World Bank Technical Paper No. 344. Presents and analyzes a wealth of data on levels of and trends in health status, delivery of services, and financing in each of the former Soviet states of Central Asia. The paper examines health care reform from the perspectives of macroeconomic constraints, the demographic and epidemiological transitions facing each country, the underlying structure and financing of their health systems, and what they have inherited from the old Soviet system.

August 1996 Sub-Saharan Africa has declined in importance in world trade mainly because it has not remained competitive. External protection has not played a major role in this decline; indeed, OECD trade preferences gave Africa an advantage over many exporters. But Africa's own trade barriers are too high. Many studies show that liberal trade policies generally lead to superior growth, an important finding if Africa is to reverse its diminishing role in world trade. In the mid-1950s Sub-Saharan Africa accounted for 3.1 percent of global exports. By 1990 this share had fallen to 1.2 percent. The reasons for this decline are important for policymaking. If external protection in OECD markets was an important contributing factor, the solution to Africa's trade problems requires liberalizing industrial countries' trade barriers. But if Africa's marginalization resulted primarily from inappropriate domestic policies that reduced the region's ability to compete internationally, changes in Africa's own policies are crucial for a reversal of adverse trade trends. Ng and Yeats find that Africa's extensive loss of competitiveness played a key role in its decline in world trade. If Africa had merely retained its 1962-64 OECD market shares, its exports now would be 75 percent ($11 billion) higher. In addition, global demand for the region's major exports grew considerably more slowly than demand for most other goods. In short, Africa's problem was two-pronged: It experienced declining market shares for its major export products, which, in turn, were of declining relative importance in world trade. And it was unable to diversify its export base. As a result, it is now among the regions mostly highly dependent on relatively few export products and -- unlike all other regions -- this dependence has increased sharply over the past three decades. Empirical evidence developed by Ng and Yeats shows that external protection has not played a major role in this decline; indeed, OECD trade preferences gave Africa an advantage over many exporters. Trade restrictions and domestic policy interventions often create a bias against tradables, especially exports, that prevents the achievement of otherwise attainable growth rates. Import barriers in Africa are far higher than in developing countries with faster export growth, and appear to work against potential export products. If the region is to reverse its unfavorable export trends, it must adopt trade and structural adjustment policies that help make it competitive and help African exporters capitalize on foreign trade opportunities. This paper -- a product of the International Trade Division, International Economics Department -- is part of a larger effort in the department to identify barriers to developing countries' exports and assist in their removal.

Sub-Saharan Africa's declining importance in global trade is primarily due to its inability to remain competitive in international markets. If Africa merely retained its 1962-1964 shares for major products its exports would now be 75% ($11 billion) higher. External protection against Africa has not played an important role in this decline, in fact, OECD trade preferences made market access conditions for Africa more favorable than that for many other exporters. In contrast, sub-Saharan Africa's own trade barriers are considerably higher than those of most other developing countries, particularly those that launched sustained export-oriented industrialization drives. Since numerous studies show countries which pursue liberal trade policies generally achieve superior growth rates, these findings accent the importance of domestic policy reforms if Africa is to reverse its diminishing role in world trade. In short, the future of African economies will be determined by Africans themselves and not by outsiders.

An important new discussion of Africa's place in the international system. This volume discusses Africa's place in the international system, examining the way in which the Westphalian system, in light of the impact of globalization and transnational networks, continues to play a major role in the structuring of Africa's international relations. The book provides a solid empirical analysis of key global players in Africa - France, the UK, the US, Japan, Germany, the EU and the UN - and of their policies towards the region. In the context of the 'war against terrorism', African political stability becomes a consideration of increasing importance. By analyzing the relevance of the states in the North, this book challenges conventional wisdom in recent international relations thinking. It applies the concept of an 'international policy community' to bridge the gap between the 'domestic' and the 'international', explaining why Africa retains a role in global politics out of any proportion to its economic weight.

This book maps the process and political economy of policy making in Africa. It's focus on trade and industrial policy makes it unique and it will appeal to students and academics in economics, political economy, political science and African studies. Detailed case studies help the reader to understand how the process and motivation behind policy decisions can vary from country to country depending on the form of government, ethnicity and nationality and other social factors.