Conditionality arrangements need to be reformed. Loans from the World Bank and other donors are often conditional on meeting IMF structural benchmarks. These are currently based only on macroeconomic indicators. Governments would be required to meet basic spending requirements in priority social services. Continual assessment of access to basic services.
Structural adjustment is a dynamic process which has to become more responsive to social needs.
Ongoing poverty impact monitoring and evaluation of adjustment policies is needed, with particular attention paid to the access of poor households to social services and markets. The lessons from monitoring and evaluation must be reflected in macroeconomic reforms. An end to cost-recovery in primary education. Neither the World Bank nor the IMF publicly endorses charging parents fees for primary education. This forces the education system to mobilise resources in other ways, including from households.