Spending cuts, pushed by an international lender, “weakened health-care systems in the West African region,” leaving the countries “underfunded, insufficiently staffed and poorly prepared.”
In a report published this month in the journal, Lancet Global Health, UK-based researchers blamed policies of the Washington- based International Monetary Fund that hobbled the development of an effective health-care system in the three affected West African nations. The number of people who have died of Ebola has crossed the 7,500 mark, with more than 19,000 infected.
“Even though the IMF provided financial support to Sierra Leone, Liberia and Guinea, the lending comes with strings attached—so called conditionalities—that require recipient governments to adopt policies that prioritize short-term economic objectives over investment in health and education,” said the report’s lead author, Alexander Kentikelenis.
By reviewing IMF policies from 1990 to 2014, the researchers from Cambridge University, Oxford University and the London School of Hygiene and Tropical Medicine, identified three factors that weakened health-care systems. These factors were the IMF’s requirement for economic reforms, caps on public-sector wages and the decentralization of health-care providers.
Wage caps limit the capacity of these nations to hire and […]