WASHINGTON (AP) -- The head of the International Monetary Fund says the United States, Europe, Japan, and China all need to make adjustments to their current economic policies in order to boost a still-struggling global economy.

IMF Managing Director Christine Lagarde says the United States and many countries in Europe need to focus more on growth and less on trimming budget balances this year. She said there was a critical need for policies focused on spurring jobs. Lagarde told a news conference Thursday that "we need growth, first and foremost."

Lagarde spoke to reporters to preview upcoming discussions among finance ministers and central bank governors of the world's 20 major economies plus the spring meetings of the 188-nation IMF and its sister lending institution, the World Bank.

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