Global Monitoring Report 2005

This report assesses progress toward the human development Millennium Development Goals (MDGs) between 2000 and 2005, focusing on the challenges of scaling up skilled providers, ensuring sustained financing, and improving governance to translate resources into effective service delivery in health, education, water, and sanitation.

• Progress toward the Millennium Development Goals (MDGs) between 2000 and 2005 has been inadequate. Sub-Saharan Africa is not on track to achieve any single MDG and is the only region where child malnutrition is not declining. South Asia and the Middle East and North Africa are both off track on six goals, including gender equality, universal primary school completion, and sanitation.
• The 2005 target for gender parity in primary and secondary education will not be met globally. While girls' enrollments are growing faster than boys' in every region, parity in primary education is still not achieved in Sub-Saharan Africa, South Asia, and the Middle East and North Africa, where enrollments are less than 90 percent of boys'.
• Universal primary completion by 2015 is unlikely in several regions. In Sub-Saharan Africa, the primary completion rate was 59 percent in 2003, and current trends suggest the region will not reach the goal until 2061. Twenty-six countries globally fall below a 60 percent completion threshold as of 2003, with 22 of those located in Sub-Saharan Africa.
• All regions are off track to reduce under-five mortality by two-thirds by 2015. Approximately 200,000 children under five die weekly in the developing world, primarily from five preventable conditions: malaria, measles, malnutrition, diarrhea, and acute respiratory infections. Immunization coverage against measles has stagnated at less than 60 percent in Sub-Saharan Africa.
• HIV/AIDS continues to spread, with 39 million people living with the disease and 3.1 million deaths in 2004. Sub-Saharan Africa is the most affected, housing nearly two-thirds of all people with HIV/AIDS and experiencing life expectancy drops below 40 years in nine countries. Rapid increases in prevalence have also been noted in China, the Russian Federation, and Ukraine.
• Most developing regions are on track to achieve the safe water target, except for Sub-Saharan Africa, where only slightly more than half the population has access. However, the global sanitation target is more problematic, with only East Asia and the Pacific and Latin America and the Caribbean on track; the world is projected to miss the target by over 500 million people.
• A critical bottleneck for MDG attainment is the shortage of skilled providers. In Sub-Saharan Africa, adding 1 million health workers by 2015 is required to reach a target of 2.5 workers per 1,000 people. In education, eight Sub-Saharan countries must produce at least 30 percent of their current teacher stock annually until 2015 to meet primary education needs.
• Developing countries are using pragmatic human resource strategies to scale up services, such as adapting recruitment standards to hire paraprofessionals and contract teachers. For example, Guinea increased annual teacher production from 200 to 2,000 by shortening pre-service training and increasing general education requirements.
• There is a significant disconnect between the recurrent personnel costs needed for service delivery and the nature of donor aid. Approximately 70 percent of official development assistance (ODA) for education is provided as technical assistance, which cannot be used to pay the public sector workers essential for scaling up services.
• The 'verticalization' of health support through specialized global initiatives, such as the Global Fund and PEPFAR, has raised awareness and funding for specific diseases but has undermined the capacity of national ministries of health for coherent planning and administration.

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} }