Seminário: The World Bank’s Advocacy of User Fees in Global Health, c.1975-1990.

Palestrante: Martin Gosrky- London School of Hygiene & Tropical Medicine

Data: 27/04/2021

Horário: 11 horas

LINHA 2 20210427 Martin

 

Abstract: From the 1970s, the World Bank broadened its development lending to include health services, initially under its population programme, then through direct loans to the sector. It rapidly emerged as a dominant international actor in this field, wielding greater financial power than the World Health Organisation (WHO), despite its comparative lack of representativeness. In the 1980s a series of Bank publications addressed policy towards paying for health care, culminating in Financing Health Services in Developing Countries: An Agenda for Reform (1987). This made an economic case against the use of public funding and provision of curative services, arguing instead for a mix of third-party insurance and user charges. Standard histories suggest that this was highly influential on subsequent lending practices, aligning with the broader conditionality of structural adjustment loans to poor countries by both the Bank and IMF. By the 2000s evaluations of the impact of user fees on utilisation affirmed that they had proven to be a significant barrier to access, with deleterious impacts on population health.

 

Link para inscrição: https://sistemas.unifesp.br/acad/proec-siex/index.php?page=INS&acao=2&code=19632
Para assistir ao seminário, acesse a sala: https://conferenciaweb.rnp.br/webconf/scici-science-in-circulation-ieac

Obs. O seminário será em língua inglesa. Não haverá tradução simultânea.

 

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