Following three decades of progress, improvements in the welfare of children and other vulnerable groups worldwide began to falter in the mid-1970s. World recession, and in particular the debt crisis in Latin America and African famine, have seriously affected economic development programs in less developed countries. At the same time, however, large-scale health programs have had a noticeable impact. This study both illustrates the extent of the current crisis and points to the successes to show how welfare policies can-and must-become part of national planning even when the economy is in crisis.

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'Adjustment with a Human Face should be required reading for economists and others who debate adjustment policy on the basis of abstract theories.' Patrick Conway, University of North Carolina, Latin American Research Group

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