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首页> 外文期刊>Public health reviews >Structural adjustment programmes adversely affect vulnerable populations: a systematic-narrative review of their effect on child and maternal health
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Structural adjustment programmes adversely affect vulnerable populations: a systematic-narrative review of their effect on child and maternal health

机译：结构调整方案对脆弱人群产生不利影响：对其对儿童和孕产妇健康的影响的系统叙述性回顾

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Structural adjustment programmes of international financial institutions have typically set the fiscal parameters within which health policies operate in developing countries. Yet, we currently lack a systematic understanding of the ways in which these programmes impact upon child and maternal health. The present article systematically reviews observational and quasi-experimental articles published from 2000 onward in electronic databases (PubMed/Medline, Web of Science, Cochrane Library and Google Scholar) and grey literature from websites of key organisations (IMF, World Bank and African Development Bank). Studies were considered eligible if they empirically assessed the aggregate effect of structural adjustment programmes on child or maternal health in developing countries. Of 1961 items yielded through database searches, reference lists and organisations’ websites, 13 met the inclusion criteria. Our review finds that structural adjustment programmes have a detrimental impact on child and maternal health. In particular, these programmes undermine access to quality and affordable healthcare and adversely impact upon social determinants of health, such as income and food availability. The evidence suggests that a fundamental rethinking is required by international financial institutions if developing countries are to achieve the Sustainable Development Goals on child and maternal health.
机译：国际金融机构的结构调整计划通常会设定财政参数，在这些参数内，发展中国家的卫生政策将在此范围内运作。但是，我们目前对这些计划对儿童和孕产妇健康的影响方式缺乏系统的了解。本文系统地回顾了2000年以后在电子数据库（PubMed / Medline，Web of Science，Cochrane图书馆和Google Scholar）中发表的观察性和准实验性文章以及主要组织（IMF，世界银行和非洲开发银行）的灰色文献）。如果研究从经验上评估了结构调整计划对发展中国家儿童或产妇健康的总体影响，则认为这些研究合格。在1961年通过数据库搜索，参考列表和组织的网站获得的项目中，有13个符合纳入标准。我们的审查发现，结构调整计划对儿童和产妇的健康有不利影响。特别是，这些计划破坏了获得优质和负担得起的医疗保健的机会，并且对健康的社会决定因素（例如收入和食物供应）产生了不利影响。有证据表明，如果发展中国家要实现有关儿童和孕产妇保健的可持续发展目标，国际金融机构就必须进行根本的重新思考。

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