Born of a unique five-year collaboration among citizens' groups, developing country governments, and the World Bank that was financed by European governments, UN agencies, US foundations and NGOs, this book represents the most comprehensive, real-life assessment of the actual impacts of the liberalization, deregulation, privatization and austerity policies that constitute structural adjustment programs. Its authors, the members of the Structural Adjustment Participatory Review International Network (SAPRIN) that engaged the World Bank's president in this ambitious endeavor, demonstrate the concrete consequences of adjustment policies for the manufacturing sector, small enterprises, the wages and conditions of working people, the delivery of social services, health and education spending, small farmers and food security, and poverty and inequality.