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Social Provision in Low-Income CountriesNew Patterns and Emerging Trends$
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Germano Mwabu, Cecilia Ugaz, and Gordon White

Print publication date: 2001

Print ISBN-13: 9780199242191

Published to Oxford Scholarship Online: October 2011

DOI: 10.1093/acprof:oso/9780199242191.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 22 April 2021

Cost Recovery and Equity in the Health Sector: The Case of Zimbabwe

Cost Recovery and Equity in the Health Sector: The Case of Zimbabwe

(p.228) 11 Cost Recovery and Equity in the Health Sector: The Case of Zimbabwe
Social Provision in Low-Income Countries


Oxford University Press

The chapter describes the dilemmas on cost recovery by concentrating on Zimbabwe. Cost-recovery policies were adopted during a structural adjustment programme in 1991, which was mainly a counteractive reaction to the country's fiscal crisis. At that time, Zimbabwe was faced with stagnant state income, lack of funds in the health industry, general shortages, poor public investment, and nationwide economic depression. All of these led to a decreased accessibility of medical assistance for the poor, which eventually affected individual development and social welfare. Although financial decisions related to public provision must be patterned according to cultural background, history, and conditions of a country, the Zimbabwe case reflects that cost recovery planning and implementation should be the least priority.

Keywords:   cost recovery, Zimbabwe, welfare, fiscal crisis, financial management, public provision

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