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Countries Argentina Belize Bolivia Brazil Chile Colombia Costa Rica Dominica Dominican Republic Ecuador El Salvador Grenada Guatemala Guyana Haiti Honduras Jamaica Mexico Nicaragua Panama Paraguay Peru St. Kitts and Nevis St. Lucia St. Vincent and the Grenadines Suriname Trinidad and Tobago Uruguay Venezuela, República Bolivariana de |
Latin America and the Caribbean "Perhaps one of the most important aspects of our partnership with the project cofinanced by the government and the World Bank is the integration of drug users into public health interventions. The financing shows the Banks recognition of the importance of the work we do with drug users, and not just for them." Domiciano Siquiera of ABORDA, an NGO working with HIV-infected drug users in São Paulo, Brazil.
Regional Context: Improving Macroeconomic Indicators, but Inequalities Persist In 2000 most Latin American and Caribbean (LAC) economies were on the path of recovery after the shocks triggered by the 199899 crises in Asia and the Russian Federation. The regions GDP grew by 3.8 percent over the year, responding to stabilized global financial markets and 13 percent growth in world trade. Most macroeconomic indicators improved. Inflation fell or remained stable in most countries, allowing interest rates to continue falling. Unemployment dropped in Brazil, Chile, and Mexico; it remained high, however, in Argentina, Colombia, and Peru, where political problems contributed to slowing growth. Slower growth in the United States could affect prospects for the regions sustained recovery. Strong tradeat 51.5 percent of LACs GDP, nearly double the proportion of a decade agoand high oil prices eased balance of payments pressures in the region. High oil prices helped Colombia, Ecuador, Mexico, and the República Bolivariana de Venezuela but increased the burden on oil importers, particularly in Central American and Caribbean countries, which already faced price declines for their commodity exports. Oil exporters higher surpluses narrowed the regions current account deficit from $55 billion in 1999 to $47 billion in 2000about 2.5 percent of GDP. The oil price boom prompted a temporary dip in the need for foreign savings and, accordingly, a drop in net resource flows to the region. Net foreign direct investment dropped from a historic high of $90 billion in 1999 to a still significant $76 billion in 2000. Despite economic growth, about a third of the regions population still lives on less than $2 a day, and deep inequalities persist in most countries. Expanding poor peoples access to health, education, and water services remains a priority, particularly for countries hit by severe natural disasters. In addition, a continentwide trend toward decentralization of powers and responsibilities is creating an urgent need for the regions state, provincial, and municipal governments to build their capacity to deliver quality public services, especially to poor people. World Bank Assistance: Investing in People, Managing Disaster Recovery, Supporting Decentralization In fiscal 2001 the Bank helped LAC countries reduce poverty by supporting human development and disaster reconstruction programs and, in the poorest countries, providing debt relief. In the regions larger countries, it helped strengthen the public sector and reform governance systems, often to accommodate the shifting of responsibilities from central to decentralized authorities. The Bank also participated in a major multilateral effort to help Argentina address its recession by indicating readiness to commit up to $2.4 billion over 2001 and 2002 as part of a $39.7 billion IMF-backed package. Throughout the region, wide consultations with stakeholders are a priority to ensure ownershipand therefore greater sustainabilityof development efforts (box 4.8).
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Table 4.5 shows the value and sectoral distribution of total Bank lending to the Latin America and the Caribbean region in the fiscal 19922001 period. Table 8.6 (see About the World Bank) compares commitments, disbursements, and net transfers to the region for fiscal 19962001, and table 8.12 (see About the World Bank) shows operations approved in fiscal 2001, by country. Figure 4.5 shows IBRD and IDA lending by sector. Investing in people Support for investing in people is a priority in IBRD- as well as IDA-eligible countries. New Bank assistance was approved in fiscal 2001 for vulnerable childrens education and health in Colombia, basic education in Brazil and Panama, water and sanitation in Ecuador, and social protection in Argentina and Colombiaraising the Banks regional portfolio of ongoing projects in health, education, and social protection to $7.2 billion. The portfolio includes efforts to address inequalities. As part of an overall strategy to focus efforts in Brazils poorest region, for example, the Bank is supporting a government initiative to provide land and capital to about 50,000 farmers in the northeast. The Banks $2.6 billion health care portfolio in LAC includes Mexicos five-year-old program to expand health-care coverage; 8.1 million poor people, mostly in small communities with no previous coverage, now have access. In the Caribbean, the Bank is helping attack the worlds highest HIV prevalence rate outside Sub-Saharan Africa, with a $155 million program to support HIV/AIDS prevention and treatment programs in several countries, starting with Barbados and the Dominican Republic. Support for Brazils efforts to curb the spread of HIV/AIDS has yielded good results, with a halving in the number of such deaths since 1993 (box 4.9). The Bank has provided over $2.0 billion since 1998 to improve education for poor people, with projects ranging from primary education in rural areas of Brazil, El Salvador, and Nicaragua, to post-secondary student loan programs in Mexico. In El Salvador, three loans totaling $148 million have supported a community-managed schools program (EDUCO) to strengthen preschool and primary education, as well as a program for secondary education. EDUCO, which brought schools and teachers to many poor rural areas for the first time, has raised the countrys primary enrollment to almost 85 percent, up from 78 percent in 1996. The EDUCO model has been used to develop similar projects in Guatemala and Honduras, also with Bank support. In some of LACs poorest countries, debt relief and effective poverty reduction strategy go together. In Bolivia, Guyana, Honduras, and Nicaragua, governmentsin consultation with civil societyare developing strategies to halve poverty by 2015. The Poverty Reduction Strategy Papers coincide with debt reduction provided under the enhanced Heavily Indebted Poor Countries Initiative, supported by the Bank and the IMF. In fiscal 2001 Guyana, Honduras, and Nicaragua joined Bolivia in obtaining required Bank agreement to start receiving reductions in their external debt. The agreements will reduce, over time and from all creditors, Nicaraguas debt service by $4.5 billion, Hondurass by $900 million, and Guyanas by $590 million, in addition to the $1.3 billion debt service reduction for Bolivia approved in fiscal 2000. Supporting natural disaster recovery and preparedness Recovery from natural disasters remained a high priority in Central America. The Bank helped Belize, Honduras, and Nicaragua continue to rebuild after the devastation of Hurricane Mitch in 1998. In El Salvador, $33 million in education loans were reprogrammed to finance reconstruction of schools damaged in the two earthquakes of January and February 2001. The Bank is also supporting prevention efforts in Dominica, Grenada, Mexico, St. Kitts and Nevis, St. Lucia, and St. Vincent and the Grenadines to reduce loss of life and material damage caused by natural disasters. A $60 million credit to Honduras will support a fifth phase of the Social Investment Fund, which has provided grants for reconstruction, as well as drinking water and sanitation systems, roads, schools, and health centers for the poor. In Colombia the Bank is helping to alleviate the impact of economic crisis by supporting a workfare program and conditional cash transfers to help poor families keep children in school and maintain access to health and nutrition services. Strengthening the public sector Lending to subnational governments emerged as a major new Bank activity in LAC in 2001. The Bank is helping Argentinas Catamarca and Córdoba provinces, for example, to reform public finance and administration to ensure that decentralized health care, education, and public safety services are of high quality and accessible to the poor. In Mexico, the Bank has supported the federal governments efforts to facilitate structural reforms in the countrys states, including a $505 million fast-disbursing loan to the Estado de México (the countrys largest state) in fiscal 2001. Support to Mexico has included a study of the challenges inherent in devolving responsibilities to state and municipal governments, including analysis of taxation, transfer payments, and dispute settlement mechanisms. Two projects are helping Brazils state governments in Bahia and Ceará improve basic education systems. Also in Brazil, the Bank is supporting the governments fiscal stability program with a $758 million loan focused on fiscal discipline by states and municipalities, federal debt management, and public expenditure management.
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