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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.
Master's 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, comment: This work was a success because of the support received from the Graduate School of International Studies, Ewha Woman's University, Seoul, South Korea., 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 consultati
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.
Our Continent, Our Future presents the emerging African perspective on this complex issue. The authors use as background their own extensive experience and a collection of 30 individual studies, 25 of which were from African economists, to summarize this African perspective and articulate a path for the future. They underscore the need to be sensitive to each country's unique history and current condition. They argue for a broader policy agenda and for a much more active role for the state within what is largely a market economy. Finally, they stress that Africa must, and can, compete in an increasingly globalized world and, perhaps most importantly, that Africans must assume the leading role in defining the continent's development agenda.
Provides an overview of health care in Zimbabwe since independence, and attempts to demonstrate the impact of the SAP on health care in Zimbabwe. Identifies the main constraints as : minimal resources allocated by government, an inappropriate top-down approach with urban bias, and, SAP implementation weakened ability of governments to invest in primary health care systems.
Most attempts to study the informal sector have tended to emphasize uniformity of experiences. Where an effort has been made to develop a more nuanced understanding, the assumption has always been that people move from lower to higher level activities that coincide with increased opportunities for accumulation. This report challenges both notions. Drawing on the experiences of women informal sector traders in Harare, Zimbabwe, and using a longitudinal study approach, the authors document differentiation within the sector amidst generalized decline in working and living conditions. Far from being a site of accumulation, the authors show that the informal sector during the era of adjustment is a site of bare survival in which people work ever longer hours for ever-diminishing incomes on which many competing claims are made within and outside the household.
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".