scholarly journals The Effectiveness of Debt Relief: Assessing the Influence of the HIPC Initiative and MDRI on Tanzania’s Health Sector

2019 ◽  
Vol 16 (2) ◽  
pp. 31-44
Author(s):  
Fernando Oggier

Debt relief initiatives have been part of the international development sphere since the early 1990s. With the launch of the Heavily Indebted Poor Country (HIPC) Initiative in 1996 and the Multilateral Debt Relief Initiative (MDRI) in 2005 many countries have been able to successfully qualify for debt relief. Tanzania has been one of the primary beneficiaries of debt relief over the years. While empirical evidence demonstrates that the country’s economic growth has been positively impacted by debt relief initiatives, other aspects of human development need to be analyzed to ensure a comprehensive assessment of the HIPC Initiative and the MDRI. This study compiles Tanzania’s health data into a composite indicator to perform a graphical analysis to compare the trends between health outcomes and external debt. The graphical analysis is contextualized through a qualitative analysis of political, economic and health financing literature from the Bank of Tanzania, UNICEF and USAID. The results indicate that there health outcomes improved throughout the whole study’s time period particularly after the HIPC Initiative. The health financing literature also points to increased development expenditure during this period. Nonetheless, the effects of debt relief seem to diminish in the long-term due to fluctuations in external donors and logistical barriers to budget execution. Tanzania also continues to face socio-economic and geographic disparities in health outcomes and funding. Some of the literature also states that the country’s weak system of checks and balances and the lack of robust institutions could cause opportunistic policy preferences that might not necessarily improve Tanzania’s health outcomes. KEYWORDS: Child Mortality Rate; Debt Relief; External Debt; Heavily Indebted Poor Country Initiative; International Monetary Fund; Life Expectancy; Maternal Mortality Rate; Multilateral Debt Relief Initiative; Official Development Aid; Prevalence of Undernourishment


Policy Papers ◽  
2008 ◽  
Vol 2008 (71) ◽  
Author(s):  

This report provides an update on the status of implementation, impact and costs of the Enhanced Heavily Indebted Poor Country (HIPC) Initiative and the Multilateral Debt Relief Initiative (MDRI). With a view to the upcoming Financing for Development meetings in Doha, the report not only reports on recent progress since mid-2007, but also on developments since the Monterrey Consensus recommendations on external debt relief.



Policy Papers ◽  
2010 ◽  
Vol 2010 (83) ◽  
Author(s):  

This report provides an update on the status of implementation, impact, and costs of the Heavily Indebted Poor Country (HIPC) Initiative and the Multilateral Debt Relief Initiative (MDRI). Debt relief provided under the Initiatives has substantially alleviated debt burdens in recipient countries. Through the continued use by IDA and the Fund of the flexibility available in the framework governing the HIPC Initiative and the MDRI, significant progress has been achieved under the Initiatives since the last report.



Policy Papers ◽  
2007 ◽  
Vol 2007 (40) ◽  
Author(s):  

This report provides an update on the status of implementation, impact and costs of the enhanced Heavily Indebted Poor Country (HIPC) Initiative and the Multilateral Debt Relief Initiative (MDRI) since mid-2006. It also discusses the status of creditor participation in both initiatives and the issue of litigation of commercial creditors against HIPCs.



Policy Papers ◽  
2005 ◽  
Vol 2005 (68) ◽  
Author(s):  

The G-8 has proposed that the Fund, the International Development Association, and the African Development Fund cancel 100 percent of their claims on countries having reached, or upon reaching, the completion point under the enhanced Heavily Indebt Poor Country (HIPC) Initiative. The proposal was initially presented to the G-8 Finance Ministers' Conclusions on Development issued on June 11, 2005, and reaffirmed in the statement on Africa signed by G-8 Heads of State and Government at the Gleneagles Summit on July 8, 2005.



Policy Papers ◽  
2007 ◽  
Vol 2007 (31) ◽  
Author(s):  

This report provides an update on the status of implementation, impact and costs of the enhanced Heavily Indebted Poor Country (HIPC) Initiative and the Multilateral Debt Relief Initiative (MDRI) since mid-2006. It also discusses the status of creditor participation in both initiatives and the issue of litigation of commercial creditors against HIPCs.



Policy Papers ◽  
2013 ◽  
Vol 2013 (25) ◽  
Author(s):  

On March 14, 2008 the Fund established the Administered Account for Liberia (“Liberia Administered Account” or LAA) to facilitate fundraising for, and delivery of, debt relief to Liberia with respect to obligations owed to the Fund. Specifically, the account was intended to: (i) receive resources contributed for the financing of the IMF’s share of debt relief to Liberia; and (ii) use these resources, as provided for in the Instrument to establish the LAA, to make contributions in the context of debt relief to Liberia under the Heavily Indebted Poor Country (HIPC) Initiative, and to deliver “beyond-HIPC” debt relief to Liberia (Attachment). As stipulated in the Instrument (paragraph 10(a)), the LAA shall remain in effect for as long as necessary, in the judgment of the Fund, to conduct and wind up the business of the account. Following Liberia’s successful achievement of the HIPC completion point in June 2010 and the full delivery of “beyond-HIPC” debt relief, which exhausted the balances in the account, the LAA can be terminated as it has no pending business.



Policy Papers ◽  
2007 ◽  
Vol 2007 (27) ◽  
Author(s):  

The table provides information on HIPC (Heavily Indebted Poor Country) Initiative debt relief provided by each non-Paris Club official bilateral creditor to post-completion point HIPCs. It tracks the HIPC Initiative debt relief granted by these creditors so far. The table will be updated annually in the context of the "HIPC Initiative Status of Implementation Report." It will also be updated when creditors and debtors provide comprehensive information for updating the estimates of HIPC Initiative debt relief provided.



Policy Papers ◽  
2009 ◽  
Vol 09 ◽  
Author(s):  

This paper updates the status of implementation, impact, and costs of the Enhanced Heavily Indebted Poor Country (HIPC) Initiative and the Multilateral Debt Relief Initiative (MDRI). Debt relief provided under the Initiatives has substantially alleviated debt burdens in recipient countries. Aided by continued flexibility on the part of IDA and the Fund, substantial progress has been achieved under the Initiatives since the last report, and a number of post-decision-point countries have already benefited from debt relief.



This chapter presents a historical summary of international development aid in developing Africa as a form of diplomacy. Most of these developmental projects started in the 1960s after independence and have been used as a tool for diplomacy. Healthcare for example has been a major tool for diplomacy by the United States of American (USA) and now China (PRC). During this era, the USA was the leader of soft power diplomacy and PRC was still a poor country trying to survive by making new friends in Africa. China's engagement in African health projects has differed from aid provided by traditional Western donors. The PRC builds on its own prior experiences of building its health system as a developing country and in the manner in which it places special emphasis on the issue of the national sovereignty of recipient countries.



2004 ◽  
Vol 5 (2) ◽  
pp. 63-80
Author(s):  
Shalendra D. Sharma

High level of external debt poses a serious constraint on the ability of poor countries to pl.ll.'SUe sustainable development and reduce poverty. The Heavily Indebted Poor Countries (HIPC) Initiative was designed to relieve the high external debt of some of the world's poorest nations by either writing-off or reducing debt to sustainable levels. It was launched by the World Bank and the International Monetary Fund (IMF) in 19% and "enhanced" in 19()9 to expand and accelerate the process of debt relief and free scarce public resources fur sustainable economic development, in particular, broad based development to reduce poverty. Whether debt relief, in general, or the HIPC Initiative, in particular, can achieve such development outcomes has been the subject of much debate. 1bis paper argues while the HIPC initiative is a positive step towards debt relief and sustainability, it is important to note that sustainable debt is not an end in itself, but should be an essential element in realizing the growth needed to reduce poverty and achieve the Millennium Development Goals (MDGs). To realize the full potential of debt relief, donor countries will not only have to be more generous, and the recipient countries need to undertake deeper structural reforms, debt sustainability assessments should specifically take into account how the poor countries can achieve the MDGs.



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