文档介绍：SEPTEMBER 24, 2002

WORLD DEVELOPMENT REPORT 2004

MAKING SERVICES WORK FOR POOR PEOPLE
Introduction to the Outline of the World Development Report 2004,
“Making Services Work for Poor People”

Why is freedom from illness and illiteracy—two ways poor people say the escape
from poverty can be most meaningful—denied to so many? Health and education
es depend on many factors, but effective delivery of basic services, such as
education, health, water and sanitation, is clearly one of them. These services have often
failed poor people. Where societies have improved services, it has usually been because
poor people or their advocates—the clients—have played an active role. Learning from
failures and esses, the 2004 World Development Report seeks to understand how
health, education, water, and sanitation services—services that have a direct impact on
improving health and education es—can be made to work for poor people.

Health and education es depend, among other things, on the es of
the poor, choices households make, and technological change. Economic growth alone
will not be enough to reach the Millennium Development Goals, especially those for
health, nutrition, education, gender equality and environmental sustainability. Spending
more money—badly needed in many parts of the world—will also not be enough. Public
funds are often spent on the wrong services and people; are sucked away by corruption;
and, when they are not, reach teachers and health workers mired in a system where they
have little incentive to do their jobs. In many countries, teachers are absent 50 percent of
the time.

Governments, societies, and donors can—and should—change this. To do so will
require a shift in the way we think about services. The traditional mode of service
delivery, where a centralized public agency provided the service with little involvement
of the client, has been extremely