While the World Bank is developing a new social protection and labour strategy, its general approach to health and continuing push for privatisation of public services have come under fire again. Ghana’s national health insurance scheme, presented by the Bank as a success model for developing countries is 'unfair, inefficient and un-transparent', according to a report published in March by Ghanaian NGOs ISODEC, Alliances for Reproductive Health, and Essential Services Platform, with support from Oxfam International. It revealed that Ghana’s National Health Insurance Scheme (NHIS) - which has received technical assistance from the Bank - could be benefitting only 18 per cent of the country’s total population, despite the fact that every Ghanaian citizen pays for it through value-added tax (VAT).

The current financial crisis is likely to affect women particularly severely. In many developing countries where women work in export-led factories, or in countries where migrant women workers are the backbone of service industries, women’s jobs have taken the greatest hit. The International Labour Organisation estimates that the economic downturn could lead to 22 million more unemployed women in 2009, jeopardising the gains made in the last few decades in women’s empowerment. In many countries, however, the impact goes far beyond the loss of formal jobs, as the majority of women tend to work in the informal sector.