The focus of this study is on the impact of World Bank structural adjustment operations on health expenditures and outcomes.
We compare trends and levels of real per capita public spending on health, private consumption (which is the resource base for private health expenditures), and groupings child mortality indicators in four groups of countries.
These are : (i) countries that started to borrow for the adjustment process early-Early Adjustment Lending (EAL) countries, (ii) Other Adjustment Lending (OAL) countries, (iii) Non-Adjustment Lending countries whose economies grew during the period 1985-1990 (NAL+), and (iv) Non-Adjustment Lending countries whose economies did not grow (NAL-).
The NAL-group provides a'counterfactual'for comparison with the two groups of adjusting countries.
The results show that the fear about possible declines in health care spending in adjusting countries is unwarranted for EAL countries, that is those countries that started the adjustment process early and took it seriously.
Government spending on health care increased on average for this group of countries, as did private consumption levels.
Government health care expenditures also continued to increase in OAL countries, but mixed GDP growth performance has left little room for increased private spending. (...)
Mots-clés Pascal : Dépense, Santé, Politique sanitaire, Emprunt, Banque bâtiment, Crédit bancaire, Crise économique, Indicateur, Mortalité, Enfant, Homme, Tendance, Pays en développement, Etude comparative, Etat sanitaire
Mots-clés Pascal anglais : Expenditure, Health, Health policy, Loan, Bank facility, Bank credit, Economic crisis, Indicator, Mortality, Child, Human, Trend, Developing countries, Comparative study, Health status
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0194156
Code Inist : 002B30A01B. Création : 11/09/1998.