This book focuses on the provision of basic social services - in particular, access to education, health and water supplies - as the central building blocks of any human development strategy. The authors concentrate on how these basic social services can be financed and delivered more effectively to achieve the internationally agreed Millennium Development Goals.Their analysis, which departs from the dominant macro-economic paradigm, deploys the results of broad-ranging research they led at UNICEF and UNDP, investigating the record on basic social services of some 30 developing countries. In seeking to learn from these new data, they develop an analytical argument around two potential synergies: at the macro level, between poverty reduction, human development and economic growth, and at the micro level, between interventions to provide basic social services. Policymakers, they argue, can integrate macro-economic and social policy. Fiscal, monetary, and other macro-economic policies can be compatible with social sector requirements. They make the case that policymakers have more flexibility than is usually presented by orthodox writers and international financial institutions, and that if policymakers engaged in alternative macro-economic and growth-oriented policies, this could lead to the expansion of human capabilities and the fulfillment of human rights. This book explores some of these policy options.The book also argues that more than just additional aid is needed. Specific strategic shifts in the areas of aid policy, decentralized governance, health and education policy and the private-public mix in service provision are a prerequisite to achieve the goals of human development. The combination of governance reforms and fiscal and macro-economic policies outlined in this book can eliminate human poverty in the span of a generation.

Introduction Part I: Macroeconomic Policies 1. Integrating macroeconomic and social policies to trigger synergies 2. Macroeconomic policies and institutions for pro-poor growth Part II: Public expenditure on basic health services 3. The inadequacy of public spending on basic social services 4. The distribution of benefits of health and education spending 5. Policies to enhance efficiency and improve delivery in the public provision of basic social services 6. Governance reforms to address the systemic problems of state provision of basic services 7. Promoting complementarity between public and private provision Part III: Mobilizing domestic and external resources 8. Taxation and mobilization of additional resources for public social services 9. The consistency between aid and trade policies and the Millennium Goals Conclusion