영문목차
Foreword=vii
Acknowledgments=ix
Executive Summary=xi
Part 1. Introduction=1
Health and Education Reform:A New Ball Game=2
Part 2. The Politics of Social Sector Reforms=5
The New Salience of Social Sector Reforms=6
Why the Emphasis on Reform?=9
Recent Reforms in Pension Systems:An Instructive Special Case=12
Why Education and Health Sector Reforms Are So Difficult=16
Progress Despite Obstacles=24
Different Politics in Different Fields of Reform=30
Implications for Outsiders' Roles=32
Part 3. Social Sector Programs Within a Changing World Bank=41
The Evolving World Bank of the 1990s=42
The World Bank and Social Sector Programs=48
Evolving Strategies and Programs in Health, Population, and Nutrition=52
Evolving Strategies and Programs in Education=54
Gearing Up to Promote Institutional Reform=56
Ongoing Obstacles Within the World Bank=60
Summary:Internal Change Constrained=67
Part 4. Social Sector Programs and the Inter-American Development Bank=71
The IDB and the World Bank:Different Structures and Traditions=72
New Directions for the IDB=73
The IDB and Social Sectors:Trends in Priority and Approach=75
Promoting More Effective Reform:Efforts and Obstacles=80
Summary:A Gradual Change=87
Part 5. Some Implications for Aid Strategies=91
Real-World Constraints on Goals=92
Making Haste Slowly:A Modified Strategy=93
Spending Does Not Equal Progress:A Caveat for Opinion Makers=97
List of Persons Interviewed=99
About the Author=101
About the ODC=102
Board of Directors=103