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access to foreign achieve adjusting African countries adjustment efforts adjustment facility SAF adjustment measures adjustment strategy African Adjustment Programs alleviate availability capita real incomes commodities concessional financing Cote d'lvoire creditors currency debt relief debt-service payments devaluation developing countries disbursements distortions domestic economic growth employment enterprises ESAF arrangements exchange rate external financing financial support Gambia Ghana IMF-supported adjustment programs IMF's implementing adjustment improve increased inflation infrastructure institutional International Monetary Fund Lesotho living standards loans macroeconomic Macroeconomic policies Malawi market-based Mauritania Mauritius medium-term member countries ment million Morocco Mozambique Nigeria nomic official transfers output overall pace of adjustment Paris Club percent policy framework paper previous three private sector problems production programs in Africa public expenditure public sector rescheduling restructuring retrenchment SAF/ESAF Senegal structural adjustment facility Support for African supported adjustment programs technical assistance trade liberalization Tunisia Uganda World Bank World Economic Outlook