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Chapter 1 Context: It Shames Us & Diminishes Us All

Chapter 1 Context: It Shames Us & Diminishes Us All. Amanuel , Matt, & Tim. User imposed fees (limits access to medical care) Lack of resources (physicians and nurses) and social workers as well as difficulty in retaining those in the country

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Chapter 1 Context: It Shames Us & Diminishes Us All

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  1. Chapter 1Context: It Shames Us & Diminishes Us All Amanuel, Matt, & Tim

  2. User imposed fees (limits access to medical care) • Lack of resources (physicians and nurses) and social workers as well as difficulty in retaining those in the country • Lack of power by states to make decisions on health care issues without approval from the Bank and the Fund • Local groups to provide care for the sick and the orphans (eg. HIV/AIDs+ women groups) • Government hospital system Health Systems Org and Delivery

  3. Grants vsLoans; interest and debt servicing • Limit on number of nurses and doctors employed by the public sectors • Limit on % of GNP that can be spent on social sectors including healthcare • Cost sharing • Sale of public sector corporations • Lack of fulfillment of promises by donor countries (eg. 0.7% of GNP for ODA) Financing

  4. UN (various sessions – Special Sessions) • WTO talks (various rounds) • G8; London Club; Paris Club • World Bank Multi-country HIV/AIDs Program (MAP) for Africa • The Blair Commission (health care + other development aspects) • The MDGs especially ~ reduce child mortality; improve maternal health; combat HIV aids and other diseases; (international cooperation?) International Coordination

  5. Colonialism • Irresponsible / Predatory lending • Structural Adjustment Programs • Conditionality • Macroeconomic limits • User fees • Economic protocols Barriers

  6. International Financial Institutions • World Bank • International Monetary Fund • Donor Nations • Phantom Aid • Technical Assistance • Tied Aid • Administrative Costs • Dependence Responsibility

  7. Relieve the Burden of Debt • Relieve Interference from IMF • Reliance on G8 Commitment • Decrease Phantom Aid Portion [~60% of Total Aid] • Technical Assistance • Tied Aid • Administrative Costs Recommendations

  8. Ultimately, the fate of Africa is at the hands of the Africa with the needed support of the international community. • Africa remains in a tangled web of • International Debt • Extreme Poverty • Agendas of Individual Countries • HIV/AIDS Crisis & Other Disease Prevalence • Lack of Ability to Act Unrestrainedly State of Africa

  9. “…whose future is in the hands, at least in part, of those who have always pretended to care, and have never really cared…”

  10. How should the international community support Africa? Discussion

  11. What are some ideas for implementation of an African health care system? • Who? • How? Discussion

  12. Is it fair to impose SAPS? Discussion

  13. GNP • Gross National Product • IFIS • International Financial Institutions • IMF • International Monetary Fund • MAP • Multi-country HIV/AIDS Program • MDGS • Millennium Development Goals List of Acronyms

  14. ODA • Official Development Assistance • SAPS • Structural Adjustment Programs • UNDP • United Nations Development Program • WEOG • Western European and Others Group List of Acronyms

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