The paragraph is followed by an incomplete phrase or sentence which summarizes the main idea of the paragraph. Choose the missing words of the phrase or sentence.

Development aid has increased since 2002. Still, the report says severe poverty continues to worsen, in part because of H.I.V./AIDS. Environmental conditions also add to poverty. The report says climate change already affects many low-lying and island nations, and more problems are likely in the years to come.
Worse poverty situation despite （） development aid.