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Structural adjustment programmes and infectious disease mortality.
Elias Nosrati1, Jennifer B Dowd2, Michael Marmot3
1Fafo Institute for Labour and Social Research, Oslo, Norway.
Plos One
|July 15, 2022
Summary
International Monetary Fund (IMF) structural adjustment programmes increase deaths from respiratory diseases and tuberculosis. These IMF reforms negatively impact population health and global infectious disease burdens.
Area of Science:
- Public Health
- Health Economics
- International Finance
Background:
- International financial organisations, such as the IMF, implement structural adjustment programmes in fiscally distressed countries.
- These programmes involve domestic policy reforms that significantly affect local health and welfare systems.
Purpose of the Study:
- To investigate the impact of IMF programmes and associated reforms on population health outcomes.
- To quantify the excess mortality associated with these economic policies.
Main Methods:
- Utilised novel panel data from 187 countries spanning 1990-2017.
- Employed an instrumental variable technique to establish causality.
Main Results:
- IMF programmes were associated with over 70 excess deaths per 100,000 population from respiratory diseases and tuberculosis.
- IMF-mandated privatisation reforms were linked to over 90 excess deaths per 100,000 population.
Conclusions:
- Structural adjustment programmes, as currently designed, pose a threat to population health.
- These programmes contribute to increased global infectious disease burdens, highlighting the need for policy reform.
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