The World Bank has ranked Ghana among the top five African countries with the most effective government policies and institutions. In its latest review of policies and institutions in Sub-Saharan Africa, the World Bank says there is an overall stable environment for growth and poverty reduction despite divergence across countries. The review is part of the annual World Bank Country Policy and Institutional Assessment that rates the performance of poor countries. The scores of 11 countries rose by 0.1 points or more, reflecting a strengthened policy agenda, and the indices of another 12 countries declined by at least 0.1 points. Cape Verde and Kenya had the highest scores with South Sudan and Eritrea – both countries suffered deep policy challenges - having the lowest scores. The World Bank assessment examines 16 key development indicators covering four areas including economic management and structural reforms. It noted that Governance scores, which cover the quality of public sector management and institutions of accountability, continue to lag behind the other areas assessed, reflecting the deep-rooted challenges facing African countries in this important area. Ghana took its place among the top five African countries in terms of efficiency of government policies and institutions.