Beste Jason, Pfeiffer James
Division of Allergy and Infectious Disease, University of Washington Medical Center, Seattle, Washington, USA
Department of Global Health and Department of Anthropology, University of Washington, Seattle, Washington, USA Executive Director of Health Alliance International (HAI), Seattle, Washington, USA.
Int J Health Serv. 2016;46(2):366-81. doi: 10.1177/0020731416637062. Epub 2016 Mar 10.
For nearly 30 years, Mozambique has been facing austerity measures regulated by the IMF. These austerity measures, grounded in macroeconomic policies, were supposed to lift Mozambique out of poverty, and improve its healthcare and education systems. By taking an in-depth look at the major etiologies of Mozambique's debt and the conditions which forced the country to accept austerity measures-despite their protests-prior to receiving IMF funding, this paper examines how IMF policies over the past 30 years have affected poverty, health, and the education system. The results of these policies have contributed to Mozambique's enduring classification as one of the poorest countries in the world. Aside from economic outcomes, Mozambique also has abysmal health and education systems, with one of the lowest life expectancies in Sub-Saharan Africa. It is time to re-evaluate how the current IMF macroeconomic policies negatively affect, health, education and the socioeconomic status of those who live in abject poverty. As short term macroeconomic policies of PARPA have been ineffective at reducing poverty, promoting education and improving health, the IMF should consider using longer term macroeconomic policies which invest in-rather than limit-public services such as health and education.
近30年来,莫桑比克一直面临着国际货币基金组织(IMF)规定的紧缩措施。这些基于宏观经济政策的紧缩措施本应使莫桑比克摆脱贫困,改善其医疗保健和教育体系。通过深入研究莫桑比克债务的主要成因以及在接受国际货币基金组织资金之前迫使该国(尽管其进行了抗议)接受紧缩措施的条件,本文考察了过去30年国际货币基金组织的政策如何影响了贫困、健康和教育体系。这些政策的结果导致莫桑比克一直被列为世界上最贫穷的国家之一。除了经济成果外,莫桑比克的医疗保健和教育体系也极其糟糕,其预期寿命是撒哈拉以南非洲地区最低的之一。现在是时候重新评估国际货币基金组织当前的宏观经济政策如何对生活在赤贫中的人们的健康、教育和社会经济地位产生负面影响了。由于减贫与发展行动计划(PARPA)的短期宏观经济政策在减少贫困、促进教育和改善健康方面没有效果,国际货币基金组织应考虑采用长期宏观经济政策,对医疗和教育等公共服务进行投资而非加以限制。