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Mauritania - Islamic Development Bank

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transform the human development landscape of<br />

the Muslim world and restoring its dignity.<br />

53. The MCPS process of extensive consultations<br />

between IDB Group staff, the GoM, domestic<br />

stakeholders, and development partners<br />

underpins the proposed partnership strategy.<br />

These consultations have not only resulted in the<br />

diagnosis of the key structural constraints facing<br />

the economy but also an understanding on the<br />

areas of IDB Group intervention in the medium<br />

term, taking into account IDB Group’s mandate<br />

and comparative advantage and the roles of<br />

the other development partners. The MCPS<br />

framework also provides for a Results Matrix that<br />

should help the GoM and IDB Group staff monitor<br />

progress in the implementation of the MCPS<br />

across the range of interventions.<br />

2. Pillar I: Enhancing Human <strong>Development</strong><br />

Through Health<br />

2.1 Current Situation<br />

54. Human <strong>Development</strong> is central to<br />

<strong>Mauritania</strong>’s long-term future. As reflected<br />

in its poor rank (154 out of 182) in the multidimensional<br />

Human <strong>Development</strong> Index in<br />

2009, <strong>Mauritania</strong> faces challenges in many areas<br />

including education, lack of skills, health and<br />

malnutrition arising from poverty. The IDB Group<br />

will focus its efforts over 2011-2015 to help<br />

address the constraints <strong>Mauritania</strong> faces in three<br />

dimensions where the challenges are most acute<br />

— health (under this pillar), malnutrition through<br />

reduction in poverty and improvement in food<br />

security (under the second pillar) and capacity<br />

building as a cross sector theme.<br />

55. An increase in the allocation of funds to<br />

the health sector in <strong>Mauritania</strong> from about<br />

0.6% of GDP in 2000 to 3.8% in 2010, has led to<br />

improvement in access to health facilities but<br />

it is still insufficient to provide a basic level of<br />

essential services. The increases in resources<br />

have helped but are still below the level of US$13<br />

per capita, considered universally as the minimum<br />

level of expenditure necessary to ensure a basic<br />

level of essential services.<br />

56. The increased resources have helped to<br />

improve access to health services in urban and<br />

16<br />

rural areas but regional disparities remain.<br />

In urban areas, about 97% percent of urban<br />

population now lives within five kilometers of<br />

primary health services. The situation in rural<br />

areas has improved but on average only 45%<br />

of the population has access to primary health<br />

service within five kilometers. The rural average<br />

masks much more differences in access between<br />

urban and poor rural areas.<br />

57. In addition, the donor community has been<br />

providing substantial support to help <strong>Mauritania</strong><br />

fight communicable diseases including HIV/<br />

AIDS, Tuberculosis and Malaria and the country<br />

has made progress in this area. Because of these<br />

efforts, it appears that MDG 6, related to these<br />

diseases, may be achievable.<br />

58. However, child and maternal mortality<br />

remain at alarming levels (figures 11 – 12) due<br />

to widely perceived malfunctions of the health<br />

system and the associated lack of effective sector<br />

wide policy.<br />

MCPS for <strong>Mauritania</strong>, 2011-2015

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