Structural adjustment programmes adversely affect vulnerable populations: a systematic-narrative review of their effect on child and maternal health

by Michael Thomson, Alexander Kentikelenis and Thomas Stubbs
Public Health Reviews, 2017 38:13 – Published: 10 July 2017

18 pp. 712 kB

Structural adjustment programmes of international financial institutions have typically set the fiscal parameters within which health policies operate in developing countries. This review finds that structural adjustment programmes have a detrimental impact on child and maternal health. In particular, these programmes undermine access to quality and affordable healthcare and adversely impact upon social determinants of health, such as income and food availability. The evidence suggests that a fundamental rethinking is required by international financial institutions if developing countries are to achieve the Sustainable Development Goals on child and maternal health.

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