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This report presents Ghana's experience in implementing with the Comprehensive Development Framework (CDF) principles, based on an evaluation conducted by an international team in April-May 2002. The CDF concept draws together a set of principles in one package, long-term holistic development framework; country ownership; country-led partnership; and results orientation, principles that are distilled from development experience over the last five decades. The evaluation attempts to identify factors that favor or inhibit the way in which the principles are implemented as well as to extract lessons learned about their validity and applicability. Ghana was selected as a case study for several reasons, including its status as a 'CDF pilot country' (as agreed by Ghanaian and World Bank leadership in 1999) and the substantial aid flows to Ghana. The country study team sought the views of government officials at central and local levels, parliamentarians, civil society and private sector stakeholders, and local donor representatives. In addition to general 'CDF-issues' about the relations between national and international actors, the team chose to focus on several specific sectors or themes: the Ghanaian Poverty Reduction Strategy (GPRS), health, agriculture, decentralization and public financial management. The study team focused on two main questions: (1) has the designation of Ghana as a CDF pilot country caused improvements as the CDF principles have been implemented? And (2) have contemporary developments in Ghana been consistent with the CDF philosophy and what it seeks to achieve?
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