Mail & Guardian (Johannesburg) - July 11, 2003

The UN's annual human development report charted increasing poverty for more than a quarter of the world's countries, where a lethal combination of famine, HIV/Aids, conflict and failed economic policies have turned back the clock.

Highlighting the setbacks endured by sub-Saharan Africa and the nations that emerged from the break up of the Soviet Union at the end of the Cold War, the UN called for urgent action to meet its millennium development goals for 2015. These include: halving the number of people living on less than a dollar a day; a two-thirds drop in mortality for children under five; universal primary education and halving the number of people without access to safe drinking water and improved sanitation.

The report said the 1990s had seen a drop from 30% to 23% in the number of people globally living on less than a dollar a day, but the improvement had largely been the result of progress in China and India - the world's two most populous countries.

Despite some sporadic successes there was little hope of Africa meeting the UN's 2015 goals. On current trends it would be 2147 before the poorest countries on the poorest continent halved poverty and 2165 before child mortality was cut by two-thirds. Thirty of the 34 countries classified by the UN as "low human development" are in sub-Saharan Africa.

Taking issue with those who argue that the "tough love" policies of the past two decades have spawned the growth of a new global middle class, the report says the world became ever more divided between the super-rich and the desperately poor.

The richest 1% of the world's population (about 60-million) now receive as much income as the poorest 57%, while the income of the richest 25-million Americans is the equivalent of that of almost two-billion of the world's poorest people.

In Norway, top of the UN's league table for human development, life expectancy at birth is 78,7 years, there is 100% literacy and annual income is just under $30 000. At the other end of the scale, a newborn child in Sierra Leone will be lucky to reach its 35th birthday, has a two in three chance of growing up illiterate and is likely to have an income of $470 a year.

Overall human development, measured by the UN as an amalgam of income, life expectancy and literacy, fell in 21 countries during the 1990s. By contrast, only four countries suffered a similar fate in the 1980s.

"Though average incomes have risen and fallen over time, human development has historically shown sustained improvement ... But the 1990s saw unprecedented stagnation, with the human development index falling in 21 countries," the report said. "Much of the decline in the 1990s can be traced to the spread of HIV/Aids, which lowered life expectancies, and to a collapse in incomes, particularly in the commonwealth of independent states."

The UN said the events of September 11 had created a "genuine consensus" that poverty was the world's problem, but urged the West to abandon the one-size-fits-all liberalisation agenda foisted on poor nations.

Mark Malloch-Brown, administrator of the UN development programme, said many countries in Africa and Latin America held up as examples of how to kick-start development were among the stragglers in the global economy.

"There are structural restraints on development. Market reforms are not enough. You can't just liberalise; you need an interventionist strategy," he said.

The report added: "Over the past 20 years too much development thinking and practice have confused market-based economic growth with laissez faire."

The West needed to tear down trade barriers, dismantle its lavish subsidy regimes, provide deeper debt relief and double aid from $50-billion to $100-billion a year. This would provide the resources for investment in development - health, education, clean water and roads.

"Poor countries cannot afford to wait until they are wealthy before they invest in their people," said Jeffrey Sachs, special adviser to Kofi Annan on the UN millennium development goals.

Economic growth alone would not rescue the world from poverty, the report said. "Without addressing issues like malnutrition and illiteracy that are both causes and symptoms of poverty, the goals will not be met. The statistics today are shaming: more than 13-million children have died through diarrhoeal disease in the past decade. Each year, over half a million women, one for every minute of the day, die in pregnancy and childbirth. More than 800 million suffer from malnutrition."Matthew Lockwood, head of British NGO ActionAid, said: "Leaders, in rich and poor countries alike, are not taking poverty seriously enough. You don't solve this problem by making the leaders of poor countries accountable to their rich-country counterparts. They need to be accountable to their own citizens. Poor people must have a voice." - - Guardian Newspapers 2003

030711
MG030710

Always watch for outdated information. This article first appeared in 2003. This material is designed to support, not replace, the relationship that exists between you and your doctor.

AEGiS presents published material, reprinted with permission and neither endorses nor opposes any material. All information contained on this website, including information relating to health conditions, products, and treatments, is for informational purposes only. It is often presented in summary or aggregate form. It is not meant to be a substitute for the advice provided by your own physician or other medical professionals. Always discuss treatment options with a doctor who specializes in treating HIV.

Copyright ©1980, 2003. AEGiS. All materials appearing on AEGiS are protected by copyright as a collective work or compilation under U.S. copyright and other laws and are the property of AEGiS, or the party credited as the provider of the content. .