State size as measured in terms of public spending and world health, 1990-2000

Franco, Álvaro; Gil, Diana Peña; Álvarez-Dardet, Carlos

doi:10.1157/13075950

Cited by 8 publications

(2 citation statements)

References 18 publications

(13 reference statements)

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“…A study which analyzed government spending on health and public health indicators suggested that public health spending had an important influence upon health and particularly upon infant mortality. 1 A study on state health expenditure and IMR in India also showed similar results. 2 High income countries and countries with access to natural resources like oil, spend a greater proportion of their wealth on providing and building a robust health infrastructure.…”

Section: Introductionmentioning

confidence: 62%

The correlation of health spending and infant mortality rate in Asian countries

Shetty

2014

Int J Contemp Pediatr

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Section: Introductionmentioning

confidence: 62%

The correlation of health spending and infant mortality rate in Asian countries

Shetty

2014

Int J Contemp Pediatr

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“…One study found that reduced government funding weakened health services, such that responses to HIV/AIDS in Sub-Saharan Africa were significantly impaired [ 59 ]. Empirical studies assessing the effect of health expenditures or government spending more broadly find a significant and detrimental relationship with infant mortality [ 58 , 60 , 61 ], under-5 mortality [ 58 ], and other health outcomes [ 62 ]. IFI-affiliated authors contest the notion that structural adjustment programmes reduce health spending [ 63 ] or claim they are associated with increased spending [ 19 , 20 , 64 , 65 ].…”

Section: Discussionmentioning

confidence: 99%

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

2017

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Structural adjustment programmes of international financial institutions have typically set the fiscal parameters within which health policies operate in developing countries. Yet, we currently lack a systematic understanding of the ways in which these programmes impact upon child and maternal health. The present article systematically reviews observational and quasi-experimental articles published from 2000 onward in electronic databases (PubMed/Medline, Web of Science, Cochrane Library and Google Scholar) and grey literature from websites of key organisations (IMF, World Bank and African Development Bank). Studies were considered eligible if they empirically assessed the aggregate effect of structural adjustment programmes on child or maternal health in developing countries. Of 1961 items yielded through database searches, reference lists and organisations’ websites, 13 met the inclusion criteria. Our 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.Electronic supplementary materialThe online version of this article (doi:10.1186/s40985-017-0059-2) contains supplementary material, which is available to authorized users.

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¿A quién benefician los programas de salud dirigidos a los más pobres? Éxitos y fracasos. Informe SESPAS 2008

Fiallos

Cantero

2008

Gaceta Sanitaria

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International aid health programs directed at the poorest play an undoubtedly constructive role in relieving acute human suffering. These programs may, however, be counterproductive and even harmful if they obscure the need to eliminate social inequities, which are the primary cause of health inequities. The present article reviews the effectiveness of two state programs that received support from international aid to (a) improve food security in rural households and vulnerable urban groups in Colombia (1996-2005) and (b) develop a local health system in the northern area of San Salvador, El Salvador (1992-1997). International aid supports successful healthcare programs, such as food programs, could generate dependency in its beneficiaries. Factors extrinsic to cooperation (political and economic factors of the context) may affect the programs and generate social conflicts. This is the case of the program to improve access to food by subsistence production in rural areas of Colombia, which failed to reach the small farmers and benefited agricultural export production owned by wealthier groups, or interventions designed to improve health among the poorest in El Salvador.

show abstract

State size as measured in terms of public spending and world health, 1990-2000

Cited by 8 publications

References 18 publications

The correlation of health spending and infant mortality rate in Asian countries

The correlation of health spending and infant mortality rate in Asian countries

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

¿A quién benefician los programas de salud dirigidos a los más pobres? Éxitos y fracasos. Informe SESPAS 2008

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