- Kamran Abbasi, assistant editor (kabbasi@bmj.com)
- BMJ, London WC1H 9JR
Editorial 822)
This the first in a series of six articles examining the World Bank's role in international health
“Masters of illusion” is how science writer Catherine Caulfield describes the World Bank, and she writes: “There is much truth in the saying that development is largely a matter of poor people in rich countries giving money to rich people in poor countries.”1 The bank has been highly criticised and has many staunch opponents, but in recent years its public image has softened, and it has become a powerful player in international health.
Summary points
The World Bank's aim is to reduce poverty by investing in people
The past decade has seen it change image from uncaring bully to compassionate stakeholder, focusing on health
It has displaced the World Health Organisation as the major influence behind health policy in poor countries because of its greater funding power
Critics argue that the World Bank and International Monetary Fund increase the debt burden of those countries least able to pay, and that debt relief would be the best way to eradicate poverty
Methods
For these articles, which attempt a critical portrayal of the bank, I visited its headquarters in Washington, DC, and interviewed leading policy makers, including the former director of the health, nutrition, and population sector, Richard Feacham, as well as the World Bank's vice president for Africa, Callisto Modavo. I interviewed bank employees and visited bank projects in Bangladesh, India, and Pakistan, where my fluency in the local language was invaluable in speaking with politicians, civil servants, health workers, representatives of non-governmental organisations, journalists, and patients. I carried out a Medline search for articles under the heading “World Bank,” and read a wide selection of World Bank and government documents, from public policy documents to country reports.
Structure of the World Bank
The World Bank Group comprises …
Sign in
Personal subscribers, sign in here:
Article access
Article access for 1 day
Purchase this article for £20 $30 €32*
The PDF version can be downloaded as your personal record
CiteULike
Connotea
Del.icio.us
Digg
Facebook
Reddit
Technorati
Twitter
Stumbleupon
Rapid responses
Latest Responses
The decline in the breast cancer incidence is 1.2% and it is not significant.
Published 10 February 2012
'twas ever thus
Published 10 February 2012
The value of historic human remains
Published 10 February 2012
In Praise of British Literature
Published 10 February 2012
Is real shared decision making possible?
Published 10 February 2012
Most responses
Does anyone understand the government’s plan for the NHS? (17 responses)
Published 17 Jan 2012
Bad medicine: medical nutrition (15 responses)
Published 18 Jan 2012
Shared decision making: really putting patients at the centre of healthcare (7 responses)
Published 27 Jan 2012
Why legislation is necessary for my health reforms (7 responses)
Published 1 Feb 2012
Search for evidence goes on (5 responses)
Published 17 Jan 2012