A lack of access to basic services such as education, healthcare, and basic infrastructure constitutes factors of multidimensional poverty as well. Unfortunately, around the world, basic services often fail to reach the people in material poverty leading to a vicious cycle where the material poor lacks access to services and those lacking access stay in material poverty. This usually occurs due to the failures in the accountability relationships between the citizens, the State, and the service providers. The report prepared for the COMCEC Poverty Alleviation Working group gives an overview of basic service delivery across five sectors in 57 OIC (Organization of Islamic Cooperation) member countries focusing on current levels of access, service delivery models, financing methods, and commonly observed challenges. These sectors that the report focuses on are education, health care, water, sanitation, and electricity. Problems with service delivery were found, to some degree, across all OIC countries irrespective of their income level. Yet, problems are definitely more pronounced among the low-income member countries. The report underlines the fact that member countries should focus on strengthening the accountability relationships between actors in the delivery chain to get better value for money invested and to provide better access to the poor.
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