Because of its potential impact, and, in some cases, the harm it
has brought, foreign aid is under the microscope. Donor countries,
who don't want simply to give money away; recipient nations, who
need to make the most of what they have and get; and analysts,
policymakers, and writers are all scrutinizing how much is spent
and where it goes. Perhaps more important, aid is only a small part
of what developing country governments spend. Their own resources
finance 80 percent or more of health and education spending except
in the most aid-dependent countries. "Lives in the Balance"
investigates a vital aspect of this landscape --how best to ensure
that public spending, including aid money, gets to the right
destination.
The development of democratic institutions and the spread of
cheap communications technology in developing countries make it
possible for the "demand-side" --citizens and civil society
institutions --to advocate for improved transparency, stronger
accountability, better priorities, reduced corruption, and more
emphasis on helping the poor. Securing real reform will depend not
only on knowledge of how the recipient government operates, but
also how to work with partner entities --the media, the private
sector, other organizations, and legislators --to raise awareness
and compel change.
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