IMF Conditionalities Contribute to Shortage of Health Workers: Africa Suffers

A nurse in Uganda is giving a woman an injection

July 14, 2020

IMF Conditionalities Contribute to Shortage of Health Workers

Lawrence Freeman

As I have told my friends for many years, the International Monetary Fund (IMF) is incapable of helping nations grow their economies. I do not believe the IMF can point to any success story, where its policies led to improving the standard of living of the population. Their macro-monetarist ideology fails to understand the essential driver of real (not monetary) growth. Following IMF prescriptions usually results in more suffering for the victim nation.  For a more in depth analysis read my article from last year: Africa Needs Real Economic Growth, Not IMF Accountants.

The report cited by the ActionAid and Public Service International highlights the failure of the IMF:  IMF Told Countries Facing Critical Health Worker Shortages to Cut Public Sector Wages The statistics are revealing, but should not be shocking to those of us who study physical economics. Throughout its history we have seen the IMF insist on cuts to meet to macro-economic goal at the expense of the population. This report clearly pinpoints the effects of tying loans to cuts back in healthcare. Africa was suffering from an acute shortage of healthcare workers before the COVID-19 pandemic. Sub-Saharan Africa has the fewest physicians per 1,000 population and the lowest number of hospital beds per 1,000 population.

It was pointed out by Ethiopian Prime Minister, Abiy Ahmed, earlier this year, that   payments of debt service equaled or surpassed the amount of money nations spent on healthcare.  He wrote “In 2019, 64 countries, nearly half of them in sub-Saharan Africa, spent more on servicing external debt than on health. Ethiopia spends twice as much on paying off external debt as on health.

African nations, or any country for that matter, should not be subjected to this kind of treatment. Human life is real and precious. Debt is merely a financial accounting mechanism. There is no equivalence.

The COVID-19 pandemic has revealed the failure of the world globalized financial system, which has been become decoupled from the real economy. Genuine economic growth uses credit to promote human life. President Franklin Roosevelt’s Bretton Woods system, in its perverted form, came to an end on August 15, 1971. For the last fifty years, the City of London-Wall Street centered financial system has become more corrupt each decade, serving the interest of a tiny few. Now is the time to launch a New Bretton Woods, dedicated to improve the conditions of life for all people of all nations. I will be writing more on this subject in the future.

Below are excerpts from the cited report:

“New analysis by ActionAid and Public Services International (PSI) reveals how International Monetary Fund (IMF) austerity policies restricted critical public employment in the lead up to the Covid-19 crisis. (emphassis added)

“The analysis, released to mark UN Public Service Day (23 June), shows that every single low income country which received IMF advice to cut or freeze public employment in the past three years had already been identified by the World Health Organisation (WHO) as facing a critical health worker shortage.

“Key findings include:

  • Of the 57 countries last identified by the WHO as facing critical health worker shortages, 24 received advice from the IMF to cut or freeze public sector wages.
  • When countries are told to contain wage bills – it means fewer doctors, nurses and frontline workers in countries already desperately short of medics.
  • All but one of the 18 low-income countries advised by the IMF to cut or freeze public sector employment funding, are currently below the WHO’s recommended nurse-to-population threshold of 30 per 10,000.
  • The WHO predicts that these countries will experience a collective shortage of at least 695,000 nurses by 2030.

“ActionAid’s 2020 report Who Cares for the Future: Finance Gender-responsive Public Services exposed the detrimental IMF loan conditions and austerity measures which have pushed 78% of low-income countries to plan for zero increase in public sector wages.

“When countries are told to contain wage bills it means fewer doctors, nurses and front line health workers in countries already desperately short of medics. This was a dangerous practice even before the Covid-19 pandemic and is unthinkable now.”

Read the full report: IMF Told Countries Facing Critical Health Worker Shortages to Cut Public Sector Wages

Read my earlier posts: 

VIDEO: Africa’s Healthcare Infrastructure Requires a New Bretton Woods

World Needs New Economic Platform to Fight COVID-19

New Economic Order Required to Combat COVID-19 in Africa

Lawrence Freeman is a Political-Economic Analyst for Africa, who has been involved in the economic development policy of Africa for 30 years. He is the creator of the blog: lawrencefreemanafricaandtheworld.com

VIDEO: Africa’s Healthcare Infrastructure Requires a New Bretton Woods

July 10, 2020

I was a featured speaker on a webinar sponsored by Watch Democracy Grow on June 16. The assigned topic of my presentation was: Prioritizing social infrastructure development on the continent. Watch my 18 minute presentation on the impact of COVID-19 in Africa and the need for a New Bretton Woods to build healthcare infrastructure. In my conclusion, I emphasized that human creativity, emanating from the brow of millions of African youth, is the source of wealth for Africa’s future.

I am happy to announce that my website is now entering its fourth year. I began publishing on lawrencefreemanafricaandtheworld.com on July 1, 2017. In three years my website has had over 50,000 views. To increase the influence of my ideas, which are outside the box, I am asking my friends and supporters to subscribe to my website, and circulate my posts. I am also available to provide research, writing, and consultation on all topics related to Africa, including Africa-US, and Africa-China relations.

I hope all of you remain healthy during these challenging times.

Lawrence Freeman is a Political-Economic Analyst for Africa, who has been involved in the economic development policy of Africa for 30 years. He is the creator of the blog: lawrencefreemanafricaandtheworld.com

Webinar Invitation: New Bretton Woods to Combat COVID-19 Africa’s Future is its Youth

June 6, 2020

I will be the lead speaker on the first panel at this webinar. Please register to attend and participate. Webinar Registration

Watch 14 minute video interview with Lawrence Freeman below (30 second introduction in French) 

Watch Democracy Grow Webinar Series on The New World Order ushered in by Covid-19

WHERE: TELECONFERENCE/WEBINAR CONFERENCE SERIES.

When: June 16th, 17th, 18th.

Time: 9.30 am – 12.30 pm (EST).

June 16, Panel 1: Prioritizing social Infrastructure Development on the continent (Hospitals, Rural electrification, and Clean water supply).

Time: 9.30-11.20am

1.Dr. Freeman Lawrence. (15 mins on presentation,5 mins Q&A).

2.Dr. Mutisya Masila Philliph. (15 mins on presentation,5 mins Q&A)

3.John Dickson. (15 mins on presentation,5 mins Q&A)

4.Dr. Abdiqadir Yousuf Abdullahi.

  *Moderator: Dr.Samuel Lee Hancock.(Closing remark by Dr.Ayobani )

 

 

China’s Belt & Road Needed to Revitalize World Economy: CGTN

May 18, 2020

Below are excerpts from my article on the strategic role of China’s Belt and Road in today’s world economy, published by CGTN 

The global economic breakdown ignited by the COVID-19 pandemic entails China and its Belt and Road Initiative (BRI) playing an important role in restoring health to the world economy. While Western nations are still struggling with COVID-19, and are months away from beginning to refurbish their economies, China has already started its recovery, following its earlier success in combating the coronavirus.

The collapse of nations to conditions resembling the Great Depression and the inability to contain the deadly virus have belied the alleged success of globalization. The underlying flaws of the deregulated post Bretton Woods financial system, which has become an international gambling casino to make fast money, are now nakedly revealed. Given the breakdown of the present global financial system, it is urgent that leading nations issue a call to convene a conference to initiate a New Bretton Woods system, which values human life over making money.

For civilization to progress, a new economic architecture dedicated to ending poverty, and promoting productive economic growth is compulsory. Without question, the United States and China will have to perform outsized roles in establishing a new paradigm of political-economic relationships among nations, notwithstanding current tensions.

Read the entire articleBelt and Road Needed to Revitalize World Economy

Today, More Than Ever, The World Needs Leadership Like Franklin Roosevelt

Franklin and Eleanor at the 1941 inauguration
Franklin and Eleanor Roosevelt riding in an open car, from FDR’s third inauguration. January 20, 1941. FDR Library Photograph Collection

April 15, 2020

I publish below, FDR: Leadership in a Time of Crisis, by my longtime friend and authority on American History, Nancy Spannaus, for two reasons. One, to commemorate April 12, the 75th anniversary of the passing of Franklin Delano Roosevelt, the 32nd President of the United States. More than just remembering a great President, we must look to his quality of leadership that the world desperately needs today.

Humanity is faced with the most profound crisis, possibly ever, with the pandemic COVID-19. We have witnessed the deaths of tens of thousands of precious souls, tens of millions of people forced out of work, the once hailed globalized supply chains disrupted, and fears of starvation in the developing sector, and possibly, in the advanced sector as well, in the not too distant future. The Bretton Woods financial system, which is already bankrupt, is on life support from the Federal Reserve and other centralized banks, and our “just in time” economy has failed miserably to weather this crisis.  The global lack of a sufficient-redundant healthcare infrastructure has proved murderous, and we are no-where near the end of devastation from this deadly virus.

Leadership should not just be left to our public officials, who have been deficient, in the last five decades, in creating a healthier economy for our planet of 8 billion people. Let us use this perilous moment of our civilization, to take the time, now, to reflect on what we must do, not only to survive this present crisis, but to guarantee a more prosperous future for all nations.

ReadWorld Needs New Economic Platform to Fight COVID-19

Read: New Economic Order Required to Combat COVID-19 in Africa

 

FDR: Leadership in a Time of Crisis

Read the entire Second Inaugural Address