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From development to sustained crisis: Structural adjustment, equity and health

Author

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  • Kanji, Najmi
  • Kanji, Nazneen
  • Manji, Firoze

Abstract

We argue that the nature of the economic crises in sub-Saharan Africa cannot be understood outside the context of the legacy of colonialism and class formation. Structural adjustment programmes serve to exacerbate inequalities and threaten to reserve the social gains of the majority achieved through the struggle for independence, in the interest of the indigenous capitalist class. Under such circumstances social scientists have a social responsibility to take a stand against the current policies that have led to an unprecedented decline of the health status of the poor; their skills must be put at the disposal of the oppressed with a view to giving voice to the experiences and needs of the majority.

Suggested Citation

  • Kanji, Najmi & Kanji, Nazneen & Manji, Firoze, 1991. "From development to sustained crisis: Structural adjustment, equity and health," Social Science & Medicine, Elsevier, vol. 33(9), pages 985-993, January.
    • Handle: RePEc:eee:socmed:v:33:y:1991:i:9:p:985-993
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    Citations

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    Cited by:

    1. Kasturi Sen & Waleed Al. Faisal, 2015. "Public health challenges in the political economy of conflict: the case of Syria," International Journal of Health Planning and Management, Wiley Blackwell, vol. 30(4), pages 314-329, October.
    2. MacPherson, Eleanor E. & Phiri, Mackwellings & Sadalaki, John & Nyongopa, Victoria & Desmond, Nicola & Mwapasa, Victor & Lalloo, David G. & Seeley, Janet & Theobald, Sally, 2020. "Sex, power, marginalisation and HIV amongst young fishermen in Malawi: Exploring intersecting inequalities," Social Science & Medicine, Elsevier, vol. 266(C).
    3. Sylvia Chant, 1997. "Gender Aspects of Urban Economic Growth and Development," WIDER Working Paper Series wp-1997-137, World Institute for Development Economic Research (UNU-WIDER).
    4. Kentikelenis, Alexander E., 2017. "Structural adjustment and health: A conceptual framework and evidence on pathways," Social Science & Medicine, Elsevier, vol. 187(C), pages 296-305.

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