Chapter 4 When other sources of external credits ceased, IMF and World Bank remained the credit suppliers of last resort. In order to be eligible for IMF and World Bank loans, the governments have been obliged to launch substantial economic reform programmes, subsumed under 'adjustment'. These reforms are intended to bring about a realignment of supply and demand and a re-allocation of the production resources towards more efficient resource use. Two broad areas of adjustment policies can be distinguished: * Stabilisation, also called macro-economic adjustment, refers to immediate changes of certain macro-economic parameters (e.g. devaluation of exchange rate, tighter monetary policies, reduction of budget deficit) aiming at achieving short-term objectives (lowering of inflation and reduction of the balance of payment deficit). The measures primarily affect the demand side of the economy which can be more easily and quickly influenced than production, hence the gap between aggregate production and demand is narrowed by a cut in demand. Short-term macro-economic adjustment is primarily IMF's concern. * Structural adjustment refers to fundamental changes of the way in which the economy operates. It involves market, trade, institutional and special sector reform measures (e.g. deregulation of markets and prices, reform of international trade policies, privatization, agricultural policies, etc.). The reforms aim at improving the production potential and efficiency of the economy, hence closing the gap between production and demand by increasing production in line with economic growth. This issue is specifically of concern to the World Bank. As the structural adjustment policies need to be implemented in an appropriate sequence and require a certain time to materialise, they are, contrary to stabilisation policies, of rather medium- to long-term nature. Adjustment programmes usually comprise a package of short-term stabilisation as well as longer-term structural adjustment policies. The specific features of the policies will be discussed further below. Although the policy reforms are designed to address the specific problems of a particular country, the adjustment programmes of various countries often comprise a similar set of policies. This is because, first, the problems which many countries face are quite similar in nature, and, second, the therapy prescribed by IMF and World Bank is by and large based on same concept of exchange rate adjustment, demand and monetary contraction, deregulation and market liberalisation. In their efforts to adapt policy to respond to downward economic trends, decisions have to be made by the governments of the countries concerned about priorities and objectives, including how to protect and enhance their citizens' food security. Changes in macroeconomic parameters can affect both availability of food and the access of vulnerable groups to the food which is available. In economic terms, national parameters such as the exchange rate have an impact on the incentives to produce food, as opposed to other agricultural commodities, and also a country's ability to import food, to make up domestic shortfalls, in other words the availability or supply of food. Access to food partly depends on availability, but it also depends on income earning opportunities, which are very dependent on the level of activity in the economy as a whole. The effective demand for food by vulnerable groups in the population is sensitive to -112-