IMPACTS OF STRUCTURAL ADJUSTMENT PROGRAMS
IMPACT OF STRUCTURAL ADJUSTMENT PROGRAMS ON THE HIV EPIDEMIC.
worsening developing country debtors status over the last two decades created economic conditions that permitted industrialized countries to Impose Structural Adjustment (SAP). The effects that may result from SAP have conspired to undermine the social fabric of many developing countries that place their citizens at increased risk for HIV.
1.Developing sustainability of the rural subsistence economy.
Currency declaration, investment concessions and other efforts to promote exports under SAP disrupt rural subsistence economies. Small farmers find themselves facing stiff and sophisticated foreign competition as declines in local income shrink demand for their products. The need for large scale export agriculture causes migration. Migration patterns may be linked to the spread of HIV. As a result,reduced labour in rural areas may contribute to declines in nutritional status potentially increasing the risk of HIV seroconversion.
2.Development of transportation infrastructure.
Transportation networks that developed in the 1980's tended to support the exported economies promoted by SAP rather than the commercial or personal needs of subsistence farmers. Thus, network connecting areas of exports centres developed,connecting rural areas to urban centres with HIV seroprevalences. This facilitates migration to large cities by rural dwellers searching for wage employment. Transportation routes may also facilitate the spread of HIV as truck drivers and other workers carry the virus from the cities to casual partners along the ways. Research shows that most of the truck drivers are infected with STD and HIV.
3.Migration and urbanisation.
Structural adjustment and other development programs may also contribute to increasing HIV risk behaviour by promoting urbanisation, a phenomenon that preceded SAP but has been hastened by these programs ,emphasis on export activity which is usually concentrated in urban areas.
Reduction in spending on health and social services.
While SAP circumstances that could encourage high risk behaviour, they also decrease the resources available to reduce those behaviours and to treat HIV infection and its complications. They include, tax reductions and scarce government resources.
Viola Makokha
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