Quarterly, Winter 1991-92, op.cit., p. 25.0. 

26. Bello, Covert Action Quarterly, Winter 1993-94, op.cit., pp. 46-
7. 

27. Bello, Covert Action Quarterly, Winter 1991-92, op.cit., p. 21. 

28. Bello, Covert Action Quarterly, Winter 1993-94, op.cit., p. 47. 

29. Naiman and Watkins, p. 20. 

30. Walden Bello and Shea Cunningham, "The World Bank & The IMF," Z 
Magazine, July 1994; Sanders, Z Magazine, op.cit., p. 95. 

31. World Bank, World Development Indicators 2001, Washington D.C., 
April 2001. 

32. World Bank, "Making Monterrey Work For Africa: New study 
highlights dwindling aid flows, mounting challenges," Press Release, 
April 10, 2002, www4.worldbank.org/afr/stats/adi2002/default.cfm ." 

33. Mark Weisbrot, Robert Naiman, and Joyce Kim, "The Emperor Has No 
Growth: Declining Economic Growth Rates in the Era of Globalization, 
CEPR, November 27, 2000, p. 8. 

34. United Nations, Development Programme (UNDP), Human Development 
Report, 2001; UN, Economic Report on Africa 1999, www.uneca.
org/eca_resources/publications/ESPD;; Remi Oyo, "Africa-Population: 
Women Want Bread and Butter Concerns Raised," Inter Press Service, 
September 9, 2001, www.iisd.ca/linkages/Cairo/ips004.html; Ismi, Z 
Magazine, p. 10; Ann-Louise Colgan, "Hazardous to Health: The World 
Bank and IMF in Africa," Africa Action Position paper, April 2002, www.
africaaction.org/action/sap0204.htm. ; James Hall, "Technology Africa: 
Poverty an Impediment to Internet Growth," July 18, 2003, Inter Press 
Service, http://www.ipsnews.net/interna.asp?idnews=19300 

35. UNDP, op.cit.; World Bank, "Making Monterrey Work For Africa...," 
op.cit.; 50 Years is Enough, op.cit.; Colgan, "Hazardous to Health," op.
cit.; Government of Canada, "Building a New Partnership for Africa's 
Development," http://g8.gc.ca/summitafrica-e.asp. 

36. 50 Years is Enough, "Africa Needs Debt Cancellation, Not More IMF 
Programs," www.50years.org/factsheets/africa.html op.cit.; Africa 
Action, "Africa's Right to Health Campaign: Debt Cancellation;" Ann-
Louise Colgan, "Africa's Debt - Africa Action Position Paper," July 
2001, www.africaaction.org/action/debt.htm; ; Kwesi Owusu, John 
Garrett, Stuart Croft, "Eye of the Needle: The Africa Debt Report (A 
Country by Country Analysis), Jubilee 2000, November 2000, www.
jubilee2000uk.org/analysis/reports/needle.htm; ;Brahima Ouedraogo, 
"Africa: NGOs Preparing for the World Social Forum," Inter Press 
Service, January 9, 2002, http://www.corpwatch.org/news/PND.jsp?
articleid=1170; ; Naiman and Watkins, p. 19; Eric Toussaint (CADTM 
COCAD,), "Debt in Sub-Saharan Africa on the Eve of the Third 
Millenium," ; Jubilee USA, "Status of Debt in Africa: 2004," www.
jubileeusa.org ; Africa Action, "Africa's Debt: Fueling the Fire of 
AIDS," http://www.africaaction.org/action/debt2003.pdf ; "Africa's Debt 
and Iraq's Debt: Washington's Double Standard," April 21, 2004, www.
africaaction.org 

37. Colgan, "Hazardous to Health," op.cit.; 50 Years is Enough, op.
cit.; Government of Canada, op.cit. 

38. Colgan, "Hazardous to Health," op.cit.; Alex Kirby, "Water 'key to 
ending Africa's poverty,'" BBC News, April 10, 2002, 

39. Africa Action, "Africa's Right to Health Campaign: Background 
Links on Africa's Health," op.cit. 

40. Oxfam Briefing Paper no. 19 

41. UNDP, op.cit. 

42. Government of Canada, op.cit. 

43. Mark Lynas, "Letter from Zambia," The Nation, February 14, 2000. 

44. Halifax Initiative, "What is Our Position in Regards to the World 
Bank," p. 6. 

45. Naiman and Watkins, p. 9. 

46. Jubilee 2000, "Progress Report on HIPC - Debt Relief for the 
Poorest Countries," 29 October, 2001, www.jubilee2000uk.
org/databank/Briefings/HIPC301001.htm. 

47. Halifax Initiative, "What is Our Position in Regards to the World 
Bank, p. 6. 

48. Warren Nyamugasira and Rick Rowden, New Strategies, Old Loan 
Conditions: Do the New IMF and World Bank Loans Support Countries' 
Poverty Reduction Strategies?: 

49. Naiman and Watkins, p. 9. 

50. SAPRIN,(MR) p. 33; Naiman and Watkins, , p. 10.0. 

51. SAPRIN (MR), pp. 78-80, 83; Naiman and Watkins, p. 10. 

52. SAPRIN, (ES), p. 4, 42, 51. 

53. Naiman and Watkins, p. 10. 

54. SAPRIN (ES), p. 8. 

55. SAPRIN (MR), p. 87; Naiman and Watkins, p. 10. 

56. SAPRIN, ES, p. 14; MR, p. 114. 

57. SAPRIN, MR, p. 151; Naiman and Watkins, p. 10. 

58. SAPRIN, (MR), pp. 74, 158, 162-63; Naiman and Watkins, p. 11. 

59. Naiman and Watkins, p. 11. 

60. SAPRIN (MR), p. 157. 

61. Naiman and Watkins, p. 11; SAPRIN, (ES), p. 4. 

62. SAPRIN (ES), p. 20. 

63. Asare Kofi, "Ghana-World Bank: Star Pupil Has Second Thoughts on 
Reform," InterPress Service, February 17, 1997. ; "Water, Land and 
Labour: Impact of Privatization of Natural and Human Resources in the 
Poorest Countries, as Compelled by the World Bank and IMF," p. 6. 

64. Kofi, op.cit. 

65. Rudolf Amenga-Etego, "Water Privatization in Ghana: An Analysis of 
Government and World Bank Policies,"pp. 2, 15-16. 

66. Kofi, InterPress Service, op.cit.; Ghana Reaches Decision Point 
Under Enhanced HIPC Initiative, March 1, 2002, http://www.jubilee2000UK.
org/worldnews/africa. 

67. John Kampfner, "Ghana-Prisoner of the IMF," BBC News, November 5, 
2001, www.jubilee2000UK.org/worldnews/africa. 

68. Kampfner, BBC News, op.cit.; SAPRIN (MR), pp. 155, 158-59. 

69. SAPRIN (MR), p. 157. 

70. MiningWatch Canada, "Reality Check-The Globalization of Natural 
Resources: Mining and the World Bank/International Monetary Fund: A 
Special Focus on Ghana," July 2001., p. 3. 

71. SAPRIN (MR), pp. 131, 134; MiningWatch Canada, p. 3; Kampfner, BBC 
News, op. cit. 

72. SAPRIN (ES], p. 15; (MR), pp. 134-135; Mining Watch Canada, p. 3. 

73. MiningWatch Canada, op.cit., p. 3; Kampfner, BBC News, op.cit. 

74. MiningWatch Canada, op.cit., p. 4; SAPRIN (MR), p. 143. 

75. Bello and Cunningham, Z Magazine, op.cit. 

76. Amenga-Etego, op.cit., pp. 2, 3, 9-10. 

77. Amenga-Etego, op.cit., pp. 11, 13, 15-16; "Water, Land and 
Labour...," op.cit., p. 12. 

78. "Water, Land and Labour...," op.cit., p. 8. 

79. Naiman and Watkins, pp. 12-13. 

80. Ibid, pp. 13-14. 

81. Matthias Muindi, "The Bitter Taste of Chocolate: Child Labour in 
Cote d'Ivoire and Ghana," Africa News, July 2001, www.oneworld.
org/themes/country. 

82. Muindi, Africa News, op.cit.; Anti-Slavery International, 
"Trafficking of children in West Africa - Focus on Mali and C?
d'Ivoire," June 2001, www.antislavery.org; "Child Trafficking in West 
and Central Africa," United Nations Economic and Social Council, 
Commission on Human Rights, Sub-Commission on Prevention of 
Discrimination and Protection of Minorities Working Group on 
Contemporary Forms of Slavery, 24th Session Geneva, 23 June - 2 July 
1999. 

83. Muindi, Africa News, op.cit. 

84. "Governments Agree To Task Force on Cocoa Slavery," May 4, 2001, 
www.antislavery.org . 

85. Jubilee 2000, "Thomas Sankara, Late President of Burkina Faso on 
the Debt," www.jubilee2000uk.org/databank/profiles/burkina0802.htm. 

86. Robin Broad and John Cavanagh, "No More NICs," Foreign Policy, 
Fall 1988, pp. 99-101. 

87. The Canadian Ecumenical Jubilee Initiative, "The Dakar Manifesto: 
Africa: From Resistance to Alternatives: Dakar 2000," Dakar, Senegal | 
11-17 December 2000, www.ceji-iocj.
org/English/international/DakarManifesto(Dec00).htm#3. 

88. "Developing Countries Challenge the Rich," The Globe and Mail, 
April 15, 2000; "Third World Urges Global Human Order," Toronto Star, 
April 15, 2000. 

89. The Canadian Ecumenical Jubilee Initiative, "The Dakar Declaration 
for the Total and Unconditional Cancellation of African and Third World 
Debt; Dakar 2000: From Resistance to Alternatives," Dakar, Senegal, 11-
17 December 2000, www.ceji-iocj.
org/English/international/DakarDeclaration(Dec00).htm. 

90. The Canadian Ecumenical Jubilee Initiative, "The Dakar Manifesto," 
op.cit.M.O< 


--------------------------------------------------------------------------------

APPENDIX 
Lawrence Summers Memo (on p. 4) 

After the memo became public in February 1992, Jose Lutzenburger 
Brazil's Secretary of the Environment at the time, replied to Summers: 
"Your reasoning is perfectly logical but totally insane... Your 
thoughts [provide] a concrete example of the unbelievable alienation, 
reductionist thinking, social ruthlessness and the arrogant ignorance 
of many conventional 'economists' concerning the nature of the world we 
live in... If the World Bank keeps you as vice president it will lose 
all credibility. To me it would confirm what I often said... the best 
thing that could happen would be for the Bank to disappear." 
Lutzenburger was fired soon after writing this letter. 
 

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