The bottom billion: why are the poorest countries failing and what can be done about it

By V. Durairaj. 2007

1,509 citations recorded by the source corpus.

Disadvantaged populations, such as the poor, pose a complex set of challenges to the process of economic development. While a girl child born in Japan in 2005 is expected to live for 86 years, deliver her child in a medical institution under skilled supervision and receive appropriate attention during her old age, her contemporary born in Angola, Lesotho, Sierra Leone, Swaziland, Zambia or Zimbabwe is expected to live for about 40 years, deliver her child at home without any skilled supervision and struggle to receive adequate care during old age if she survives that long. The child cannot be faulted for this diverse prospect of length and quality of life: countries that are home to such disadvantaged population groups are in extreme poverty and express their helplessness to rescue such groups. When countries are poor and small, their economies or governments are not in a position to respond effectively to diseases that predominantly affect their poor citizens. This inability to deal adequately with complex situations further impedes such countries’ growth. As a result, many low-income countries, where most of the world’s poor live, are drifting away, in developmental terms, from the rest of the world. On the other hand, the poor living in countries that are doing well economically face a different set of problems. Such people live alongside the rich and face similar market conditions due to increased globalization and monetization of economies. Possibilities to deal with the problems of poverty exist in better-off countries, but the poor often lack access to them. In such countries, the usefulness of economic growth lies in what it does to enhance people’s health and welfare. “Growth” has no meaning if millions of the poor lack access to basic amenities, such as health care. Whether developing or not, many low-income countries are caught in several traps which prevent them from prospering. To make things worse, the present global economy is unfavourable to the bottom billion people and the countries in which they live. Hence, it is much harder for disadvantaged countries to break out of the traps in which they find themselves. In this book, Paul Collier discusses four such traps that have previously received little attention. Interestingly, what many people would consider to be a source of prosperity – natural resources – is seen as a trap by the author. The other traps he discusses are conflict, being landlocked and surrounded by bad neighbours, and bad governance. The author claims that low-income, slow economic growth and high dependence on primary commodity exports are the key determinants of civil war, which is likely to continue longer if a country’s income is low. Civil war also tends to reduce a country’s economic growth by about 2.3% per annum. He notes that 73% of people among the bottom billion have been affected by civil war recently, 29% live in countries where natural wealth dominates the economy, 30% live in countries that are landlocked and resource-scarce and have bad neighbours, and 76% have lived through a prolonged period of bad governance and poor economic policies. The future progress of the bottom billion people is crucial for health and health system development. These are the people caught in the poverty/ill-health trap. Inequities in access to health care suffered by this group further disadvantage it. Conflicts, bad governance and lack of development clearly have an effect on the national health systems of the worst-affected countries. Breaking out of the traps discussed in the book is important for future health system development, and understanding these and other barriers to development is the essential first step. The book is a welcome contribution to health development literature and makes excellent reading for those who are concerned about poverty and the poor, and for those who tend to think that economic growth is the sum total of human welfare. The book powerfully describes the increasing income divisions between sections of populations; the difficulties that development agencies face in placing materials and staff in areas with maximum needs; governments’ inabilities and failures to deal with the situation; and investment failures in poor settings. The book also serves as a timely reminder for carrying out suitable policy and development responses. The author’s rich African experience is reflected in the valuable country examples provided, while the narrative style makes the book read well. A deliberately pessimistic view of the future prospects of the bottom billion is presented, but the book does provide some suggestions that the affected countries and the Group of Eight (G8) countries could adopt to improve the status quo. The book would have benefited from use of an analytical framework to better depict the evidence presented. ■

Subfields: Economics and Econometrics, General Health Professions, Safety Research

View Paper: https://www.semanticscholar.org/paper/d805ece7b0d96ced0d8a1585434fc9154e37934a

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Citations in the corpus

The world's most deprived: Characteristics and causes of extreme poverty and hunger (2007, neutral): “33 Collier 2007.”
Over the hills and further away from coast: global geospatial patterns of human and environment over the 20th–21st centuries (2016, background): “Over the years, there has been much analysis and discussion of the importance of access to the sea, as summarised by Collier (2007).”
More Dollars than Sense: Refining Our Knowledge of Development Finance Using AidData (2011, background): “From a policy perspective, Paul Collier (2008) has argued that aid, put to proper use in carefully selected instances, can become part of the solution even if it often persists—like a natural resource " curse " —as part of the problem.”
Donating to disaster victims: Responses to natural and humanly caused events (2011, background): “There are over a billion of extremely poor people in extremely poor countries worldwide (Collier, 2008).”
Delineating the Domain of Development Entrepreneurship: A Market–Based Approach to Facilitating Inclusive Economic Growth (2011, background): “…poverty—e.g., the Asian tigers (Hong Kong, Singapore, South Korea, and Taiwan), China, or India (Powell, 2008)—but this has not been the norm, especially in sub-Saharan Africa where most nations have experienced an increase in the level of extreme poverty over the last 30 years (Collier, 2007).”
The Elusive Quest for Inclusive Growth: Growth, Poverty, and Inequality in Asia (2013, background): “In resource rich countries, potential reforms include reducing rent seeking behavior through transparency initiatives and anti-corruption efforts (Collier 2007).”
Resources, Policies, and Agricultural Productivity in Sub-Saharan Africa (2013, background): “Conflicts within and between countries have exacted a heavy economic toll on SSA (Collier, 2007).”
Innovation and Growth: How Business Contributes to Society (2010, background): “The upshot is that, where poverty was mostly an Asian phenomenon 30 years ago (87% of the world’s poor lived in East and South Asia), today it is more of a problem in Africa, where about two thirds of the world’s poor live, compared with 18% in Asia (Collier, 2008).”
Microfinance: Creating Opportunities for the Poor? (2010, background): “Still, the alternative to savings is borrowing, which in developing countries means borrowing from friends and neighbors or as a last resort from moneylenders at triple-digit interest rates (Collier, 2007; Cull, Demirguc-Kunt, & Morduch, 2009).”
The Power of Information in Public Services: Evidence from Education in Uganda (2011, background): “…main media outlets, and specifically newspapers, as instruments to strengthen the relationships of accountability in the education sector was discussed in the policy circles in Uganda in response to the findings of the initial public expenditure tracking survey (see, for example, Collier, 2007).”
Plunder in the Post-Colonial Era: Quantifying Drain from the Global South Through Unequal Exchange, 1960–2018 (2021, background): “Lower-income countries have failed to develop because they lack these things, or because they suffer from corruption, red tape and inefficiency (Sachs 2005; Collier 2007; Rostow 1960; Moyo 2009; Calderisi 2006).”
The urban foodscape: world cities and the new food equation (2010, background): “Although this was never the situation in the global south, where the spectres of chronic hunger and malnutrition continued to haunt large segments of the population, these problems were still affecting a declining share of the developing world’s population, with the glaring exception of sub-Saharan ”
Informal Family Business in Africa (2009, background): “Past reliance on government aid alone to lift nations out of poverty has been a failure (Collier, 2007).”