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Africa's debt problems and its resource requirements are inextricably linked to the capacity of African countries to generate capital accumulation and growth. This publication explores the continent's debt crisis and the issue of debt sustainability, in the context of the Heavily Indebted Poor Countries (HIPC) Initiative and the poverty reduction targets set out in the Millennium Development Goals (MDGs). The study considers new approaches to debt relief policies and topics discussed include: issues arising from the implementation of the enhanced HIPC Initiative, eligibility criteria, non-HIPC debt-distressed African countries, post-HIPC debt sustainability, debt service payments, resource requirements, and specific design problems in the HIPC Initiative.