Structural adjustment: source of structural adversity: socio-economic stress, health and child nutritional status in Zimbabwe
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Leiden
African Studies Centre
2003
|
| Schriftenreihe: | Research reports / African Studies Centre Leiden
69 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Zugl.: Amsterdam, Univ., Diss., 2002 |
| Beschreibung: | XX, 281 S. graph. Darst., Kt. |
Internformat
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Datensatz im Suchindex
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| adam_text | African Studies Centre
Research Report 69 / 2003
Structural adjustment:
Source of structural adversity
Socio-economic stress, health and
child nutritional status in Zimbabwe
Leon Bijlmakers
Contents
List of tables w«
List of figures ix
List of boxes «/
List of maps xii
List of appendices xii
Foreword and acknowledgements xm
Zimbabwean poem n-/
Abbreviations and acronyms xva
Selected economic indicators for Zimbabwe xix
1 INTRODUCTION I
Structural adjustment /
The social implications of structural adjustment 4
Methodological constraints in assessing the effects of adjustment 6
Description of the study setting 9
Hypothesis n
Conceptual framework n
Research design and methods 14
Special note on the longitudinal dimension of the household study 16
Limitations of the study 19
2 PROFILE OF ZIMBABWE 20
History and physical and social geography 20
Economic performance prior to structural adjustment 31
Structural adjustment 34
Drought 39
The HIV/AIDS pandemic 40
Poverty and the social dimensions of structural adjustment 42
Conclusion 50
3 CHANGING PROFILE OF THE HEALTH SYSTEM, HEALTH INDICATORS AND
HEALTH SYSTEM PERFORMANCE 51
The legacy of the pre-independence health care system 52
Health policy and organisation in the 1980s 53
Health policy and legislative framework in the 1990s 58
Financial and human resources for health care 59
User fees 67
The private for-profit sector 70
The epidemiological transition: changing patterns of morbidity and mortality 72
An international perspective on health system performance 86
Conclusion 88
4 CHITUNGWIZA AND MUREHWA DISTRICT: DESCRIPTION OF STUDY SITES AND
STUDY POPULATIONS 91
Chitungwiza 92
Murehwa district 95
Household samples enrolled in the longitudinal study loo
Conclusion 102
5 USER FEES, QUALITY AND UTILISATION OF HEALTH SERVICES 103
Concepts and methods 104
Changes in user fees in Chitungwiza and Murehwa district 107
Health service utilisation in Chitungwiza 108
Health service utilisation in Murehwa district 113
Health workers professionalism and job satisfaction 122
Client satisfaction 125
Quality of services as an overarching issue m
Conclusion 134
6 CHANGES IN HOUSEHOLDS SOCIAL AND ECONOMIC SITUATION -
THE SOCIAL DIMENSIONS OF STRUCTURAL ADJUSTMENT AND POVERTY 136
Cohort follow-up 137
Migration and household composition 139
Employment and income 142
Agricultural activity and food sufficiency 152
Food aid, social welfare and other types of assistance 153
Household expenditure, savings and debts 155
Discussion 160
Conclusion 164
7 CHANGES IN CHILD NUTRITIONAL STATUS i65
Under-nutrition in its context 165
Methods no
Cross-sectional analysis, unpaired 174
Paired cross-sectional analysis 182
Cohort analysis 186
Choice of study design and the possible influence of loss to follow-up 192
Discussion 196
Conclusion 201
8 RISK FACTORS FOR CHILD MALNUTRITION 203
Concepts and methods 204
Risk factors in the urban area 209
Risk factors in the rural area 221
Conclusion 233
9 GENERAL DISCUSSION AND CONCLUSIONS 238
REFERENCES 247
APPENDICES 259
SUMMARY 279
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| spelling | Bijlmakers, Leon A. Verfasser aut Structural adjustment: source of structural adversity socio-economic stress, health and child nutritional status in Zimbabwe Leon Bijlmakers Leiden African Studies Centre 2003 XX, 281 S. graph. Darst., Kt. txt rdacontent n rdamedia nc rdacarrier Research reports / African Studies Centre Leiden 69 Zugl.: Amsterdam, Univ., Diss., 2002 Ernährung swd Gesundheit swd Gezondheidszorg gtt Kind swd Soziale Situation swd Stress swd Welzijnsbeleid gtt Wirtschaftliche Lage swd Gesundheitswesen Kind Wirtschaft Children Health and hygiene Zimbabwe Children Zimbabwe Nutrition Public health Zimbabwe Structural adjustment (Economic policy) Zimbabwe Simbabwe swd Zimbabwe Economic conditions 1980- (DE-588)4113937-9 Hochschulschrift gnd-content African Studies Centre Leiden Research reports 69 (DE-604)BV000016403 69 HEBIS Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=012953511&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Bijlmakers, Leon A. Structural adjustment: source of structural adversity socio-economic stress, health and child nutritional status in Zimbabwe Ernährung swd Gesundheit swd Gezondheidszorg gtt Kind swd Soziale Situation swd Stress swd Welzijnsbeleid gtt Wirtschaftliche Lage swd Gesundheitswesen Kind Wirtschaft Children Health and hygiene Zimbabwe Children Zimbabwe Nutrition Public health Zimbabwe Structural adjustment (Economic policy) Zimbabwe |
| subject_GND | (DE-588)4113937-9 |
| title | Structural adjustment: source of structural adversity socio-economic stress, health and child nutritional status in Zimbabwe |
| title_auth | Structural adjustment: source of structural adversity socio-economic stress, health and child nutritional status in Zimbabwe |
| title_exact_search | Structural adjustment: source of structural adversity socio-economic stress, health and child nutritional status in Zimbabwe |
| title_full | Structural adjustment: source of structural adversity socio-economic stress, health and child nutritional status in Zimbabwe Leon Bijlmakers |
| title_fullStr | Structural adjustment: source of structural adversity socio-economic stress, health and child nutritional status in Zimbabwe Leon Bijlmakers |
| title_full_unstemmed | Structural adjustment: source of structural adversity socio-economic stress, health and child nutritional status in Zimbabwe Leon Bijlmakers |
| title_short | Structural adjustment: source of structural adversity |
| title_sort | structural adjustment source of structural adversity socio economic stress health and child nutritional status in zimbabwe |
| title_sub | socio-economic stress, health and child nutritional status in Zimbabwe |
| topic | Ernährung swd Gesundheit swd Gezondheidszorg gtt Kind swd Soziale Situation swd Stress swd Welzijnsbeleid gtt Wirtschaftliche Lage swd Gesundheitswesen Kind Wirtschaft Children Health and hygiene Zimbabwe Children Zimbabwe Nutrition Public health Zimbabwe Structural adjustment (Economic policy) Zimbabwe |
| topic_facet | Ernährung Gesundheit Gezondheidszorg Kind Soziale Situation Stress Welzijnsbeleid Wirtschaftliche Lage Gesundheitswesen Wirtschaft Children Health and hygiene Zimbabwe Children Zimbabwe Nutrition Public health Zimbabwe Structural adjustment (Economic policy) Zimbabwe Simbabwe Zimbabwe Economic conditions 1980- Hochschulschrift |
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