Some countries have done both. Still, throughout the region, we see that the problems of the social transition, the problems of people , continue. We must be concerned that such problems will not only cause hardship for individuals, but can undermine support for the reform process itself. These challenges also include environmental health issues. In many nations of this region, decades of neglect have led to contaminated air, water and soil - with health consequences we are only beginning to understand.
Education is another concern.
School enrollment is down in some countries in the region. Many schools are unable to offer computer training, or the instruction in foreign languages and business skills that will allow your countries to be competitive in the new world economy. The challenge is to use the transition to adapt old systems of education to the new demands of the global marketplace and the jobs it will generate. Throughout the world, in hard times, it is the most vulnerable citizens who suffer most, particularly the young, the old and women who are heads of households. In your region, during privatization, women have been laid off disproportionately, have sacrificed more during their retirement years, and have suffered because of rising alcoholism and violence.