The Impact of Structural Adjustment Programmes on Zimbabwes Public Health Sector.pdf

The Impact of Structural Adjustment Programmes on Zimbabwes Public Health Sector PDF

Tsitsi Muvunzi

Masters Thesis from the year 2011 in the subject Politics - International Politics - Topic: Development Politics, grade: 80%, Ewha Womans University (Graduate School of International Studies), course: International Studies, language: English, abstract: ABSTRACT
Structural Adjustment Programmes (SAPs) of the IMF (IMF) and World Bank (WB) were implemented as part of aid conditionality in Africa and Latin America since the 1980s. There is a wide range of literature critical of SAPs. Several debates have focused on whether the failure of SAPs was a result of the inherent weaknesses of the IMF/ WB sponsored structural adjustment or whether it was caused by structural failures of policy implementation within the African continent. The author uses the Zimbabwean case to analyze the impact of SAPs on social service sectors, particularly the public health sector. This paper provides a case where the Zimbabwean health sector demonstrated significant progress in public health delivery, and showed prospects of further improvements before the implementation of structural adjustment between 1990 and 2000. In this thesis I show that cost recovery systems and reduced public expenditure on health led to rising costs of health services and increased inequalities in health service provision. It also resulted in the abandonment of critical public health programmes and consequently contributed to poor funding for health infrastructure, maintenance, drugs and equipments. Furthermore, retrenchments in the public health sector robbed it of critical and well qualified staff and exacerbated brain drain. SAPs were implemented amid public protests and demonstrations by the general public and organized interest groups. This is not only because they brought negative impacts on livelihoods but also because there were little consultations between the government and civil society prior to their implementation. This paper also illustrates that, to a larger extend SAPs increased womens care burden and worsened their health situation. Household food consumption and family health needs are responsibilities bestowed upon women in Zimbabwes patriarchal society. Therefore, user fees and reduction of public health expenditure increased pressure on women to take care of the sick who could not afford medical fees. Furthermore, rising costs of maternal health, reduction of funds for preventive programmes and declines in public health staff had negative economic, psychological and health impacts on women.

Health. External Viability and Financing Requirements. Statistical Issues and Technical Assistance ... Mozambique launched a structural adjustment program in 1987. ... of electricity exports from the Cahora Bassa hydropower project to Zimbabwe. ... As part of the government's efforts to improve public sector management, ...

6.69 MB DATEIGRÖSSE
9783656415015 ISBN
Englisch SPRACHE
The Impact of Structural Adjustment Programmes on Zimbabwes Public Health Sector.pdf

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Jessica Kohmann

The Economic Structural Adjustment Programme: … His study contends however that the government's decision to implement the IMF/World Bank economic reform programme was misguided, for not only did it impact negatively on the welfare of the people, it also effectively reversed most of the gains made in education and health. He further contends that such structural adjustment programmes are hostile to the poor and have adverse effects on