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The equity consequences of the new arrangement were not evaluated during the brief visit to the Matameye area.
Dismissing those who lose their livelihoods as "inefficient incumbents facing increased foreign competition" [ 25](p. 96) is an inadequate response to the potential health equity consequences of such transitions.
It is interesting to note the equity consequences related to health and financial risk protection for these child health interventions, because diarrhoeal episodes are relatively evenly distributed across wealth quintiles.
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High unemployment can cause a downward spiral of forced house repossessions leading to falling property prices and more negative equity, with consequences for the banking system.
In addition, there is need for a policy monitoring and evaluation plan to ensure consideration of key implementation elements such as prioritization, quality, costs, local acceptability, equity and consequences [ 4- 8, 13], identify bottlenecks and address the current challenges that cause unnecessary delays.
A number of authors have proposed mechanisms for looking at the trade off between health gains and health equity, and the consequences of focusing on health gains to the exclusion of health equity (e.g., [ 17- 19]).
As a consequence, equity in health was not included in a monitor dealing with primary care.
That, in turn, may have adverse consequences for equity in learning opportunities and outcomes.
Others feared the consequences of equity.
Public services are different from private services, and the privatization of public education has often-negative consequences for equity, quality, and democracy.
The brain drain has far-reaching consequences regarding equity in healthcare on a global scale (11, 12).
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