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 Structural Adjustment Programmes (SAPs)

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Structural Adjustment Programmes (SAPs) - Globalisation and the Impact on Health - A Third World View - Issue Papers

Globalisation and the Impact on Health

A Third World View - Structural Adjustment Programmes (SAPs)

 
This complete document inThis document in pdf formatpdf format 458 kb
 
Evelyne Hong

August 2000 
 

References
Conclusion
Socio Economic Causes of Ill Health
The Asian Financial Crisis
The US-UN Sanctions on Iraq
The Culture of Violence
The Globalisation of Culture
The Agreement on Agriculture (AOA)
The General Agreement on Trade in Services (GATS)
The Agreement on Trade Related Aspects of Intellectual Property (TRIPs)
The Agreement on Technical Barriers to Trade (TBT)
The Agreement on the Application of Sanitary and Phytosanitary Measures (SPS)
The World Trade Organisation (WTO)
The Role of the World Bank
The Global Assault on Health
Impact of SAPs in the Third World
Structural Adjustment Programmes (SAPs)
The Role of the World Bank in Global Economic Reform
Free Market Rules
Free Market Reform
Post-Colonial Development Strategy
Integration into the Market
The Colonial Enterprise
Introduction

 
 
 
Structural Adjustment Programmes (SAPs)
 

In 1989, no less than the UN Economic Commission for Africa (ECA) issued a document African Alternatives Framework to Structural Adjustment (AAF-SAP). This was a comprehensive critique of the World Bank’s SAP agenda for Africa. According to the ECA, SAPs have not achieved their macro-economic objectives. ‘The World Bank was oblivious to the social costs of adjustment: increased poverty and unemployment: ‘debt service obligations have become unbearable…starvation and malnutrition, abject poverty, and external dependence have worsened, while other structural weaknesses and deficiencies of the African economies have intensified’ (Mihevc 1995:116-117).
 
The SAPs packages entailed sweeping economic and social changes designed to siphon the indebted country’s resources and productive capacity into debt payments and to enhance international (TNCs) competition. They included massive deregulation, privatisation, currency devaluation, social spending cuts, lower corporate taxes, export driven strategies (ie export of agricultural products and natural resources) and removal of foreign investment restrictions. (Clarke 1995:301). In order to find the foreign exchange to pay the debts, countries were forced to export their timber, fisheries, wildlife, minerals, and oil and grow crops for the global market. In the absence of strict regulations in these countries, TNCs polluted water systems, destroyed forests, depleted fish stocks and wildlife, and dumped toxic wastes in the process. In fact, several African countries in June 1988 made the world newspaper headlines when it was revealed that toxic wastes were offered by the North and dumped in some African countries: with soaring debts and the plunge in commodity prices, these cash strapped countries were in dire need of foreign currency.
 
SAPs was imposed to promote efficiency and a more rational allocation of productive resources based on the market mechanism. More important, through SAPs the WB-IMF set the development agenda of the Third World. Loans were given to debtor countries to ‘help them adjust’. But these monies were tied to strict conditionalities. These loans were only granted when the countries agreed to the adoption of a comprehensive programme of macro-economic stabilisation and structural economic reform (Chossudovsky 1997:52) In fact these loans did not lead to the development of the local economy as the donors determined how the funds could be used. None of these monies were channeled into investment. Instead the adjustment loans diverted resources away from the domestic economy and encouraged countries to keep on importing large quantities of consumer goods and food staples from the North. So money granted in support for example, of the adjustment of agriculture was not meant for investment in agricultural projects. The loans could be spent freely for commodity imports including consumer durables and luxury goods. This resulted in the stagnation of the domestic economy, the increase in the balance of payments crisis and the ballooning of the debt burden. With decreasing commodity prices, earnings from the depressed export sector, the debtor countries find themselves unable to meet servicing obligations (Ibid 52-53). While commodity prices have tumbled since the early 1980s leading to a decline in the value of exports, an increasing larger share of export earnings had been earmarked for debt servicing.
 
In essence this meant that debtor countries will have to devalue their currencies, remove price controls and food subsidies, reduce spending on health care and education, reduce budget deficits, remove tariffs, and import quotas, privatise state assets, deregulate commercial banking systems, and liberalise foreign exchange movements (through electronic transfers). These measures eventually lead to inflation, price hikes in food, consumer durables, gasoline, fuel, farm inputs, equipment; governments curtailing spending; reducing real wages; laying off civil servant jobs; closing down schools, hospitals and clinics; collapse in public investments and domestic manufacturing.
 
While the IMF-WB dictates budget cuts for social spending, in the indebted countries, SAPs have not targeted military spending which in Third World countries are seven times higher than they were in 1960 (Sivard 1988). The US is the world’s biggest arms dealer: in 1999 US contractors sold some $11.8 billion in weapons with $8.1 billion in sales to the Third World (Myers August 22, 2000). From 1972 to 1982 Third World countries’ military expenditures rose from $7 billion to over $100 billion while spending on health and education fell. By 1986 the 43 countries with the highest infant mortality rates spent three times as much on defence as on health. By 1988, military spending in the Third World totaled $145 billion which is sufficient to end absolute poverty in the world within the next ten years, satisfy needs for food, clean water, health care and education for all. (UNICEF 1990). The Third World is the arms industry’s fastest growing market: often promotion is expedited by US aid. Massive supply of arms is increasing armed violence and militarisation in the Third World which has an escalating impact on health.
 
Through SAPs Northern economic interests (which include the TNCs, banks, and governments) through the WB-IMF dictate economic policy reforms and facilitate globalisation in the Third World.
  

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