This paper reports on the findings of a five-year collaborative research programme between the Public Health Nutrition Unit (PHNU) of the London School of Hygiene and Tropical Medicine (LSHTM) and HelpAge International (HAI) that was conducted in India, Tanzania, and Malawi with the broad objective of providing simple and easy tools for assessing nutritional vulnerability among older people.1 Under-nutrition was found to be a serious problem among such people in developing countries, with a positive association between nutritional status and functional ability. These results were presented at a Symposium held at the LSHTM with a view to encouraging development agencies to pay greater attention to the conditions of older people.

By exploring two approaches to organisational change, gender and organisational development (OD), the author argues that OD is flawed since it perpetuates existing gender inequalities by failing to address them. By contrast, the gender approach brings change both for women and for men and is contextualised in a broader agenda of social transformation. Analysis of how power is gendered is the critical starting point. While gender is not disconnected from other forms of oppression-such as race and class-special attention needs to be given to gender because experience has shown it gets 'lost'. This article seeks to contribute to breaking new ground in theory and practice in order to promote organisations that are both equitable and effective.

After 50 years of spectacularly successful work (particularly in raising the equity stakes, improving the quality of overseas development aid, fostering Southern NGO work at the international level and organising quick and effective humanitarian assistance), Northern development NGOs have come to a crossroads. The author argues that the history of the NGO 'occupational category', coupled with a changing political and economic environment (the end of the Cold War, rising international investment, declining overseas development aid, and vastly heightened Southern NGO capacity), means that most Northern NGOs should close up shop. Instead, a kaleidoscopic rebirth is envisaged, where four key functions remain for Northerners--as humanitarian agents, economic policy watchers, North-South brokers, and corporate responsibility advocates. This change of job is heralded as good news: evidence that the project of global social justice has moved dramatically forwards.

Spirituality is central to many of the daily decisions people in the 'South' make about their own and their community's development, including that of whether or not to participate in risky but potentially beneficial social action. Despite its importance, development literature and development practices have systematically avoided the topic of spirituality. This avoidance results in inferior research and less effective programmes, and ultimately fails to provide participants with opportunities to reflect on how their development and their spirituality will and should shape each other. The author offers some possible explanations for this and suggests ways in which to address spirituality in development theory and practice.

This article examines why the World Bank adopted neo-liberal economic policies. It argues that neo-liberal discourse favoured the interests of key Northern actors, and, more surprisingly, that it also allowed many Southern state actors to maintain or extend their political power. This is because World Bank discourse offers little or no political analysis of the state, instead focusing on 'technical' issues of economic adjustment. While there may now be a certain shift in World Bank discourse towards somewhat greater acceptance of a role for the state, there is still a widespread absence of political analysis, which means that dominant power relations will still not be fundamentally acknowledged or challenged.

This paper summarises the results of a joint action-research project undertaken by a number of international and local NGOs, which involved case studies in four countries in Africa, three in South Asia, one in Latin America, and one in the UK. The paper seeks to situate the discussion of impact assessment in the context of a growing critique of international NGOs. Overall, it is suggested that simple models of cause and effect which link project inputs to outputs and impact, although important, are usually inadequate for assessing the impact of what NGOs do. Instead, the author recommends the need to develop models that embrace the wider context of influences and change processes that surrounds projects and programmes, and the broad-ranging impacts that result. A major conclusion to emerge from the case studies is that the ability to select a judicious mix, and sequence, of tools and methods for impact assessment is vital. The paper concludes by looking at the broader policy implications of the studies notably in relation to: dealing with the problems of attribution and aggregation; exploring the issue of poverty reach and gender relations; warning against simplistic use of impact assessment to allocate resources; and in suggesting how impact assessment can be part of a 'virtuous circle' of change that can help promote greater accountability and learning among international NGOs.

Often the primary barriers to improving women's health are rooted in socio-economic, legal, and cultural factors. Women are generally assigned subordinate status in terms of economic power, decision making, and options regarding education, work, and family. National laws often restrict or prohibit equality and choice within society. Thus, the improvement of reproductive health is not only a matter of effective health interventions, but also a matter of social justice and human rights. This article discusses how the International Human Rights (IHR) system can be used more effectively for the protection and promotion of reproductive rights. In particular, it focuses on how IHR treaties can play an important role in fostering state compliance with rights relating to reproductive and sexual health. It ends with a discussion on how NGO advocacy work can better collaborate with the treaty body monitoring process in order to advance women's reproductive rights.

The paper considers the effectiveness of different strategies used in urban areas by development agencies to reduce poverty, including the relative merits of income generation and housing and neighbourhood improvement. Drawing on the findings of recent case studies, it suggests that the advantages of housing and neighbourhood improvements may have been underestimated, and that too little attention has been given to integrating housing and neighbourhood improvement with income generation.

Capacity building is now one of the most frequently invoked of current development concepts and yet it continues to defy a shared definition of what it means in practice. Is it possible that capacity building demands such a radically new form of practice, such a radically new form of thinking, that our current approaches are doomed to failure, not because we lack adequate models or 'technologies', but because our very approach to the issue is inadequate? Arguing that conventional capacity-building initiatives have tended to focus on the material and tangible aspects of the capacity of an organisation and its people to be critically self-aware, the author outlines some fundamental shifts which would be both entailed and generated by concentrating on the practice of the development practitioner in relation to organisational development, rather than focusing on external appearances or rushing to the training manuals.