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Analyses the origins and assesses the impact of Zimbabwe's economic structural adjustment programme (ESAP) between 1990 and 1995. Includes chapters on economic development, educational and health policies in the country for the period 1980-1990.
Presents three studies which examine the relationship between structural adjustment and changes in the social conditions of the working poor in Zimbabwe between 1990 and 1994. Includes a survey of conditions faced by formal sector workers in 18 larger-scale industrial companies in 1993, a survey of the trading patterns, consumption and intra- and interhousehold relationships of 174 urban women traders in 1992 and 1993, and a study of changes in health and health services among 327 urban households and 300 households in a peasant farming area in 1992.
The exact implications of implementing structural adjustment in the social sector in Africa have been hotly disputed and have polarized researchers. Using an empirically-grounded longitudinal study of urban and rural households in Zimbabwe, this report examines the consequences of market-based economic reforms. It focuses on observed changes in the household economy in urban and rural Zimbabwe. The study offers extensive documentation and analysis of shifts in the health status and behavior of the people, as well as changes in health outcomes, especially as they relate to nutritional status and child mortality. The authors make the case for policy reforms that could safeguard the health and well-being of people at a time of continuing economic decline.
Structural Adjustment Programmes of the International Monetary Fund (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, in particular the public health sector.
This research report examines the ways in which medical professionals have responded to the changing environment of work and livelihood in Zimbabwe since the adoption of a structural adjustment program. Of particular interest are those doctors and nurses who took a decision to migrate from Zimbabwe to Botswana and South Africa in search of "greener pastures".