The document discusses the International Monetary Fund (IMF) and the World Bank, and questions around their continuing relevance. It provides background on the history and objectives of both institutions. For the IMF, it describes how nations can request loans in return for implementing structural adjustment programs. It also notes the dominance of the US within the IMF system. For the World Bank, it outlines the various agencies, key areas of operations, how it is funded and governed, and analytical services provided. However, both organizations have also faced significant criticism around issues like lack of transparency, promotion of Western interests, and negative social and environmental impacts of their policies.