POLICY NOTE AFGHANISTAN’S DEVELOPMENT GAINS: Progress and challenges Disclaimer This volume is a product of the staff of the International Bank for Reconstruction and Development/The World Bank. The findings, interpretations, and conclusions expressed in this paper do not necessarily reflect the views of the Executive Directors of The World Bank or the Governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries. Copyright statement The material in this publication is copyrighted. Copying and/or transmitting portions or all of this work without permission may be a violation of applicable law. The International Bank for Reconstruction and Development/The World Bank encourages dissemination of its work and will normally grant permission to reproduce portions of the work promptly. For permission to photocopy or reprint any part of this work, please send a request with complete information to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA, telephone 978-750-8400, fax 978-750-4470, http://www.copyright.com/. All other queries on rights and licenses, including subsidiary rights, should be addressed to the Office of the Publisher, The World Bank, 1818 H Street NW, Washington, DC 20433, USA, fax 202-522-2422, e-mail pubrights@worldbank.org. Acknowledgements This note was prepared by Tobias Haque (Senior Country Economist, GMTSA) under the guidance of Manuela Francisco (Practice Manager, GMTSA) and Henry Kerali (Country Director, SACKB). Valuable comments and inputs were provided by Walker Bradley (Geographer), Cesar Cancho (Poverty Economist), Nandini Krishnan (Senior Poverty Economist), Ayo Akala (Senior Health Specialist), Guillemette Jaffrin (Program Leader), Hamid Quraishi (Energy Specialist), and Fanny Missfeldt-Ringius (Lead Energy Specialist). AFGHANISTAN’S DEVELOPMENT GAINS i AFGHANISTAN’S DEVELOPMENT GAINS ii AFGHANISTAN’S DEVELOPMENT GAINS iii AFGHANISTAN’S DEVELOPMENT GAINS iv AFGHANISTAN’S DEVELOPMENT GAINS Executive Summary The international The international community has invested heavily in Afghanistan since 2001. A community has relatively small proportion of this investment has been in civilian aid for invested heavily in reconstruction and development. During certain periods, civilian aid to Afghanistan Afghanistan has been very high, but flows have recently declined to levels comparable with other low-income countries. Afghanistan’s heavy aid dependence is now driven primarily by high security grants. Macroeconomic Strong macroeconomic management by government has established an enabling management has environment for improved development outcomes. Economic growth has been remained strong rapid, supporting rapid growth in incomes. Government policy has ensured that inflation has remained moderate, deficits have been limited, and public revenues have grown rapidly. Many development Afghanistan remains mired in conflict and faces immense development challenges. outcomes have While data is imperfect and progress against development outcomes has been improved rapidly uneven and often slower than expected or desired, important gains have been since 2001, especially achieved. While poverty remains high and has recently increased, it is likely that when compared incomes remain much higher than they were in 2001. Expanded access to health, against other low- education, and infrastructure has seen rapid improvements in outcomes, with income countries Afghanistan catching up with other low-income countries against key development indicators. The position of women has improved, including through improved access to education and representation within the civil service and politics. Gains remain fragile Gains remain fragile. Positive progress against many development outcomes is not being matched with progress in strengthening governance and institutions. Many access and outcome indicators have shown deterioration since 2012, with deteriorating security conditions, declining aid inflows, and economic slow-down. There is limited scope to further expand government revenues without faster economic growth, while grants continue to finance around 75 percent of public expenditure. Continued support is The development gains that Afghanistan has achieved over recent years will needed therefore only be sustained if reductions in grant support are gradual and carefully calibrated. A precipitous reduction in grants would undermine the capacity of government to sustain service delivery, leading to deteriorations in education, health, and well-being. In order to maintain the confidence of the international community and provision of international grant support, Government needs to take decisive action to address corruption and improve governance. Efforts should be taken in partnership between Government and the international community to: i) identify specific and measurable goals for anti-corruption and institutional strengthening that represent shared priorities; and ii) mobilize coordinated efforts to achieve those goals, drawing on international assistance as needed. 1 AFGHANISTAN’S DEVELOPMENT GAINS 1. Introduction Afghanistan has This note outlines some of the major gains that have been achieved in Afghanistan achieved major gains since the US-led intervention in 2001. The analysis is informed by comparisons to since 2001 development progress and outcomes in other low-income countries over the same period. Afghanistan remains mired in conflict and faces immense development challenges. However, donor and government programs executed in the context of rapid economic growth and sound macroeconomic management have supported rapid improvements in provision of basic public services and infrastructure over the past two decades. While progress has been uneven and data to assess progress is sometimes limited or unreliable, increased access to services and infrastructure has driven huge development gains, often far outpacing progress achieved in other low-income countries. Against many indicators, Afghanistan is now performing similarly to other countries at its level of incomes, while receiving similar levels of civilian aid. Development gains remain fragile, however, and continued international support will be required to avoid reversal of recent progress. Section two outlines the extent of international assistance to Afghanistan since 2001. Section three reviews economic performance and overall macroeconomic management. Section four shows how access to services and infrastructure has improved. Section five shows how improved access to services has led to major improvements in development outcomes, including for women. The final section highlights continued weakness in governance and the need for ongoing international support. 2. International Support to Afghanistan Afghanistan has International support to Afghanistan since 2001 has taken several forms, received substantial including: i) direct military and counter-terrorism activity by international partners; international aid ii) grant support to Afghanistan security agencies; and iii) civilian aid for support since 2001 development and reconstruction. While data constraints preclude detailed disaggregation, it is clear that civilian aid spending has constituted only a small share of total expenditure by the international community. For example, the Brown University Costs of War project estimates that the US has spent a total of US$ 2 trillion in Afghanistan since 2001. This compares to total civilian aid spending from all international partners of around US$70 billion since 2001, according to OECD DAC data. Aid levels have been Relative to other low-income countries, Afghanistan has received very high levels very high, but of civilian aid during certain periods since 2001. Per capita civilian aid peaked in declined 2007 at US$228. But civilian aid flows have since declined substantially, to around substantially over US$105 in 2017 within the range of aid flows to other low-income countries. recent years Afghanistan is receiving similar per capita civilian aid as several countries with significantly higher incomes (Yemen, Haiti) and less aid than other countries at similar income levels (Liberia, South Sudan). 2 AFGHANISTAN’S DEVELOPMENT GAINS While Afghanistan remains extremely reliant on aid relative to other low-income countries, this is largely due to very high levels of security grants which help finance a very large security sector. Security grants account for around 60 percent of total grants to Afghanistan. Security spending is equal to around 30 percent of GDP compared to an average of around three percent of GDP in other low- income countries. Figure 1: Afghanistan has received high levels of civilian aid, but flows have substantially decreased a. Civilian Aid Per Capita b. Aid and Income Per Capita - Low Income Countries 250 200 ODA per capita (current US$) ODA per capita (2015-2017 average) LBR 200 180 SSD 160 150 140 120 AFG CAF 100 100 SLE RWA HTI YEM 80 MWI GNB GMB MLI 50 60 MOZ BDI NER BFA BEN UGATCD GIN NPL TZA 40 ETH TJK COD TGO 0 20 MDG 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 0 0 500 1000 1500 Average Afghanistan Income per capita (2015-2017 average, Atlas method) Sources: OECD DAC, World Bank staff calculations Note: Average is for all low-income countries. Shaded band shows 25th and 75th percentile. 3. Economic development and macroeconomic management Afghanistan’s While recent growth rates have been modest, Afghanistan’s economy has economy has grown expanded considerably since 2001. Aid influx has spurred rapid growth in services, rapidly since 2001, while restoration of infrastructure has supported recovery in broader production, driving much higher especially agriculture. Afghanistan’s average annual real GDP growth between incomes 2001 and 2018 was among the fastest across low-income countries (nearly seven percent). Real per capita incomes increased by 75 percent, with income per capita increasing from around 70 percent of the low-income country average to 107 percent of the low-income country average. 3 AFGHANISTAN’S DEVELOPMENT GAINS Figure 2: Afghanistan has experienced rapid economic growth, on average, since 2001 a. Average Real GDP Growth b. Real GDP Per Capita 10 3500 Real GDP Per Capita (2011 PPP US$) Average Real GDP Per Capita Growth 3000 8 2500 6 2000 1500 4 1000 2 500 0 0 2005 2008 2011 2002 2003 2004 2006 2007 2009 2010 2012 2013 2014 2015 2016 2017 2018 -2 YEM GNB SYR COD UGA TCD BEN HTI MDG CAF LBR NPL TGO NER GIN TZA SLE ERI BDI MLI MWI GMB BFA MOZ AFG ETH TJK RWA Average Afghanistan Sources: World Development Indicators Note: Average is for all low-income countries. Shaded band shows 25th and 75th percentile. Figure 3: Afghanistan’s economy has grown faster than other low-income countries, and incomes are now above the low-income country average a. GDP Per Capita b. Change in GDP Per Capita 3500 250% GDP Per Capita (2011 US$ PPP) 3000 200% 2500 150% 2000 100% 1500 50% 1000 500 0% 0 -50% SSD GNB YEM UGA COD TCD BEN MDG CAF TGO HTI LBR NPL TZA BDI ERI NER GIN MLI MWI SLE MOZ BFA AFG GMB TJK RWA ETH -100% YEM BEN GNB UGA CAF HTI COD TCD NER ERI LBR MDG TGO GMB BDI MLI SLE GIN TZA NPL MWI BFA AFG ETH MOZ TJK Average RWA Sources: World Development Indicators, World Bank staff calculations Through sound With sound management of the money supply by Da Afghanistan Bank and the economic maintenance of overall fiscal discipline by the Ministry of Finance, inflation has management, remained moderate since 2002. Inflation in Afghanistan has averaged around six inflation has percent since 2002, compared to nine percent for low-income countries and remained relatively around 10 percent of other fragile low-income countries. low Inflation has been particularly low in Afghanistan over the past five years, averaging just three percent, relative to 10 percent for low-income countries and 14 percent for fragile low-income countries. 4 AFGHANISTAN’S DEVELOPMENT GAINS Figure 4: Inflation has remained relatively low in Afghanistan Average annual inflation (percent) Annual Average Inflation since 2001 40 16 35 14 Annual Average Inflation 30 12 10 25 8 20 6 15 4 10 2 5 125 0 0 Afghanistan Low income Low income fragile -5 BEN GNB TCD UGA COD YEM SSD NPL TGO MDG HTI LBR ERI MLI NER CAF BDI GIN TZA SLE BFA AFG SOM TJK GMB MOZ MWI ETH RWA 5 Year Average Average since 2002 Sources: World Development Indicators Government Since 2002, Afghanistan has seen remarkable growth in government revenues revenues have grown through the establishment of an effective revenue system. Unlike in many other very rapidly low-income countries, revenue growth has been driven through taxation of dispersed economic activity, rather than taxation of natural resource projects. Revenues have grown from just three percent of GDP in 2002 to around 14.5 percent of GDP today – equal to the average for low-income countries. Revenue performance has been especially impressive since 2014, when Afghanistan experienced a revenue collapse during the previous presidential elections. Since 2014, revenues have grown by around six percentage points of GDP. This is the fastest rate of revenue growth for any low-income country over this period, other than Nepal. Figure 5: Revenues have grown from negligible levels to reach the low-income country average 35% a. Revenue as % GDP b. Change in revenue since 2014 30% 10% Change in Revenue as Percentage Revenue as % GDP 25% 5% 20% 0% Points of GDP 15% 10% -5% 5% -10% 0% -15% 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 -20% TCD GMB BFA YEM MOZ GIN MDG COD MWI AFG LBR TZA UGA GNB SLE NPL CAF NER RWA SOM TGO MLI Average Afghanistan Sources: ICTD/UNU-WIDER, ‘Government Revenue Dataset’, 2019, https://www.wider.unu.edu/project/government-revenue- dataset' Note: Average is for all low-income countries. Shaded band shows 25th and 75th percentile. 5 AFGHANISTAN’S DEVELOPMENT GAINS Afghanistan has Afghanistan had very high levels of debt at the time of the international avoided intervention. Subsequent debt relief provided by international creditors saw debt accumulation of debt levels fall to very low levels from around 2006. Since 2006, through prudent fiscal management and constraining budget deficits, Afghanistan has not accumulated significant debt. Afghanistan now has the lowest level of public debt of any low- income country. Over the past five years, Afghanistan has been one of only five low-income countries not to have experienced an increase in public debt. Figure 6: Afghanistan has been unusual among low-income countries in avoiding re-accumulation of debt following debt relief in the 2000s General Government Gross Debt as % GDP 400 200 350 180 Public debt as % GDP - 2018 Public debt as % GDP 300 160 250 140 200 120 100 150 80 100 60 50 40 0 20 2014 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2015 2016 2017 2018 0 UGA YEM COD BEN SSD GNB TCD HTI MDG TGO NPL TZA LBR MLI GIN CAF NER BDI SLE GMB ERI AFG BFA MWI TJK MOZ RWA ETH Average Afghanistan Average Sources: World Economic Outlook database, World Bank staff calculations Note: Average is for all low-income countries. Shaded band shows 25th and 75th percentile. 4. Access to services and infrastructure Access to services Inflows of aid and rapid improvements in government revenues in the context and infrastructure of sound macroeconomic management have allowed enormous progress in has expanded rapidly delivering services, despite ongoing active conflict. Access to health services have improved enormously. The proportion of births attended by a skilled medical professional has increased from just 11 percent in 2003 to around 59 percent in 2018. This is among the fastest pace of progress seen across any low-income country. The proportion of women receiving antenatal care has increased from 16 percent to 65 percent. Progress has been especially impressive in rural areas, where skilled birth attendance increased from four percent to 51 percent, while the proportion of women receiving antenatal care increased from eight percent to 61 percent. 6 AFGHANISTAN’S DEVELOPMENT GAINS Figure 7: There has been a rapid increase in skilled birth attendance a. Skilled birth attendance b. Change in skilled birth attendance since 2002 120 60 Change in skilled birth attendance (percentage Skilled birth attendance (%) 100 50 40 80 30 60 points) 20 40 10 20 0 0 -10 SSD YEM GNB UGA TCD BEN COD SYR HTI MDG TGO PRK ERI NER CAF MLI NPL LBR BDI SLE GIN TZA MOZ GMB AFG BFA MWI SOM ETH TJK RWA -20 Latest Earliest Current Average BEN TCD SYR SSD COD MDG GNB HTI YEM UGA PRK LBR NER NPL TGO MLI CAF ERI SLE SOM GIN TZA BDI MOZ MWI BFA AFG GMB TJK ETH RWA Sources: World Development Indicators, Afghanistan Health Survey (2018) Note: Change is calculated as the difference between earliest and latest available data-points between 2002-2018. Time periods therefore vary by country. Access to education The number of children attending primary and secondary school has grown has also shown rapidly since 2001. By 2016, the number of children enrolled in school was 9.2 enormous million, up from around one million in 2001.1 Progress with improved access to improvement secondary education has been particularly impressive. Around 1.7 million children and youth are now attending lower secondary school and 0.9 million attending upper secondary school. The secondary gross enrolment rate has increased from around 13 percent in 2003 to around 54 percent today, well above the low-income country average. This represents one of the fastest rates of increase in secondary enrolment rates seen in any low-income country. Enrolment rates do not necessarily accurately reflect actual school attendance, as not all enrolled students attend school. Data on school attendance, however, also shows similar positive trends. Between 2007 and 2017, the net secondary attendance rate increased from 26 percent to 35 percent. Average years of schooling increased from 2.0 years to 3.1 years over the same period.2 1 World Bank (2018) Promoting Education During Times of Increased Fragility, World Bank, Washington DC. 2 Afghanistan Living Condition Surveys (2008, 2012, 2014, 2017). 7 AFGHANISTAN’S DEVELOPMENT GAINS Figure 8: Secondary enrolment rates have grown faster than in any other low-income country since 2001 Gross Secondary Enrollment Rate (%) 100 45 90 40 Change in Gross Secondary Enrolment Rate 80 35 70 60 30 (Percentage Points) 50 25 40 20 30 15 20 10 10 0 5 2007 2013 2002 2003 2004 2005 2006 2008 2009 2010 2011 2012 2014 2015 2016 2017 0 Average Afghanistan -5 SSD SYR YEM RWA BEN TZA GMB ETH BFA AFG LBR MOZ SLE MDG GNB UGA COD TJK MWI ERI MLI BDI GIN TGO CAF NPL TCD NER Sources: World Development Indicators, UIS, World Bank staff calculations Note: Average is for all low-income countries. Shaded band shows 25th and 75th percentile. Change is calculated as the difference between earliest and latest available data-points between 2002-2018. Time periods therefore vary by country. Access to basic Donor and government investment in infrastructure has also supported rapid infrastructure has improvements in access to basic services. Infrastructure expansion has also been also increased supported by the establishment of conditions broadly conducive to private sector investment, for example in the telecommunications and solar energy sectors. The proportion of Afghans with access to electricity has increased rapidly. The number of grid electricity connections has increased from around 228,000 in 2004 to 1.5 million in 2019. The proportions of Afghans with access to grid electricity has increased from around eight percent to around 31 percent between 2004 and 2019. In addition, around 60 percent of Afghans have access to electricity generated from off-grid solar units. 3 The proportion of Afghans with access to sanitation has increased from 25 percent to 43 percent, well above the low-income country average. Access to mobile phones has kept pace with the massive growth seen across the developing world, with the number of subscriptions increasing from just 0.1 per 100 Afghans in 2002 (about one-tenth of the low-income country average) to 66 per 100 Afghans in 2017 (equal to the low-income country average). 3 DABS connections data, ALCS 2016/17 data 8 AFGHANISTAN’S DEVELOPMENT GAINS Figure 9: Access to electricity has increased rapidly, including through expansion of grid connections a. Proportion of population with access to grid b. Number of electricity connections 35% 1.6 Millions 30% 1.4 25% 1.2 1.0 20% 0.8 15% 0.6 10% 0.4 5% 0.2 0% - 2007 2014 2004 2005 2006 2008 2009 2010 2011 2012 2013 2015 2016 2017 2018 2019 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Sources: DABS data, DHS (2015), World Bank staff calculations Note: Electrification rate is calculated using an assumed houshold size of eight people. Figure 10: Access to other basic infrastructure has also increased rapidly a. Mobile phone subscriptions per 100 people b. Proportion of population using basic sanitation 140 70 120 60 100 50 Percent 80 40 60 30 40 20 20 10 0 0 2015 2008 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2016 2017 2002 2003 2004 2005 2006 2007 2009 2010 2011 2012 2013 2014 2015 2016 2017 Average Afghanistan Average Afghanistan Sources: World Development Indicators, ALCS (2017) 5. Development outcomes Development While poverty remains at unacceptably high levels, expansion in the provision of outcomes have basic services and infrastructure in the context of a growing economy has driven improved rapidly, rapid improvements in development outcomes since 2001. From lagging far but much remains to behind, Afghanistan has caught up with other low-income countries against key be done metrics. Poverty trends since around 2007 have deteriorated, from 34 percent in 2007- 2008 to around 55 percent in 2016-2017, based on the national poverty line. Food insecurity and employment outcomes have also deteriorated, especially in rural areas. There is limited data with which to analyze trends in poverty before 2007, but it seems likely that rapid economic growth and increases in per capita income led to significant poverty reduction over that period. Rapidly increased poverty since 2011-2012 has taken place against the background of slowing economic 9 AFGHANISTAN’S DEVELOPMENT GAINS growth and declining per-capita incomes, reflecting the impacts of deteriorating security conditions, declining aid flows, political instability, and climate change. Full data is not available to accurately compare poverty rates between Afghanistan and other countries using absolute international poverty lines. The rate of poverty in Afghanistan is similar to other low-income countries when using national poverty lines (which vary by country and are therefore not strictly comparable). Figure 11: Poverty is unacceptably high, and has recently increased Poverty as percent of population using national poverty line a. Trends in poverty (national poverty line) b. Headcount poverty ratio at national poverty lines 70% 59% 90 60% 55% 80 50% 42% 36% 70 40% 42% 38% 60 30% 34% 50 25% 20% 26% 40 30 10% 20 0% 10 2007-08 2011-12 2016-17 0 UGA SYR BEN YEM GNB TCD HTI COD SSD NER TGO CAF MDG NPL TZA LBR MLI SLE GIN BDI GMB ETH BFA TJK MOZ MWI AFG RWA National Urban Rural Sources: World Development Indicators, NRVA 2007-08, 2011-12 and ALCS 2016-17 Health and Improved health services, including maternal and child care, has led to a rapid education outcomes decline in maternal, infant, and child mortality.4 Maternal mortality rates declined have rapidly from 1,100 to 396 deaths per 100,000 live births between 2000 and 2015. 5 The improved under-five child mortality rate has declined from 191 per 1,000 live births in 2007 to 49 per 1,000 live births in 2018.6 No other country has achieved such rapid progress in reducing child mortality over this period, with the number of deaths per 1,000 live births declining by 142 between 2007 and 2018. Expansion in access to education has seen rapid improvement in literacy rates. The adult literacy rate has increased from around 28 percent in 2011 (when earliest data is available) to 43 percent in 2018. The youth literacy rate has increased from 47 percent to 65 percent over the same period. While the adult literacy rate remains below the average for Low Income Countries (55 percent), Afghanistan has seen very rapid improvement, at a faster pace than achieved by most low-income countries over the same period. 4 Statistics for some health indicators vary by source, reflecting weaknesses in data collection and different methodologies. Most indicators, however, show significant trends of improvement across all sources. 5 World Bank (2018) Progress in the Face of Insecurity: Improving Health Outcomes in Afghanistan, World Bank, Washington DC. 6 AHS (2006, 2015, 2018), NRVA (2008, 2013), AMS (2010), DHS (2015-2016) 10 AFGHANISTAN’S DEVELOPMENT GAINS Reduced child mortality and increased access to education has driven rapid reductions in fertility rates. The total number of births per woman has fallen from 7.3 to 4.6 between 2002 and 2017.7 The adolescent fertility rate has also declined from 146 births per 1,000 women between the ages of 15-19 in 2002 to 69 in 2017 – a decline of around 52 percent. Afghanistan’s total fertility rate is now around the average for low-income countries, and it has achieved the fastest reduction in fertility rates for any low-income country over the period. Figure 13: Child mortality has declined in Afghanistan faster than in any other low-income country a. Under-5 mortality rate b. Change in under-5 mortality rate Change in mortality rate per 1,000 300 0 Mortality rate per 1,000 live births 250 -20 200 -40 live births 150 -60 100 -80 50 -100 0 -120 2012 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2013 2014 2015 2016 2017 2018 -140 -160 TCD COD UGA GNB SSD MDG BEN YEM HTI NER SLE LBR CAF TGO NPL MWI BDI MOZ MLI TZA GIN ERI SOM GMB AFG RWA BFA ETH TJK Average Afghanistan Sources: World Development Indicators, AHS (2006, 2015, 2018), NRVA (2008, 2013), AMS (2010), DHS (2015-2016) Figure 14: Literacy rates have rapidly increased a. Literacy rate b. Change in literacy rate (15+) 90 30 Change in percentage points 80 25 70 20 Percent 60 15 50 10 40 30 5 20 0 10 -5 0 -10 SSD BEN UGA TCD COD SYR HTI TGO MDG MLI LBR NPL BDI NER GIN CAF ERI SLE TZA BFA AFG GMB ETH MOZ MWI RWA GMB TCD MDG MOZ SYR GIN HTI SSD BEN MWI UGA COD ETH BFA SLE AFG LBR TZA RWA BDI CAF NER TGO NPL MLI ERI Sources: World Development Indicators, World Bank staff calculations Note: Change is calculated as the difference between earliest and latest available data-points between 2002-2018. Time periods therefore vary by country. 7 World Development Indicators 11 AFGHANISTAN’S DEVELOPMENT GAINS Figure 15: Fertility rates have rapidly decreased a. Births per woman b. Change in births per woman 14 0 12 -0.5 10 8 -1 6 -1.5 4 2 -2 0 -2.5 -3 YEM UGA TCD COD SSD MDG SYR GNB BEN LBR HTI NPL BDI ERI TGO MLI SLE CAF NER GIN TZA PRK MWI AFG ETH SOM BFA MOZ GMB RWA TJK Average Afghanistan Sources: World Development Indicators, World Bank staff calculations Note: Change is calculated as the difference between earliest and latest available data-points between 2002-2018. Time periods therefore vary by country. Outcomes have While women and girls continue to face major and unacceptable disadvantages improved for women in Afghanistan, important gains have been achieved. There is no significant difference by gender in measures of healthcare access, such as immunization rates. Important gaps in education access remain. But, until recently, enrollment rates for girls were increasing more rapidly than for boys, substantially reducing the gap in access to education. While the female secondary enrolment rate increased from around six percent in 2003 to 39 percent in 2017, the ratio of females per male enrolled in secondary education increased from 0.2 to 0.6. Attendance statistics show a similar positive trajectory, with the ratio of females per male attending secondary education increasing from 0.4 to 0.5 since 2007.8 Women are also increasingly represented in the public service and politics. Approximately 21 percent of all civil servants are now women, up from negligible numbers in 2001. Around sixteen percent of civil servants in the senior management group level are female (grades one and two). 9 Afghanistan now has strong women’s representation in politics, from zero representation in 2001. Around 27 percent of parliamentary seats are held by women, higher than the average for low-income countries. 8 ALCS data (2008, 2017) 9 NSIA Statistical Yearbook 2019 12 AFGHANISTAN’S DEVELOPMENT GAINS Figure 16: Females have increased access to education a. Primary enrollment a. Secondary enrollment 45 0.8 45 0.7 Females per male enrolled Female secondary enrollment rate Female secondary enrollment rate 40 0.7 40 0.6 35 0.6 35 0.5 30 0.5 30 25 25 0.4 0.4 20 20 0.3 15 0.3 15 0.2 0.2 10 10 5 0.1 5 0.1 0 0 0 0 2005 2003 2004 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2011 2003 2004 2005 2006 2007 2008 2009 2010 2012 2013 2014 2015 2016 2017 Female Enrollment Rate (LHS) Female Enrollment Rate (LHS) Females Per Male Enrolled (RHS) Females per male enrolled (RHS) Sources: World Development Indicators, World Bank staff calculations Figure 17: Women have radically improved political representation Percentage of seats held by women in parliament 70 60 50 Percentage 40 30 20 10 0 Average Sources: World Development Indicators, World Bank staff calculations 6. Challenges and Implications Afghanistan While overall macroeconomic management has been sound and development continues to face outcomes have generally improved, Afghanistan continues to face major major challenges in challenges of governance. Institutions remain weak and corruption is widespread, governance feeding into grievances that drive conflict. It is difficult to accurately measure the strength of institutions and governance. However, available data suggests that Afghanistan continues to perform poorly relative to other low-income countries, with little progress over time. The World Bank Country Policy and Institutional Assessments (CPIA) measure the quality of policies and institutions in all developing countries based on assessments by country experts drawing on a wide range of third-party data-sources. CPIA scores for Afghanistan against ‘protection of property rights and rule-based governance’ and ‘transparency, accountability, and corruption in the public sector’ show poor 13 AFGHANISTAN’S DEVELOPMENT GAINS performance against other low-income countries and a deterioration in performance since 2005. These findings are consistent with survey evidence showing increased prevalence of and concern about corruption. In the latest 2019 Asia Foundation Survey of the Afghan People, 97 percent of respondents believed that corruption was a problem for Afghanistan (up from 94 percent in 2006) and 91 percent believed that corruption was a problem in daily life (up from 73 percent in 2006). Figure 18: Governance remains weak CPIA scores (0-6, higher = better) a. Protection of property rights and rule-based b. Transparency, accountability, and governance corruption in the public sector 6 6 5 5 4 4 3 3 2 2 1 1 0 0 Average Afghanistan Average Afghanistan Sources: World Development Indicators, World Bank staff calculations Gains remain fragile Many development indicators have shown deterioration since 2012, reflecting economic slow-down, increasing insecurity, periods of political instability, and the impacts of negative weather shocks related to climate change. Poverty rates have increased, employment outcomes have deteriorated, and there has been some reversal of gains in access to services, with the widening of gender gaps. Self-reliance remains While levels of civilian aid have recently declined, Afghanistan remains heavily a long-term goal reliant on international grant support. Grants continue to finance around 75 percent of total public expenditure and nearly 90 percent of security expenditure. Grants finance nearly half of the government budget. Further modest increases in tax revenues are possible through improvements in policy and administration. But tax revenues are now close to the average for low-income countries, and substantial additional revenue expansion will only come with accelerated economic growth over the medium-term. Continued grant The development gains that Afghanistan has achieved over recent years will support is needed… therefore only be sustained if reductions in grant support are gradual and carefully calibrated. A precipitous reduction in civilian grants would undermine the capacity of government to sustain service delivery, leading to deteriorations in education, health, and well-being. Rapid reductions in security grants would lead to either a decline in security sector capabilities or a deterioration in 14 AFGHANISTAN’S DEVELOPMENT GAINS development outcomes. Without revenue growth, Government can only take on a larger share of security spending by squeezing out spending on services. …but will depend on In order to maintain the confidence of the international community and improvements in provision of international grant support, Government needs to take decisive governance. action to address corruption and improve governance. Efforts should be taken in partnership between Government and the international community to: i) identify specific and measurable goals for anti-corruption and institutional strengthening that represent shared priorities; and ii) mobilize coordinated efforts to achieve those goals, drawing on international assistance as needed. 15