This idea flowered in the Reagan/Thatcher years, and led the major development lenders to a policy of "structural adjustment": If you want loans, shrink your government, cut your deficits and tighten your belts.
Although the reasons for this rise are complex, Shiva believes they are connected to several aspects of globalization: structural adjustment policies, which eliminated major sectors of women's economic activity; the destruction of the natural environment, which displaced many women; and the exclusion of women from economic and political decision-making.
There is little doubt that structural adjustment policies have had a major impact on the way medical care and public health is organised, managed and financed in the developing world (for example, World Bank, 1987; World Bank, 1993a).
Major events, such as the HIV/AIDS epidemic, the structural adjustment programmes, development of global health initiatives and funding for priority diseases have had a profound impact on the way health systems deliver PHC [ 1, 2].
Within three years, Compaoré had accepted a massive IMF loan and instituted a structural adjustment programme (largely seen as one of the major causes for the ongoing economic crises in Africa).
Ultimately, these trends have been proven to constitute a major poverty trap, and are reminiscent of the International Monetary Fund (IMF) and World Bank's failed structural adjustment policies [ 23, 24].
The structural adjustment programs of the IMF and the second-generation reforms of the World Bank are major institutional changes that revise the rules governing business and social interactions.
Consistent with general structural adjustment strategies adopted from the mid 1980s to the present, irrigation management transfer has been supported by the major international development banks and many NGOs (EDI, 1996, Arriëns, et al., 1996).
No structural adjustment for them.
Particularly controversial, this used to be called structural adjustment lending.
