Political-economic Transitions and the Changing Context of Maternal Health Access in Tanzania: Evidence from DHS Data

Abstract

Résumé Ce document démontre comment l'effet des ménages sur l'utilisation de la santé maternelle change avec les transformations sociales (transitions politiques et économiques) en Tanzanie. Les données d'Enquêtes Démographiques de Santé (EDS) et des régressions logistiques multiniveaux indiquent comment la richesse des ménages sur l'utilisation des services d'accouchement (contrôle des attributs individuels

Dependency Theory: An Evaluation of the Period-Based Changes in the Utilization of Maternal Health Care and Neonatal Mortality in Tanzania Between 1991 and 2016

“…The MDGs were established in part as a humane alternative to SAPs, largely to help poorer countries alleviate poverty and health outcomes such as maternal and neonatal mortalities in the early 1990s. 68 A tension thus arose between these efforts for "developing" countries, even as they continued to be underdeveloped by the developed countries. Nonetheless, MDG goals were set, and numerous policies were established to align with those MDGs and World Health Organization recommendations for maternal and neonatal health.…”

“…16,[75][76][77] Again, the higher dependency of periphery countries (such as Tanzania) associates with greater health care inaccessibility and prohibitive costs. 68 These structural effects include a worsening (or elimination) of social services provisions, higher costs, and increased inaccessibility. 68 Structurally, most women in Tanzania already occupy a lower (or the lowest) SES group.…”

“…68 These structural effects include a worsening (or elimination) of social services provisions, higher costs, and increased inaccessibility. 68 Structurally, most women in Tanzania already occupy a lower (or the lowest) SES group. 43,44 The cost-sharing and the privatization of health services after adopting the SAPs in Tanzania have generated a perpetuation of inequality and under-or non-utilization of (privatized or diminished) social services health care.…”

“…11,67 SAPs in the global South have negatively affected health accessibility and availability. 68 SAPs required “liberalization”—meaning governmental decentralization and privatization of most sectors, including health 4,68 —as a condition for qualifying for World Bank and IMF loans. 4 The adoption of SAPs in the late 1980s also required redirections of funds, “budget cuts,” and a reduction of government spending, especially on social welfare.…”

“…16,75–77 Again, the higher dependency of periphery countries (such as Tanzania) associates with greater health care inaccessibility and prohibitive costs. 68…”