The Poverty Reduction Strategy process, introduced by the World Bank and IMF in 1999, is supposed to ensure that governments and civil society groups take the lead in defining policies that the Bank and Fund should support. But many commentators have complained that macroeconomic policy choices have not been adequately debated and that few countries have deviated from standard options, says a report from the Bretton Woods Project. The report also provides a critical assessment of the current moves to introduce "Poverty and Social Impact Analysis (PSIA)".