Nosrati, E;
Dowd, JB;
Marmot, M;
King, LP;
(2022)
Structural adjustment programmes and infectious disease mortality.
PLoS ONE
, 17
(7 July)
, Article e0270344. 10.1371/journal.pone.0270344.
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Abstract
International financial organisations like the International Monetary Fund (IMF) play a central role in shaping the developmental trajectories of fiscally distressed countries through their conditional lending schemes, known as 'structural adjustment programmes'. These programmes entail wide-ranging domestic policy reforms that influence local health and welfare systems. Using novel panel data from 187 countries between 1990 and 2017 and an instrumental variable technique, we find that IMF programmes lead to over 70 excess deaths from respiratory diseases and tuberculosis per 100,000 population and that IMFmandated privatisation reforms lead to over 90 excess deaths per 100,000 population. Thus structural adjustment programmes, as currently designed and implemented, are harmful to population health and increase global infectious disease burdens.
| Type: | Article |
|---|---|
| Title: | Structural adjustment programmes and infectious disease mortality |
| Location: | United States |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1371/journal.pone.0270344 |
| Publisher version: | https://doi.org/10.1371/journal.pone.0270344 |
| Language: | English |
| Additional information: | Copyright: © 2022 Nosrati et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
| Keywords: | Communicable Diseases, Financial Management, Humans, Social Welfare |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10154185 |
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