Skills, technology, health and
education
103. Strengthening the assets of poor people involves
boosting human capital, such as health, education and skills,
as much as physical capital, such as property and finance.[209]
Ensuring that people have the skills they need to enter
work is a primary responsibility of government.[210]
However, there are obvious and very strong links with the private
sector. Skills and technology provision are mutually beneficial
to poor people and the private sector: as Dr Banjoko of AfricaRecruit
told us, they increase the capacity of people to move from being
"consumptive to productive citizens and become economic participants
in society."[211]
A similarly symbiotic relationship exists between health,
education and the private sector.
104. In most developing countries, there are insufficient
numbers of people trained in the skills needed by the key engines
of growth business, the professions, and technical and
vocational roles and technology is similarly lacking.[212]
African countries, in particular, suffer from a limited pool of
skilled personnel, reflecting insufficient education and training
opportunities. Even South Africa only has 13% of tertiary level
enrolment in technical subjects, compared with Thailand and Malaysia's
30%.[213] Women
and girls are at particular risk at being excluded from education:
in sub-Saharan Africa, only one in five girls are enrolled in
secondary school[214]
and 64% of the world's 800 illiterate adults are women.[215]
105. Written evidence from Professor Calestous Juma
of Harvard University argues that the private sector can serve
as a foundation for the transfer of technical skills in society:
"New infrastructure projects such as railways,
roads, ports, telecommunications and waterways should be directly
linked to technical training and business [...] Current discussions
to extend and expand telecommunications connectivity and rail
networks in Africa provide a unique opportunity to create allied
technical training institutes as well as foster the development
of SMEs."[216]
106. AfricaRecruit identified a number of other strategies
whereby the private sector can assist skills and technology transfer:
apprenticeships; vocational training; the creation of knowledge
centres; business support and advisery services; mentoring and
assisting in the spread of Information Communication Technologies
(ICT). AfricaRecruit itself has been a successful strategy
supported by donors through NEPAD and the Commonwealth Business
Council for boosting human capital within Africa.[217]
A major function of the initiative is engaging the African diaspora
and reversing the 'brain drain', under which approximately 40%
of all African professionals have left the continent since decolonisation.[218]
DFID supports other vocational and skills development programmes
at country level.[219]
AfricaRecruit expressed a concern in their written evidence that
many of DFID's projects are too short-term, and recommend engagement
with the private sector as a way to promote sustainability.[220]
In its ongoing dialogue with the private sector (through
groups such as Business Action for Africa), DFID needs to press
for investments in developing countries to incorporate training,
skills and technology transfer. The AfricaRecruit initiative should
continue to receive support as a successful strategy for boosting
human capital within Africa and addressing the 'brain drain'.
This and other country-level skills programmes should receive
longer-term donor support, in partnership with the private sector
where possible.
107. DFID has a priority focus on the primary education
sector towards achieving MDG 2, Universal Primary Education. Discussion
of DFID's education strategy is beyond the remit of this report
and is well-documented elsewhere.[221]
Empirical evidence demonstrates the importance of education as
an input to economic growth.[222]
Private sector institutions, as well as charities and community
groups, are also significant providers of education services in
developing countries and DFID needs to work with these partners
towards achieving education for all.[223]
108. The role of health in Africa's development,
and in PSD specifically, is, similarly well-documented
for instance, in Chapters 6 and 7 of the Commission for Africa
Report. The central charge of the evidence that we received on
this subject was that private sector growth in developing countries
will not gain momentum unless health services together
with the necessary infrastructure, skills shortages, access to
medicines and other concomitant measures are improved.
109. HIV/AIDS and malaria are having a particularly
devastating impact in sub-Saharan Africa, resulting in skills
shortages and reduced productivity amongst adults.[224]
Large companies, such as Anglo American, are playing an important
role in addressing HIV/AIDS, providing free anti-retroviral therapies
to employees and developing care and treatment programmes in the
wider community.[225]
The multinational private sector is the main source of Research
and Development (R&D) into new drugs, although companies based
in developing countries are playing an increasing role.[226]
In its Memorandum to this inquiry, DFID stated: "In developing
countries the private sector is often the major provider of health
services. The public-private boundary is increasingly blurred
and there is great scope for greater private sector involvement
in healthcare provision."[227]
We agree that there is great scope for increased private sector
involvement in healthcare provision. Private sector growth will
only gain momentum in developing countries if basic services such
as education and health are improved. Donors need to recognise
the role of private sector providers of education and healthcare
and strengthen partnerships with these bodies.
Making markets work in middle
income countries
110. The economic booms in high growth Asian economies
have succeeded in lifting large numbers of people out of poverty,
with China alone pulling 400 million people over the dollar-a-day
poverty threshold in the last twenty-five years. But these booms
do not automatically embrace all sectors of society. For example,
Sunil Sinha, of Emerging Market Economics, told the Committee
that in India, states such as Uttar Pradesh and Bihar have seen
very little pro-poor growth.[228]
Job opportunities of the right skill level to be open to the poorest
sectors of society have failed to materialise in these states.[229]
The huge informal sectors which remain in many middle income countries
mean many workers operate outside international labour law protection.[230]
Inequality levels are currently rising within China, where poverty
reduction has slowed to a standstill since 2000.
111. How can donors work with governments and the
private sector to ensure that the benefits of economic growth
reach all sectors of society? The Secretary of State, when this
question was put to him, responded:
"Within any country, there is a choice about
how you distribute the fruits of economic growth [...] If inequalities
and unequal distribution of wealth and power and opportunity leads
to political conflict [...] then that is a problem in countries.
In the end [...] I think the politics of the countries themselves
must sort it out."[231]
112. Tony Venables, DFID's Chief Economist, supported
this line of argument, stating that, "There are political
choices for the countries themselves to make about their income
distribution."[232]
Lord Brett of the ILO gave a different response to this question,
stating that the way to avoid excluding poor sectors of society
from growth was, "To build social security that is
the way you provide a safety net... to how you stop people being
left behind."[233]
Yet beyond some research into the determinants of inequalities
within countries[234],
DFID does not appear to be giving adequate attention to PSD in
middle income countries where growth has taken off, but
not reached all sectors of society. We consider assigning total
responsibility to national governments for the equitable distribution
of the benefits of growth to be an inadequate response by DFID.
Achieving DFID's ultimate aim of poverty reduction requires not
just triggering growth but assisting partner governments in finding
the right strategies to ensure that poor people benefit from growth.
DFID needs to build a coherent strategy for PSD in middle income
countries with large inequalities. This strategy should involve
dialogue with the Governments of China and India, in particular,
about how to include the poorest sectors of their countries in
economic growth.
144 This approach is also known as the Market Development
or Business Development approach. Back
145
Ev 265 Back
146
Q 23 [Professor Adrian Wood] Back
147
Ev 303 Back
148
Alan Gibson, Hugh Scott and David Ferrand, 'Making Markets Work
for the Poor: An Objective and an Approach for Governments and
Development Agencies' (Woodmead, South Africa: ComMark Trust,
2004), p.2. Back
149
Ev 223 Back
150
Ev 266 Back
151
Ev 265 and Ev 266 Back
152
ComMark stands for 'Making Commodity Markets Work for the Poor
in Southern Africa.' Back
153
Ev 230 Back
154
Ev 251 [FinMark Trust]. See the section on Financial Sector Development
later in this chapter for more details. Back
155
Ev 267 and 'DFID and the Private Sector' (2005) Back
156
ILO, 2005, Key Indicators of the Labour Market (KILM), 4th Edition.
Online at http://kilm.ilo.org. Back
157
Q 75 [William Kingsmill] Back
158
Q 221 [Lord Brett] Back
159
ILO, 'Global Employment Trends Brief' (2006). Online at www.ilo.org/trends. Back
160
Q 217 [Lord Brett] Back
161
Q 217 [Lord Brett]. It should be noted that Goal 8 mentions 'youth
opportunities'. Back
162
Q 217 [Albert Tucker] Back
163
Q 441 [Secretary of State] Back
164
Q 441[Tony Venables] Back
165
Q 217 [Lord Brett] Back
166
Commission for Africa Report (2005), p. 244. Back
167
Q 75 [William Kingsmill] Back
168
Q 216 [Lord Brett] Back
169
Q 75 [William Kingsmill]. See Chapter 6 for further details on
company efforts to meet labour laws. Back
170
Q 212 [Lord Brett] Back
171
Ev 129 Back
172
Ev 129 Back
173
See Chapter 5 for further discussion of microfinance. Back
174
Sam Daley-Harris, 'State of the Microcredit Summit Campaign Report
2003', quoted in Patrick Honohan, 'Financial Sector Policy and
the Poor' (World Bank Working Paper 43, 2004); see also Consultative
Group to Assist the Poor (CGAP) research. Back
175
Ev 252 Back
176
Q 280 and Q 281 [Bob Fitch] Back
177
Q 165 [Jay Naidoo and Robert Annibale] Back
178 See
Chapter 5 for further discussion of remittances. Back
179
Q160 [Robert Annibale] Back
180
Q 165 [Robert Annibale] Back
181
Q 160 [Jay Naidoo] Back
182
Q 159 [Robert Annibale] Back
183
Q 167 [Robert Annibale] Back
184
Ev 254 Back
185
Q 76 [Richard Boulter] Back
186
Q 79 [Richard Boulter] Back
187
Ev 290 Back
188
G.Abalu and R.Hassan, 'Agricultural productivity and natural resource
use in Southern Africa', Food Policy Review 23 (6), pp. 477-490
(1998). Back
189
Food and Agriculture Organisation of the UN, 'Women and sustainable
food security' www.fao.org/FOCUS/E/Women/Sustin-e.htm quoted in
'Power Hungry: six reasons to regulate global food corporations',
ActionAid International. Back
190
Q 239 [Michael Pragnell] and Ev 187 [Professor Keith Palmer] Back
191
Ev 187 [Professor Keith Palmer] Back
192
Commission for Africa Report, Chapter 7 (p.238). Back
193
Commission for Africa Report, Chapter 7 (pp. 237-238). Back
194
Ibid. Back
195
Q 240 [Professor Keith Palmer] Back
196
Q 240 [Professor Keith Palmer] and Ev 189. Back
197
Ev 193 Back
198
Ev 191 Back
199
Ev 193 Back
200
Q 243 [Dr Andrew Bennett] Back
201
International Development Committee, Third Report of Session,
2002-03, The Humanitarian Crisis in Southern Africa, HC 116, paragraph
122. Back
202
The Private Infrastructure Development Group (PIDG) - a donor
grouping comprising the UK, Holland, Sweden and Switzerland. Back
203
Q 247 [Professor Keith Palmer] Back
204
Q 272 [Professor Keith Palmer] Back
205
Q 251 [Professor Keith Palmer] Back
206
Ev 190 Back
207
Q 250 and Q 251 [Michael Pragnell] Back
208
Q 251 [Professor Keith Palmer] Back
209
Commission for Africa Report, p.223. Back
210
Ev 133 Back
211
Ev 214 Back
212
Ev 210 Back
213
HL Deb, 26 January 2005, col 1283 [Lords Chamber]. Back
214
Global Campaign for Education, 'A Fair Chance: Attaining gender
equality in basic education by 2005' (London: GCE, 2003), p.17. Back
215
UNESCO, 'Education for All - Literacy for Life', EFA Global Monitoring
Report 2006 (Paris: UNESCO, 2005). Back
216
Ev 273 Back
217
Ev 210-216 Back
218
Mohan Kaul, 'Reversing Africa's Brain Drain: the AfricaRecruit
Initiative and the challenge to governments, the diaspora and
the private sector'. (Commonwealth Business Council paper, 2004),
p.1. Back
219
Ev 133 Back
220
Ev 214 Back
221
See, for instance, DFID and HM Treasury, 'Keeping our Promises:
Delivering Education for All' (DFID, 2006); Global Monitoring
Report on Education for All 2006, 'Literacy for All' (Paris: Unesco,
2005); Global Campaign for Education, 'Missing the Mark: A School
Report on rich countries' contribution to Universal Primary Education
by 2015' (GCE, April 2005). Back
222
Q 437 [Tony Venables] Back
223
Ev 311 Back
224
Ev 185 Back
225
Ev 222 Back
226
Ev 258. See the sub-section on Public Private Partnerships (PPPs)
in Chapter 4 for further discussion of this issue. Back
227
Ev 133 Back
228
Q 22 [Sunil Sinha] Back
229
Q 22 [Sunil Sinha] Back
230
Q 216 [Lord Brett] Back
231
Q 412 and Q 414 [Secretary of State] Back
232
Q 414 [Tony Venables] Back
233
Q 221 [Lord Brett] Back
234
Q 414 [Tony Venables] Back