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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.

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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.