IFI governance

Background

The WBG’s investments in private healthcare provision: What implications for the right to health?

12 April 2022

Summary: While an important part of the WBG strategy to respond to Covid-19 consists in mobilizing private investment, private healthcare services pose challenges for equitable access. The session will present case studies showing how private sector engagement in healthcare might have negative impacts on the enjoyment of the right to health.

Moderator: James Cole, Senior Advocacy Advisor, STOPAIDS
Panelist 1: Marco Angelo, Global Health Advocate, Wemos
Panelist 2: Rossella De Falco, Programme Officer on the Right to Health, GI-ESCR
Panelist 3: Allana Kembabazi, Program Manager, Global Health Program, ISER
World Bank speaker: Andreas Seiter, Global Lead for Private Sector in the World Bank’s Health, Nutrition and Population Global Practice

James Cole

  • This panel presents three case studies of unintended consequences of private healthcare, examining how the World Bank Group has been promoting private provision and asking how private provision of healthcare can be made to work.
  • STOPAIDS’ general principles of private healthcare provision:
    • Private healthcare provision must not undermine public healthcare.
      • There is evidence that the countries that made progress towards universal health care (UHC) have generally used public funding, and that private funding for healthcare undermines UHC by taking up scarce resources.
      • Private healthcare provision has been linked to poor COVID response.
  • Further, patient-centred needs and social accountability must drive UHC, not profit and commercial interests.
  • Resources must be dedicated to building public goods and access.
  • Private sector engagement must have strong transparency and accountability mechanisms, in line with the principles of aid effectiveness.
  • It must support human rights, workers’ rights, the rights of women, girls and all marginalised groups.
  • Clear consultation and complaints processes must be established.
  • Private sector investment in health must not be promoted where there is no effective regulation of the private sector.

Marco Angelo

  • There are serious concerns over privatisation in the health sector, as privatisation generally leads to worse health inequality.
  • The IFC has a 2 billion USD portfolio in health care companies in emerging markets, but it is hard to have an overview of what it does in health, and it is unclear if this changed under COVID.
  • Wemos looked at the IFC database and selected health related investments, and found that investment increased in 2020 in both absolute and relative terms.
  • Wemos identified several main areas of investment:
    • Largest: Manufacturing and supply of healthcare products – 60%+ of funding.
    • Second largest: Private healthcare providers… clinics, hospitals, etc.
    • Then intermediary funds, that is funds that invest in the health sector, including public-private partnerships (PPPs).
  • During COVID, investment in manufacturing and supply increased the most, there was also some increase in investment in financial intermediaries. Investment in advisory projects also increased; this was technical support for PPPs, 12 were funded in last five years, to set up contracts in tendering processes.
  • Expected impacts of IFC projects:
    • The impact of manufacturing is clear – to make more medicines and medical equipment.
    • Investments in private healthcare providers were to improve quality, not access.
  • Investments in insurers and financial intermediaries were to further economic development.
  • Only one healthcare-related project mentioned improved access.
  • Manufacturing capacity is badly needed; local manufacturing capacity gives a national healthcare system more resilience, eg: during the pandemic.
  • The World Health Organisation (WHO) makes evidence-based recommendations that say private healthcare can be an obstacle to UHC, and should not be promoted.
  • In investing in private healthcare, the IFC sets an example to other investors.
    • It is estimated that half of investments in healthcare providers cater for upper or upper middle income populations, and this poses problems for health equity.
    • The IFC continues to support PPPs in the health sector through its advisory services.
    • Investment in financial intermediates affects transparency for all IFC projects; their investments not disclosed to the public or not immediately available;

Rossella De Falco

  • GI-ESCR has produced two reports, on COVID response in Nigeria and Kenya.
  • Patients or customers? Impact of commercialisation of healthcare on the right to health during the Covid 19 pandemic in Kenya and Nigeria.
  • The right to health framework on private actors in healthcare was developed to assess impact.
  • States have to protect the right to health even when a third party like a private company is involved; private healthcare should not undermine the right to health or the accessibility of healthcare.

Nigeria:

  • First case of COVID-19 was in Feb 2020. Though the right to health is legally well protected in Nigeria, the country has struggled to cope with the pandemic.
  • Many factors contributed to this failure, but among them was the large role of the private sector in delivery and governance.
  • Until the 1980s, healthcare was mostly provided by the public sector; then user fees were introduced, and then a series of health policies that encouraged private sector involvement in healthcare in the country. The National Health Insurance scheme is a de facto PPP and is skewed in favour or private providers.
  • The result is that Nigeria, one of most developed countries in Africa in terms of income per capita; but it is one of most commercialised in terms of healthcare. 76% of all heath expenditure from individual out of pocket payments in 2018.
  • Outcomes: the report’s findings:
    • The focus on developing the private healthcare sector has led to disinvestment in quality healthcare for all; there is a notable lack of specialised staff and equipment.
    • Nigeria is far below what the WHO recommends in terms of healthcare capacity, and has encouraged the growth of commercial healthcare at the expense of the public system. There is a two-tier system to the advantage of those who pay and have access to information and other assorted socioeconomic advantages. They get access to first class services, but the poor and rural population is left with poor resources and poor-quality facilities. The best healthcare facilities are located in the richer south; northern populations mostly rely on public services. There is a similar geographical trend in education. The rich look for treatment at private facilities, the poor at public facilities; this is a double standard. There is de facto discrimination on access to the right to health based on wealth.
  • There is a general lack of quality and accountability in the healthcare sector, and it is not always true that private healthcare always better than public. In the private sector, there is less compliance with medical standards and ethics and informed choice in comparison to the public sector. The private sector not effectively monitored, and many private clinics are unsafe and unregulated, especially in urban clinics.
  • Obtaining a COVID test was hard for poor people, private labs were the only option for many, but they were expensive – and some private clinics used expired reagents for tests, gave fake tests.
  • The study conducted interviews in urban sectors of Lagos.
  • The 1999 constitution guarantees the right to adequate healthcare.
  • The 2001 Abjua Declaration, AU states committed to spending 15% of their budgets on healthcare. [Note: Nigeria’s current expenditure is far lower]
  • Support for private provision of healthcare in Nigeria should be reversed. Concrete steps to ensure access to public healthcare or a viable alternative should be taken, as many face serious barriers in accessing healthcare in Nigeria.

Kenya:

  • The second report on Kenya, highlighted a different context, but there are similar human rights concerns. The healthcare sector in Kenya is short of resources like ventilators, beds, etc…
  • The government backed support for commercial healthcare providers, which has gone from 32% to 43% of the sector in less than ten years (2013 -2021). The growing privatisation trend in Kenya is very concerning.
  • Not all private sector health provision is a concern; the most serious concerns are with the for-profit providers, and market models, because health is a right not a commodity.
  • The report found the same four trends the other report found in Nigeria.
    • Inequalities and barriers to access.
    • Lack of public services.
    • Insufficient monitoring of private sector.
    • Private providers providing inadequate healthcare, especially in poor urban areas.
  • There are insufficient resources in the public sector, so many have had to rely on private healthcare provision, which is of good quality but expensive, or affordable but poor quality.
  • This leads to socioeconomic barriers to healthcare and lower population health outcomes, and less ability to respond to challenges like COVID-19.

Allana Kembabazi

  • Privatisation and marketisation has had a noticeable effect on healthcare in many areas. Public health systems have been starved of resources and this has forced many to rely on the private sector. But there are problems with poor standards, weak regulation, and some private hospitals with poor standards took IFC funds. The hospitals say they have to make a profit, and this is the danger of the WBG investing in for-profit models for healthcare. PPP in its many forms has been pushed, for example for medical credit funds.
  • Money could be put into public health systems instead of private. The dichotomy between private and public is false, the notion of commercialising healthcare to forward development vs public healthcare for all.
  • The pandemic showed that public health systems are needed for all, not just for poor and vulnerable, while investments in private care are skewed to upper middle income and up, people who can already afford healthcare. This highlights the need to get back to basics and fund public health systems. The evidence is clear form a range of countries — public healthcare is important for all, and private provision hurts the poor.

Andreas Seiter

  • Andreas has been with the Bank for 18 years, but originally came from private sector pharmaceuticals industry, so he has experience with private sector healthcare.
  • He sees the critical problem in the healthcare sector in many countries as a problem of governance; in poorest countries both public and private sectors suffer from poor governance.
  • Government should govern public and private health sectors. The IBRD and IFC are working to strengthen the health sector, and the majority of the work the WB does is with the public sector, but a lot of money wasted because of bad government, poor incentives and a lack of transparency.
  • In poor countries, the public sector may be starved of resources and the poor still have to pay for the services provided, so in some countries there may be little difference between public for pay and private facilities, and in many countries doctors work in both private and public sectors.
  • In many wealthy countries, the private sector provides a lot of services and delivers good care but it is carefully regulated. The way the private sector is regulated is critical: look at the difference between private healthcare in the US and Germany, for example. In some countries they have pooled funding that pays on behalf of patients. When patients pay out of their pockets there is inequality.
  • There is a market for private healthcare services because public services are not there. Unregulated providers will step in if there is not an adequate supply of healthcare in the market, and the question is how do you try to regulate these providers? Do you try to improve them or suppress them?
  • He says that the conclusions of case studies are strong, unregulated or ineffectively regulated private providers can produce very poor results, but the public sector needs to be well regulated too, not just the private sector.

Discussion:
Patti Rundall – International Baby Food Action Network

  • International companies are a major problem, the multi stakeholder passion of the UN to involve the private sector has almost side-lined civil society groups, and excluded them from discussion about PPPs. There is also a lack of detail on conflicts of interest. Governments are pressured into accepting PPPs right at the core of the provision of their services.

Allana Kembabazi, Program Manager, Global Health Program, ISER

  • The assumption that the private sector provides quality healthcare is wrong, and we saw that with COVID-19. The same assumption is made about education, that private should be better.
  • Often the private sector focuses on the most profitable operations, and leaves the difficult cases for the public.
  • The poorly-regulated public sector in the US is a warning about private healthcare. Issues of supervision and governance should be addressed before any investment in private healthcare.

Andreas Seiter, Global Lead for Private Sector in the World Bank’s Health, Nutrition and Population Global Practice

  • We shouldn’t give up on public health systems, but we should note that in some rich countries public and private care are integrated, and in many countries there is no evidence that private is better than public.
  • Sometimes private healthcare doesn’t deal with complicated cases as they can’t make a profit on them.
  • The way forward is to go through health financing systems what make a level playing field for all providers irrespective of public or private status.
  • There is also the issue of where does the public sector end and the private begin in some developed countries, which integrate private care into the public sector very effectively.
  • There is no assumption on his or his colleagues part that private is better than public.

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13 October 2012 | Minutes

Post Fukushima: The Role of the Financial Sector in Energy Future

This session introduced the audience to an overview of global energy issues and specific analyses of the environment and economic impacts of Fukushima nuclear power accident, and discussed the roles of the financial sector in viable global energy future.

Accountability

Background

12 October 2012 | Minutes

Doing business report rankings

This session will bring together experts from labour, development and business organizations to highlight issues and perspectives that need to be part of the review of these influential rankings.

Accountability

Background

12 October 2012 | Minutes

IMF consultation meeting on engagement with civil society: review and way forward

This session sought to gather CSO views, suggestions, and concerns on how to improve the current guidelines, including IMF consultation processes on policies, strategies, and Article. IV consultations

IFI governance

Background

12 October 2012 | Minutes

Citizen-Led Accountability at the World Bank Group: experiences of independent recourse mechanisms

This session aimed to gather CSO views, suggestions, and concerns on how to improve the current guidelines, including IMF consultation processes on policies, strategies, and Art. IV consultations.

IFI governance

Background

12 October 2012 | Minutes

Facilitating international adjustment through timely debt resolution

This session highlighted the perspectives of finance ministers, policy makers, and academics on the need to ensure timely, effective international adjustment in a manner consistent with sustained global growth and continued adherence to the system of open, dynamic international trade and payments constructed over the past 65 years.

Rights

Background

12 October 2012 | Minutes

World Bank safeguard review and CSOs approaches in their engagement

Interaction between the Bank and CSOs on the approach paper through this panel provided an opportunity for the Bank and CSOs to highlight areas of importance and provide input about the direction of the safeguard review.

IFI governance

Background

11 October 2012 | Minutes

The Role of the Independent Evaluation Group (IEG)

This session provided CSOs with the opportunity to have an exchange with IEG's Director-General and Senior Vice President on the role of the IEG.

Accountability

Background

11 October 2012 | Minutes

Global financial regulations and their Impact on major campaigns

This event was a collegial information-sharing and strategy session to explore the linkages between financial regulations and grass roots campaigns.

IFI governance

Background

11 October 2012 | Minutes

CSO Townhall with Jim Yong Kim and Christine Lagarde

This townhall was for CSO representatives accredited to the Annual Meetings. The CSO Discussants made initial remarks on Fund and Bank policies and were followed by comments from Mr. Kim and Ms. Lagarde. This was then followed by a general discussion on issues of concern to CSO representatives.

IFI governance

Background

11 October 2012 | Minutes

From country systems to DPLs: understanding the World Bank's approach to social and environmental ri

This session will discuss the strengths and weaknesses of the Bank’s approaches with respect to different financial instruments and evaluate the challenges of ensuring coherence in environmental and social sustainability outcomes across instruments.

IFI governance

Background

10 October 2012 | Minutes

Making global governance accountable: civil society experiences with 13 Institutions

This session discussed the conclusions reached on the global governance role of civil society by the Civil Society and Accountable Global Governance project.

Accountability

Background

3 August 2012 | Minutes

IFI re-engagement in Burma

Minutes of Burma and IFIs meeting, Washington DC, 18 April 2012

Accountability

Background

23 April 2012 | Minutes

EIR + 10

Minutes of afternoon sessions of extractives conference, Washington DC, 23 April 2012

IFI governance

Background

23 April 2012 | Minutes

2012 Tokyo Annual Meeting Planning Session

2012 Tokyo Annual Meeting Planning Session held on Saturday, 21 April.

Accountability

Background

21 April 2012 | Minutes

Lessons from IEG's Cluster Review of IFC-supported Extractive Industries Projects

Minutes of IFC and extractives meeting, Washington DC, 21 April 2012

Accountability

Background

21 April 2012 | Minutes

Safeguards in a Changing Landscape

Minutes of safeguards meeting, Washington DC, 21 April 2012

Finance

Background

20 April 2012 | Minutes

How can the IMF enhance its focus on growth and poverty reduction in LICS?

A civil society meeting held at the World Bank and the IMF hold their 2012 spring meetings in Washington DC on Friday 20th April.

IFI governance

Background

20 April 2012 | Minutes

Seminar - Time for a New Consensus: Regulating Financial Flows for Stability and Development

As the World Bank and the IMF hold their 2012 spring meetings in Washington DC this week, Latindadd and the Bretton Woods Project organised a seminar about regulating financial flows on Thursday 19 April.

IFI governance

Background

20 April 2012 | Minutes

Austerity in the Eurozone

Seminar at the Spring meetings 2012, 19 April 12

Infrastructure

Background

20 April 2012 | Minutes

Kosovo's options for a sustainable energy future

Minutes of presentation and discussion on Kosovo's options to develop a sustainable energy future, Washington DC, 20 April 2012.

Infrastructure

Background

20 April 2012 | Minutes

World Bank's Climate Investment Funds 4 years later

Minutes of meeting on the World Bank-housed Climate Investment Funds and the Green Climate Fund, Washington DC, 19 April 2012

Land

Background

20 April 2012 | Minutes

Agriculture and Food Security

Minutes of agriculture and food security meeting, Washington DC, 19 April 2012

Infrastructure

Background

20 April 2012 | Minutes

Climate change, energy access and sustainable development

Minutes of climate change and energy access meeting, Washington DC, 18 April 2012

Accountability

Background

19 April 2012 | Minutes

Supporting Social Accountability for Better Results

Minutes of World Bank Social accountability plenary, Washington DC, 19 April 2012

Accountability

Background

19 April 2012 | Minutes

Development Policy Lending (DPL) Retrospective consultation

Minutes meeting, Washington DC, 18 April 2012

Environment

Background

19 April 2012 | Minutes

IMF Consultation on Natural Resources Management and Taxation

Notes of meeting, Spring meetings 2012, Washington DC

Infrastructure

Background

26 September 2011 | Minutes

India's energy future: Consequences of India's coal rush and alternative energy scenarios

Notes of a panel discussion, Washington DC, 20 September 2011

Infrastructure

Background

26 September 2011 | Minutes

India's energy future: What role for the Bank?

Notes of meeting, Washington DC, September 21, 2011

Gender

Background

26 September 2011 | Minutes

Civil Society Strategy Meeting on the Doing Business rankings

Notes of a meeting, Washington DC, 21 September 2011

Environment

Background

26 September 2011 | Minutes

CSO Roundtable with Lars Thunel

Notes of a meeting, Washington DC, 21 September 2011

Environment

Background

26 September 2011 | Minutes

Safeguards and climate finance in Indonesia in the context of REDD+

Notes of meeting, Washington DC, September 23, 2011

Gender

Background

23 September 2011 | Minutes

Seminar - Gender Equality Matters: The Way Forward

Notes of meeting, Washington DC, September 21, 2011

Accountability

Background

23 September 2011 | Minutes

CSO Townhall with Robert Zoellick and Christine Lagarde

Notes of meeting, Washington DC, September 22, 2011

Infrastructure

Background

23 September 2011 | Minutes

Scaling up Climate Finance

Notes of meeting, Washington DC, September 22, 2011

IFI governance

Background

23 September 2011 | Minutes

Financial Transaction Tax implementation

Notes of a meeting, Washington DC, 22 September 2011

Finance

Background

23 September 2011 | Minutes

Real Aid

Notes of a panel discussion, Washington DC, 21 September 2011

Environment

Background

23 September 2011 | Minutes

Plundered nations?

Notes of a meeting, Washington DC, 21 September 2011

Accountability

Background

18 April 2011 | Minutes

Consultation on Program for Results (P4R)

Notes of meeting, Washington DC, April 16, 2011

Rights

Background

18 April 2011 | Minutes

Safeguards consultation, World Bank, 16 April 2011

Summary of consultation held at the World Bank in Washington, 16 April 2011

Accountability

Background

18 April 2011 | Minutes

IFC and Financial Intermediary Lending

Notes of meeting, Washington DC, April 15, 2011

IFI governance

Background

15 April 2011 | Minutes

How the Financial Stability Board Affects Development Prospects: Opening the Black Box

Notes of a meeting held in Washington DC, 15 April 2011

Finance

Background

14 April 2011 | Minutes

IFC's international development goals

IFC staff member discusses plans for goals to guide future work in private sector development.

Land

Background

14 April 2011 | Minutes

The regulation of excessive speculation in commodity markets: what's at stake

Financial experts critically discuss commodity speculation.

IFI governance

Background

13 April 2011 | Minutes

IMF triennial surveillance review

Notes of meeting, Washington DC, April 13, 2011

Finance

Background

13 April 2011 | Minutes

Meeting between the UK IMF Executive Director Alex Gibbs, HM Treasury and UK civil society organisat

Notes of the seminar of spring meetings 2011

Environment

Background

12 October 2010 | Minutes

Energy, Poverty, Sustainability and Climate Change

Minutes of a seminar at the 2010 annual meetings, 8 October 2010

IFI governance

Background

12 October 2010 | Minutes

Held in reserve: can a new approach to monetary policy transform the global economic outlook?

Minutes of an experts seminar held on the sidelines of the 2010 Annual Meetings of the IMF, 7 October 2010

IFI governance

Background

12 October 2010 | Minutes

Investment lending reform

A briefing by World Bank staff on the investment lending reform, 9 October 2010

Knowledge

Background

11 October 2010 | Minutes

Post MDG Summit

Notes of the seminar of annual meetings 2010

IFI governance

Background

11 October 2010 | Minutes

Future of the global financial and monetary system

Notes of the seminar of annual meetings 2010

IFI governance

Background

11 October 2010 | Minutes

Global economic governance

Notes of the seminar of annual meetings 2010

Conditionality

Background

8 October 2010 | Minutes

Civil Society Townhall Meeting with Robert Zoellick and Dominique Strauss-Kahn

Notes of the seminar of annual meetings 2010

Knowledge

Background

7 October 2010 | Minutes

Meeting between the UK IMF Executive Director Alex Gibbs , HM Treasury and UK civil society organisa

Notes of the seminar of annual meetings 2010

IFI governance

Background

29 April 2010 | Minutes

Future of the World Bank: major reforms or a series of minor adjustments?

Civil society event at the World Bank spring meetings 2010, 24 April

Infrastructure

Background

26 April 2010 | Minutes

Launch of Bank Information Center's (BIC's) model energy strategy

Civil society event at the World Bank spring meetings 2010, 24 April

Accountability

Background

26 April 2010 | Minutes

A sustainable World Bank energy strategy: perspectives from various stakeholders

Civil society event at the World Bank spring meetings 2010, 23 April

Accountability

Background

26 April 2010 | Minutes

Evaluation as a critical tool for accountability

Civil society event at the World Bank spring meetings 2010, 23 April

IFI governance

Background

23 April 2010 | Minutes

An IMF for the 21st century - the low-income country perspective

Civil society event at the World Bank spring meetings 2010, 22 April

Environment

Background

23 April 2010 | Minutes

Financing the response to climate change: special drawing rights (SDRs) for climate finance

Civil society event at the World Bank spring meetings 2010, 22 April

Infrastructure

Background

23 April 2010 | Minutes

Governance challenges in financing green and sustainable energy policies

Freidrich-Ebert-Stiftung event at the World Bank spring meetings 2010, 22 April

Infrastructure

Background

23 April 2010 | Minutes

Roundtable on post-crisis economic recovery

World Bank event at the World Bank spring meetings 2010, 22 April

Environment

Background

23 April 2010 | Minutes

World Bank, climate change and climate finance

Civil society event at the World Bank spring meetings 2010, 22 April

IFI governance

Background

9 October 2009 | Minutes

The IMF and protectionist trade policies: What does the record of the past 15 years tell us?

Seminar on the IEo evluation of IMF trade policy advice in Istanbul, 2 October 2009.

IFI governance

Background

8 October 2009 | Minutes

Financial sector policies in the crisis

Programme of Seminars session in Istanbul on 3 October 2009 with Zeti Aziz, Andrew Crockett, Christine Cummings, Sayed Sadeeq, and John Laker.

Environment

Background

8 October 2009 | Minutes

CSO Townhall meeting

Notes from the CSO townhall meeting with Dominique Strauss-Kahn and Robert Zoellick

Accountability

Background

8 October 2009 | Minutes

IMF governance - CSO meeting with the IMF managing director

Minutes of a meeting between civil society organisations, IMF managing director Dominique Strauss-Kahn and IMF deputy managing director John Lipsky

Environment

Background

6 October 2009 | Minutes

Consultation meeting on World Bank environmental strategy

Summary of the first consultation on their new environment strategy, which they will develop next year.

IFI governance

Background

5 October 2009 | Minutes

The impact of financial regulation on developing countries

The impact of financial regulation on developing countries, World Bank Programme of Seminars, with Mingkang Liu, Joseph Stiglitz, and Alvir Hoffman.

Conditionality

Background

5 October 2009 | Minutes

The IMF: Change we can believe in?

The IMF: Change we can believe in? Notes of a civil society meeting in Istanbul. Speakers include Joseph Stiglitz, Andrew Kumbatira, Caroline Atkinson, and Bhumika Muchhala.

IFI governance

Background

5 October 2009 | Minutes

Future of the Global Financial System

Notes of part of a panel debate chaired by Martin Wolf of the Financial Times, Istanbul, 4 October 2009.

Finance

Background

4 October 2009 | Minutes

Report launch: Post-crisis growth in developing countries

Growth commission event in Istanbul.

IFI governance

Background

4 October 2009 | Minutes

The UN conference and the G20 summit

Minutes from The UN conference and the G20 summit, civil society policy forum discussion on 3 October 2009. Istanbul, Turkey

IFI governance

Background

4 October 2009 | Minutes

Critical debate on the World Bank and IMF

Summary of a presentation made by Professor Anwar Shaikh, the New School for Social Research, on "Monetary Policy and the Global Crisis"

IFI governance

Background

4 October 2009 | Minutes

Global economic governance roundtable

Summary of a discussion with German government representatives, Jomo KS of the UN and civil society organisations.

Environment

Background

27 April 2009 | Minutes

The World Bank's programs on forests and climate change

A civil society event organised by World Resources Institute (WRI) at the World Bank spring meetings 2009

IFI governance

Background

27 April 2009 | Minutes

Compliance Advisory Ombudsman review of standards for Bank’s private sector lending

Notes of a session with the CAO at the World Bank spring meetings, Washington, DC, April 22, 2009.

IFI governance

Background

25 April 2009 | Minutes

IMF crisis response- discussion

Notes of a meeting between the IMF and civil society organisations

Environment

Background

13 April 2008 | Minutes

Dialogue with NGOs and Lars Thunell, Executive Vice President and CEO, IFC

Dialogue with NGOs and Lars Thunell, Executive Vice President and CEO, IFC

Environment

Background

11 April 2008 | Minutes

Macroeconomic and fiscal implications of climate change and the policies to address it

A briefing by IMF economists at the spring meetings 2008.

IFI governance

Background

11 April 2008 | Minutes

Briefing on the World Bank's Six Strategic Themes

Minutes of a briefing by World Bank staff on the WBG's six strategic themese

Conditionality

Background

11 April 2008 | Minutes

IMF consultation in advance of the PSI review

Notes of a consultation between IMF staff and NGOs in advance of the PSI review

Social services

Background

10 April 2008 | Minutes

Structural conditionalities in the IMF: A discussion between the IMF, IEO, and CSOs

An upcoming civil society report demonstrates that IMF structural conditionality did not decline in the five years after the approval of the Fund's conditionality guidelines in September 2002, which were based on the principles of ownership and criticality in its application of structural conditionality, as well as to streamlining the number of conditions. Going on seven years, it seems that these guidelines have been more honoured in principle than in practice. A recent Independent Evaluation O

Finance

Background

26 October 2007 | Minutes

Macroeconomic aspects of aid scaling up and the role of the Fund

Highlights of a 21 October discussion on the macroeconomics of aid scaling up at the World Bank-IMF annual meetings 2007.

Conditionality

Background

26 October 2007 | Minutes

Wage bill ceilings, fiscal and monetary policies and absorbing aid inflows - updates and next steps

Highlights of a 20 October discussion on the the IMF's fiscal and monetary policy advice and conditionality for low-income countries at the World Bank-IMF annual meetings 2007.

Accountability

Background

26 October 2007 | Minutes

Rethinking the governance of the IMF

Highlights of a 19 October discussion on the reform of IMF governance at the World Bank-IMF annual meetings 2007.

Accountability

Background

26 October 2007 | Minutes

The role of low-income countries in IFI governance

Highlights of a 19 October discussion on the role of low-income countries in IMF governance at the World Bank-IMF annual meetings 2007.

Conditionality

Background

26 October 2007 | Minutes

The IMF's Policy Support Instrument: more flexibility or continued belt tightening

Highlights of a 21 October discussion on the IMF's Policy Support Instrument (PSI) at the World Bank-IMF annual meetings 2007.

Environment

Background

23 October 2007 | Minutes

Townhall meeting and reception with World Bank and IMF presidents and civil society representatives

Highlights of an 18 October 'town hall' meeting between WB-IMF heads and CSOs.

Environment

Background

23 October 2007 | Minutes

The agenda of the Development Committee and the provision of Global Public Goods

Highlights of a 20 October meeting hosted by the FES Foundation on global public goods, at the World Bank-IMF annual meetings 2007.

Infrastructure

Background

23 October 2007 | Minutes

Climate change and clean energy challenges and opportunities in addressing Africa's growing energy n

Highlights of a meeting at the World Bank-IMF annual meetings 2007.

Infrastructure

Background

23 October 2007 | Minutes

Low carbon, high hopes: making climate action work for development

Highlights of a 19 October meeting at the World Bank-IMF annual meetings 2007.

Environment

Background

5 October 2007 | Minutes

Highlights of BWI-UK network meeting with Douglas Alexander

Highlights of a 4 October meeting between NGOs in the BWI-UK network and secretary of state for international development, Douglas Alexander, addressing IFI strategic reviews, aid effectiveness, clean energy/climate change and a number of other issues.

Conditionality

Background

27 April 2007 | Minutes

IMF macroeconomic policies and the impacts on education budgets and teacher wages

IMF civil society dialogue, spring meetings 2007 (14 April 2007)

Conditionality

Background

27 April 2007 | Minutes

IEO Evaluation of the IMF and Aid to Sub-Saharan Africa

Civil society dialogue, spring meetings 2007 (12 April 2007) on the IEO Evaluation of the IMF and Aid to Sub-Saharan Africa

IFI governance

Background

27 April 2007 | Minutes

European CSO meeting with European IMF EDs

Incomplete minutes of European CSO meeting with European IMF EDs, 13 April 2007

Conditionality

Background

20 April 2007 | Minutes

Fiscal space and fiscal priorities: Infrastructure, trade and poverty

This panel discussion addressed the pros and cons of fiscal space for infrastructure when infrastructure is trade-related, what they mean for current proposals by the World Bank and IMF on fiscal space, and the importance of an assessment that looks jointly at the trade and financial aspects on the grounds of poverty reduction, development and environment goals.

Conditionality

Background

19 April 2007 | Minutes

Sub-Saharan Africa: Outlook and Challenges

Sub-Saharan Africa: Outlook and Challenges; IMF-civil society dialogue, 13 April 2007

IFI governance

Background

26 October 2006 | Minutes

Highlights of Hilary Benn meeting with UK NGOs

Highlights of semi-annual meeting between UK Secretary of State for International Development and UK NGOs. Topics covered include CSO access to annual meetings, conditionality, anti-corruption, odious debt, clean energy, education in LICUS, bank internal governance, IFC safeguards

IFI governance

Background

26 September 2006 | Minutes

Highlights of Tom Scholar meeting with UK NGOs

Highlights of quarterly meeting between UK executive director to the World Bank and IMF and UK NGOs. Topics covered include CSO access to annual meetings, IMF strategic review, conditionality, anti-corruption and education.

IFI governance

Background

28 June 2006 | Minutes

Highlights of Tom Scholar meeting with UK NGOs, Monday 26 June 2006

Highlights of Tom Scholar meeting with UK NGOs, Monday 26 June 2006

IFI governance

Background

9 May 2006 | Minutes

Policy issues in scaling up of aid flows

Highlights of a spring meetings dialogue hosted by the IMF on scaling-up aid, where senior Fund staff Peter Heller walked out.

Social services

Background

28 April 2006 | Minutes

Evaluating the impact of the PRGF: The cases of Ethiopia, Malawi, Tanzania and Zambia

Highlights of a civil society dialogue on the IMF Poverty Reduction and Growth Facility, at the World Bank spring meetings in Washington, 20 April 2006.

Infrastructure

Background

27 April 2006 | Minutes

World Bank dialogue on the clean energy investment framework

Highlights of a World Bank-organised dialogue on its new clean energy investment framework at the spring meetings in Washington, 24 April 2006.

IFI governance

Background

25 April 2006 | Minutes

Briefing on the implementation of new IFC performance standards

Briefing on the implementation of new IFC performance standards at the World Bank-IMF spring meetings in Washington, 20 April 2006.

Conditionality

Background

25 April 2006 | Minutes

Dialogue on national development strategies and the Millennium Development Goals

Dialogue on national development strategies and the Millennium Development Goals at the World Bank-IMF spring meetings in Washington, 20 April 2006.

Finance

Background

25 April 2006 | Minutes

Dialogue on Fund role in middle-income countries

Dialogue on Fund role in middle-income countries at the World Bank-IMF spring meetings in Washington, Thursday 20 April.

IFI governance

Background

6 October 2004 | Minutes

Grants or Loans? The Full Debate

The session considered the arguments surrounding the provision of grants or loans by IDA. It considered the recent call by President Bush for the World Bank and other development banks to provide more of their funds to the poorest countries as grants, in recognition of the pivotal role that grants play in providing prudent financing for pressing development needs.

IFI governance

Background

4 October 2004 | Minutes

CSO meeting with European Executive Directors

Note from meeting in Washington between European IFI network and European EDs as part of the civil society programme of the World Bank and IMF Annual Meetings 04.

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IFI governance

Analysis

Spring Meetings 2022 Wrap-Up: Progress on key issues side-tracked by Ukraine invasion and BWIs’ own sense of drift

Spring Meetings conclude with frantic calls for stronger multilateralism, but few advances in key issues such as Covid-19 unequal recovery, debt, inequality and climate crises, while Russia participation prevents G20, G24 and Development Committee from releasing a communique.

26 April 2022

IFI governance

Analysis

G20 press briefing analysis – Spring Meetings 2022

The G20 released a press briefing focused on the effects of Russia's war in Ukraine and the increasing need for multilateralism amidst walkouts, rising debt levels around the world, a new World Bank pandemic preparedness model, and the approval of RST and other sustainable finance models.

26 April 2022

IFI governance

Analysis

IMFC chair statement analysis – Spring Meetings 2022

The IMFC issued a chair statement in place of a communiqué. It discussed a long list of challenges with focus on fallout from Ukraine invasion and climate change.

26 April 2022

IFI governance

Analysis

V20 calls for more equitable international financial system to tackle risks posed to climate vulnerable developing countries

The communiqué for the V20 highlighted multitude of crises facing climate-vulnerable developing countries, with continuing challenges posed by the Covid-19 pandemic and unequally felt climate change impacts now being exacerbated by the spillover effects from the Ukraine war.

26 April 2022

IFI governance

Analysis

G24 communiqué analysis – Spring Meetings 2022

G24 finance ministers called for urgent global action to mitigate the effects of rising debt levels in emerging economies, and rising global food, energy and commodity prices.

25 April 2022

IFI governance

Background

The IMF’s Resilience and Sustainability Trust: Can an IMF-managed SDRs trust deliver inclusive & sustainable recoveries?

Notes from the 11 April Civil Society Policy Forum - The IMF’s Resilience and Sustainability Trust: Can an IMF-managed SDRs trust deliver inclusive & sustainable recoveries?

14 April 2022 | Minutes

IFI governance

Analysis

Spring Meetings 2022 Preamble: War in Ukraine risks deepening divergent recovery as World Bank and IMF prepare for Spring Meetings

War in Ukraine will have significant spillover effects as Global South continues to carry the burden of vaccine inequity. Debt, austerity and evolving food crisis key talking points of Meetings while unequal recovery, gender, RST and surcharges key issues at CSPF.

14 April 2022

IFI governance

Background

Are we heading towards an austerity-based recovery?

Notes from Civil Society Policy Forum event on April 13, 2022 on "Are We Heading Towards and Austerity-Based Recovery?"

13 April 2022 | Minutes

IFI governance

Background

Towards a World Bank Private Sector Development Strategy that Puts People and Planet before Profit

Notes from Civil Society Policy Forum event on 13 April 2022 titled 'Towards a World Bank Private Sector Development Strategy that Puts People and Planet before Profit'

13 April 2022 | Minutes

IFI governance

Background

The IMF Gender Strategy - Making the Economy Work for Women?

Notes from Civil Society Policy Forum event on 13 April 2022 titled 'The IMF Gender Strategy - Making the Economy Work for Women?'

13 April 2022 | Minutes