A/HRC/4/10 page 20 77. One of the aspects of economic policy reform most linked to the human rights agenda is the development of good governance. Efforts should not merely focus on public sector downsizing but also on a more efficient public sector that delivers quality services. The reference framework for public sector reform should include a matrix on the appropriate role and size of Government, an appropriate system for setting performance objectives and measuring progress against them, and a reformed pay structure conducive to attracting, retaining and motivating highly qualified staff. 78. Structural reforms that impact human rights, especially in such sectors as health and education, should always be guided by the international human rights obligations the countries concerned have undertaken to fulfil. So far, however, current studies indicate that most economic reform programmes are only partially coherent with those obligations. Health reform targets increased public spending in primary, essentially preventive health care, while education reform focused on primary education. Yet, user fees have, in general, been an obstacle to the full enjoyment of human rights in these two sectors and reform programmes should, therefore, take into account both the obligations for a progressive abolition of fees and avoidance of user fees or other charges. Notes 1 The World Bank, Data and Statistics Website: www.worldbank.org/data. 2 See Moss, Todd, “Will Debt Relief make a Difference?”; Center for Global Development, Washington DC, May 2006, p. 6. 3 The World Bank, Website on Debt Relief: Home > News > Issue Briefs > Debt Relief. 4 The World Bank, Multilateral Debt Relief Initiative Fact Sheet, Washington DC, July 2006. 5 See also the independent expert’s report to the General Assembly (A/61/464), paras. 11-22. 6 The Debt Sustainability Framework for Low-Income Countries, IMF website: http://www.imf.org/external/pubs/ft/dsa/lic.htm. 7 The Bretton Woods project website: “New debt sustainability framework: too little, too subjective”; http://www.brettonwoodsproject.org/art.shtml?x=51225. 8 Jan Vandemoortele and Rathin Roy: “Making Sense of MDG Costing”, New York, UNDP, August 2004. 9 Coopération internationale pour le Développement et la Solidarité (CIDSE), “More than a numbers game? Ensuring that the Millennium Development Goals Address Structural Justice”, April 2005, p. 21, available online at http://www.trocaire.org/news/publication.php?id=44. 10 See the report of the Secretary-General on “Recent developments in external debt” (A/61/152), July 2006.