In 1980 the World Bank began structural adjustment lending to its member governments to support broad economic, institutional, and policy reforms. To examine how well this form of lending has worked, this volume brings together leading practitioners and scholars from the World Bank and other financial institutions as well as from government and academia. Their assessments, based on theoretical and practical experience, contribute to the ongoing debate about how best to bring about macroeconomic stability. Case studies of nine countries under adjustment explore how well they complied with loan conditions and how their economies performed before, during, and after adjustment.