Abstract

This paper analyses the impact of IMF policies, initially Structural Adjustment Policies and more recently Poverty Reduction Strategy Papers, upon healthcare in Sub-Saharan Africa. Case studies are undertaken of healthcare outcomes in Tanzania, Uganda and Ghana. Regional statistics for infant mortality and life expectancy are also considered. However viewed, the Fund’s policies have been disastrous – diverting funds from much needed healthcare into foreign debt repayment and foreign exchange reserves, and imposing salary caps that encourage the flight of local doctors abroad. There are few better investments for any developing nation than the health of its own people. The Fund and its policies need to be reconceptualised.