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The Impact of Macroeconomic Adjustment on Incomes, Health and Nutrition: Sub-Saharan Africa in the 1980s

In: From Adjustment to Development in Africa

Author

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  • David E. Sahn

Abstract

Most countries in sub-Saharan Africa have embarked on a process of stabilisation and structural adjustment. This has been made necessary by unsustainable balance of payments and budget deficits. The major policy instruments associated with adjustment have been devaluation of the exchange rate, restructuring of government expenditures and related fiscal restraint, monetary discipline and rationalisation of interest rates, as well as reforming (and sometimes shrinking) the state and state-run institutions. In turn, concern has been raised that such measures could have deleterious nutritional and health consequences. Specifically, it has been argued that the prospect of reduced spending on social services and subsidies enjoyed by the poor, declining wages and employment, and higher prices of tradable staple foods giving rise to falling real incomes, constitutes a threat to the most vulnerable groups. In order to address these concerns more fully, this chapter is structured as follows.

Suggested Citation

  • David E. Sahn, 1994. "The Impact of Macroeconomic Adjustment on Incomes, Health and Nutrition: Sub-Saharan Africa in the 1980s," Palgrave Macmillan Books, in: Giovanni Andrea Cornia & Gerald K. Helleiner (ed.), From Adjustment to Development in Africa, chapter 13, pages 273-297, Palgrave Macmillan.
    • Handle: RePEc:pal:palchp:978-1-349-23596-4_13
    DOI: 10.1007/978-1-349-23596-4_13
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