In the context of four of the OECD Development Assistance Committee’s (DAC) development objectives -- reducing extreme poverty; providing universal primary education; lowering infant and maternal mortality; and transmitting health -- this book is particularly timely. The authors demonstrate that in the case of very poor countries, policies aimed at universal provision of education and health services benefit the poor significantly more than more expensive targeted schemes. The book draws attention to the absolute need for coherence and co-ordination so that schools are not built without teachers and dispensaries without drugs. Moreover, national macroeconomic policies have to be realistic if the health and education sectors are not to be deprived of resources. Finally, the quality of governance is shown to have a direct effect on the efficiency of social spending.

This book is essential reading for anyone concerned with implementing pro-poor policies in developing countries and for donors concerned with applying international development assistance in the wisest possible way.

Preface by Jorge Braga de Macedo
Executive Summary
Introduction
Chapter 1. Poverty, Education, and Health: The Case of Madagascar by Denis Cogneau, Jean-Christophe Dumont, Peter Glick, Mireille Razafindrakoto, Jean Razafindravonona, Iarivony Randretsa and Francois Roubaud
-Comments by Jean-Claude Berthelemy
Chapter 2. Incidence of Public Sending in the Health and Education Sectors in Tanzania by Sylvie Lambert andDavid Sahn
-Comments by Hans-Rimbert Hemmer
Chapter 3. Results and Recommendations by Christian Morrisson