Macroeconomic policies and their impact on health in Zimbabwe in the 1980s and 1990s: An analysis of the prevalence of diarrhoea, malnutrition, maternal mortality and access to health services

The main objective of this article is to examine how the changes in macroeconomic policies have shaped health outcomes, particularly with regard to diarrhoea, malnutrition, maternal mortality and access to health services, and how these health outcomes vary by income, geographical location and gender. Macroeconomic policies in Zimbabwe have tended to shape health outcomes and they have also had an impact on trends in household income levels and access to health facilities. During the 1980s, the government's health policy 'Equity in health' led to increased access to health facilities. The policy of free health for low-income households made it possible for poorer groups to access health facilities more easily. However, the introduction of economic reform programmes popularly known as the Economic Structural Adjustment Programmes in Zimbabwe, has witnessed a massive shift in macropolicies. These policy changes have tended to affect the health sector in a negative manner. The introduction of user fees as a cost recovery measure and the rollback on government expenditure on social sectors, health included, have led to a reduction in the population able to access health facilities. Results of studies have shown a positive relationship between the prevalence of diarrhoea, malnutrition and access to health facilities with income levels, rural/urban location and gender.