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Foreign Aid Successes and the Millennium Development Goals

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Tracking foreign aid successes is essential to understanding how state actions affect the world’s poorest places, as well as dispelling myths about the ineffectiveness of aid. Aid works, and there have been dramatic improvements in education, health and the basic quality of life in the developing world because of it.

The Millennium Development Goals (MDGs) were established and adopted by all members of the United Nations in 2000. Some of these goals include reducing child mortality, combating HIV/AIDS rates and severely curbing extreme poverty by 2015. While not all of these goals have been met, there has been remarkable progress in others. Tracking progress toward these goals thus far can help fill in knowledge gaps about which aspects of global poverty need to be addressed the most.

For example, the rate of extreme poverty since 2000 has been cut in half (extreme poverty being defined as living on less than $1.25 per day). In about a decade, nearly half a billion people were pulled out of extreme poverty, especially in China and India. Poverty rates in Africa are also expected to fall below 40% this year. A Brookings Institute report estimates that this halving of extreme poverty rates took place as early as 2008, a full seven years before the deadline, and continued despite the global recession.

Foreign aid has also had a huge impact on global health. Another one of the MDGs was to reduce under-five child mortality by two-thirds by 2015. This goal was met in Rwanda, a country which only two decades ago was engulfed in a violent civil war; additionally, child mortality was reduced by one- to two-thirds in the last decade in some of the top U.S. aid recipients, such as Ethiopia. Globally, this amounts to a 10% reduction in infant mortality between 2005 and 2013.

Another oft-overlooked example of foreign aid successes are the health services and products that the United States Agency for International Development (USAID) provides to millions of people in the developing world. These products and services, among other things, have led to a total eradication of smallpox. One specific example of the effectiveness of USAID health programs is that U.S. foreign aid saves 3 million lives annually in the developing world through immunizations. USAID was also instrumental in providing 1.3 billion people with safe drinking water, and 750 million others with sanitation by supporting the United Nations Drinking Water Supply and Sanitation Decade.

Millennium Development Goal 6 calls to combat HIV/AIDS and other diseases. The U.S. leads the way in HIV/AIDS treatment and prevention, having established the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). Since its inception, this program has, according to the National Academies Institute of Medicine, saved millions of lives by providing antiretroviral drugs to affected regions. Additionally, the program has served as a proof-of-concept that HIV/AIDS prevention and treatment services can be effectively implemented on a large scale, something that was thought to be impossible only a few decades ago.

USAID has also helped affect change in education in the developing world. Since 1950, the rate of enrollment for children in primary school has gone from less than half to about 90% globally. Consequently, literacy rates have increased by a third in the last 25 years. Two of the Millennium Development Goals were to achieve universal primary education as well as promote gender equality. USAID is pursuing these two goals by promoting robust programs that expand access to education for women in countries like Liberia and Mali.

There are many reasons to be optimistic about the efficacy of foreign aid. Aid programs should be subject to scrutiny and review so that they may be made more efficient and target the populations that most need them. However, it is also important to take into account the many foreign aid successes that USAID and other donors have had in the developing world. Acknowledging that aid works is the first step in achieving the Millennium Development Goals.

– Derek Marion

Sources: Washington Post, Brookings Institute USAID, World Bank Foreign Affairs, IOM
Photo: International Institute for Sustainable Development