Chapter 4 People may be dead before the tree bears fruit. Therefore, even if the poor and vulnerable will benefit in the medium and long-term from the adjustment policies, some immediate intervention may become necessary to mitigate hazardous short term effects. 1) Overall performance of adjustment programs The performance of adjustment programmes has been subject to wide and controversial discussions. Various methods have been applied to assess the results, such as comparisons of macro-economic indicators in countries before and after the programmes were launched and/or a comparison of economic performance between adjusting and non adjusting countries. The results of some of these exercises are recorded in Tables 4.16 and 4.17. Table 4.16: Sub-Saharan African countries before and after adjustment Indicator Annual average in 3 years Annual average during prior to programme start programme implementation GDP growth in percent A 2.3 4.1 B 2.2 3.5 Inflation in percent A 27.5 17.5 B 26.9 26.3 Budget balance in percent of GDP A -13.9 -11.4 B -13.5 -13.5 Current account balance in percent of GDP A -15.6 -16.1 B -15.0 -17.5 Note: comprises countries which had completed the annual programmes or the programme reviews by May 31, 1992 A: countries with current programmes B: all adjusting countries Source: country data and IMF estimates, quoted in Saleh M. Nsouli, Structural Adjustment in Sub-Saharan Africa, Finance & Development, 3.1993 - 169-