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Structural Adjustment and Health

In: Do World Bank and IMF Policies Work?

Author

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  • Shahrukh Rafi Khan

    (Sustainable Development Policy Institute)

Abstract

A clear statement is contained in the World Development Report 1993 (Report) on the World Bank’s (Bank) view with regards to health sector reform in less-developing countries. As is the case in reading many other Bank documents, this one seems to have drawn on numerous critiques of conventional health practices. Government inefficiency and corruption is criticized. Also, the practice of heavy expenditures on curative medicine and related specialized health training, which subsidizes the rich or the offspring of the rich, is criticized; and restructuring expenditures from tertiary medicine to primary healthcare (PHC) is endorsed. Indeed, in some respects, the Report makes the Bank sound like a 1960s radical. Adopting such a view would, however, be erroneous. While the Bank suggests many sensible reforms, such as the ones mentioned above, there remain important differences in the Bank’s approach and that of its radical critics.

Suggested Citation

  • Shahrukh Rafi Khan, 1999. "Structural Adjustment and Health," Palgrave Macmillan Books, in: Do World Bank and IMF Policies Work?, chapter 8, pages 138-153, Palgrave Macmillan.
    • Handle: RePEc:pal:palchp:978-0-230-37325-9_9
    DOI: 10.1057/9780230373259_9
    as

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