Global Monitoring Report 2005

The report finds that global progress toward the human development MDGs is inadequate, with Sub-Saharan Africa off track for every goal. It identifies critical bottlenecks in the supply of skilled health and education workers and a disconnect between the need for recurrent personnel funding and the technical assistance provided by donors. The document advocates for pragmatic human resource strategies, such as using paraprofessionals and contract teachers, and calls for a shift toward predictable, budget-aligned donor support and improved public sector accountability to ensure services reach the poorest populations.

• Global progress toward the Millennium Development Goals (MDGs) is insufficient, with Sub-Saharan Africa failing to be on track for any single goal and being the only region where child malnutrition is not declining.
• The 2005 target for gender parity in primary and secondary education will not be met globally, although some countries in Sub-Saharan Africa, South Asia, and the Middle East and North Africa have achieved parity in primary education.
• Universal primary completion by 2015 is unlikely in several regions; in Sub-Saharan Africa, current trends suggest the goal will not be reached until 2061.
• All regions are off track to meet the target for reducing child mortality, with 200,000 children under five dying weekly in the developing world, primarily from preventable conditions like malaria, measles, and malnutrition.
• HIV/AIDS continues to spread, with 39 million people living with the disease in 2004; Sub-Saharan Africa is the most affected region, where life expectancy has dropped below 40 years in nine countries.
• While most regions are on track for the safe water target, Sub-Saharan Africa is the exception, and the global sanitation target is likely to be missed by more than half a billion people.
• There is a critical shortage of skilled providers; Sub-Saharan Africa needs an additional 1 million health workers by 2015 to reach a target density of 2.5 workers per 1,000 people.
• Pragmatic human resource strategies, such as recruiting community health workers and using contract teachers with adapted standards, have successfully scaled up service delivery in countries like Guinea and India.
• A significant disconnect exists between the need for recurrent personnel funding and the nature of donor aid, as approximately 70 percent of bilateral education ODA is provided as technical assistance rather than budget support for salaries.
• The 'verticalization' of health aid through specialized global initiatives often undermines the capacity of national ministries of health to perform coherent planning and administration.
• Public sector inefficiency and poor governance, including high provider absenteeism and the lack of transparent allocation rules, often prevent resources from translating into improved human development outcomes.

APA

South African Institute of International Affairs (2005). Global Monitoring Report 2005. https://saiia.org.za/wp-content/uploads/2010/09/ampt_scaling_up_service_delivery_1995.pdf

Chicago

South African Institute of International Affairs. Global Monitoring Report 2005. 2005. https://saiia.org.za/wp-content/uploads/2010/09/ampt_scaling_up_service_delivery_1995.pdf.

Wikipedia

{{cite report |author=South African Institute of International Affairs |title=Global Monitoring Report 2005 |date=2005 |url=https://saiia.org.za/wp-content/uploads/2010/09/ampt_scaling_up_service_delivery_1995.pdf |access-date=17 August 2026 |via=Climate Insights Directory}}

BibTeX

@techreport{southafricaninstituteofinternationalaffairs2005global, author = {{South African Institute of International Affairs}}, title = {{Global Monitoring Report 2005}}, institution = {South African Institute of International Affairs}, year = {2005}, url = {https://saiia.org.za/wp-content/uploads/2010/09/ampt_scaling_up_service_delivery_1995.pdf}, urldate = {2026-08-17}, note = {Indexed by Climate Insights Directory} }