 Overall spending within Poverty Reduction Strategies have been focused on education and health sectors increasing social spending from 44% of Honduras' GDP in 2000 to 51% in 2004.Critics of aid from International Finance Institutions believe that the World Bank's Poverty Reduction Strategy result in little substantive change to Honduran policy.Poverty Reduction Strategies also excluded clear priorities, specific intervention strategy, strong commitment to the strategy and more effective macro-level economic reforms according to Jose Cuesta of Cambridge University.