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Health care in a declining economy: The case of Zambia

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  • Freund, Paul J.

Abstract

The severe and worsening economic crisis in Zambia has set into motion various adjustment measures (subsidy withdrawal or reduction, adjustment of exchange rates, import control, a foreign exchange auction system and retrenchment of government expenditure) which is making it increasingly difficult for the government to maintain the network of health and other social services developed in the 20 years since Independence. The situation became critical particularly after the decline of copper prices which provided Zambia with 90% of its foreign exchange earnings. The resulting fall in the GNP along with rapid inflation, population growth and urbanization has had a number of consequences for health care delivery. These effects are described with particular attention to health manpower/facilities, disease morbidity, malnutrition, expenditure patterns and health policy. Finally, some proposed strategies being considered by the government are presented.

Suggested Citation

  • Freund, Paul J., 1986. "Health care in a declining economy: The case of Zambia," Social Science & Medicine, Elsevier, vol. 23(9), pages 875-888, January.
    • Handle: RePEc:eee:socmed:v:23:y:1986:i:9:p:875-888
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    Cited by:

    1. Garenne, Michel & Gakusi, Albert Eneas, 2006. "Vulnerability and Resilience: Determinants of Under-Five Mortality Changes in Zambia," World Development, Elsevier, vol. 34(10), pages 1765-1787, October.
    2. Oppong, Joseph R., 1996. "Accommodating the rainy season in Third World location-allocation applications," Socio-Economic Planning Sciences, Elsevier, vol. 30(2), pages 121-137, June.
    3. M. Hodgson & Soren Jacobsen, 2009. "A hierarchical location-allocation model with travel based on expected referral distances," Annals of Operations Research, Springer, vol. 167(1), pages 271-286, March.
    4. Eneas GAKUSI & Michel GARENNE, 2004. "Vulnerability and Resilience Determinants of under-five mortality changes in Zambia," Working Papers 200406, CERDI.

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