The World Bank's watchdog gave the agency low marks for health projects in Africa,
reported. "Overly complicated project designs and weak government capacity contributed to low outcomes," said Martha Ainsworth, lead author of the report by the Independent Evaluation Group. According to the group, two-thirds of all World Bank health projects from 1997 to 2007 achieved their objectives but a third, mainly in Africa, did not. The department also found out that only half of such projects had a pro-poor focus.