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achieve activity additional adjustment efforts adjustment facility African countries annual approach arrangements availability benefit better combinations commodities competition concessional consumers contributions controls costs creditors currency debt debt-service depend devaluation difficult direct disbursements distortions domestic economic growth effect eligible employment encourages enhanced enterprises environmental ESAF example exchange rate export extended external external financing financial assistance flows foreign framework greater groups Guinea higher IMF-supported adjustment programs IMF's impact implementing imports improve incentives increased industrial inflation institutional International Monetary Fund involve liberalization loans low-income measures member countries ment million official output overall pace payments percent period policy reforms political poor positive possible private sector problems production progress protection public sector reduce reforms regions relations restructuring social sources standards structural adjustment Table technical trade transfers usually whole World World Bank