Austerity and the “sector-wide approach” to health: The Mozambique experience

Resource type
Authors/contributors
Title
Austerity and the “sector-wide approach” to health: The Mozambique experience
Abstract
Fiscal austerity policies imposed by the IMF have reduced investments in social services, leaving postindependence nations like Mozambique struggling to recover from civil war and high disease burden. By 2000, a sector-wide approach (SWAp) was promoted to maximize aid effectiveness. ‘Like-minded’ bilateral donors, from Europe and Canada, promoted a unified approach to health sector support focusing on joint planning, common basket funding, and streamlined monitoring and evaluation to improve sector coordination, amplify country ownership, and build sustainable health systems. Notable donors e including US government and the Global Fund e did not participate in the SWAp, and increased vertical funding weakened the SWAp in favor of non-governmental organizations (NGOs). In spite of some success in harmonizing aid to the health sector, the SWAp experience in Mozambique demonstrates how continued austerity regimes that severely constrain public spending will continue to undermine health system strengthening in Africa, even in the midst of high levels of foreign aid with the ostensible purpose of strengthening those systems. The SWAp story provides a poignant illustration of how continued austerity will impede progress toward Sustainable Development Goal 3 (SDG 3); “Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all”. However, the SWAp continues to offer an alternative model to health system support that can provide a foundation for resistance to renewed austerity measures.
Publication
Social Science & Medicine
Volume
187
Pages
208-216
Date
08/2017
Journal Abbr
Social Science & Medicine
Language
en
ISSN
02779536
Short Title
Austerity and the “sector-wide approach” to health
Accessed
11/03/2021, 21:22
Library Catalogue
DOI.org (Crossref)
Citation
Pfeiffer, J., Gimbel, S., Chilundo, B., Gloyd, S., Chapman, R., & Sherr, K. (2017). Austerity and the “sector-wide approach” to health: The Mozambique experience. Social Science & Medicine, 187, 208–216. https://doi.org/10.1016/j.socscimed.2017.05.008
Sectors / Setores
Geography / Geografia