The impact of structural adjustment policies on women's and children's health in Tanzania

Document Type



Institute for Educational Development, East Africa


Since 1981, in an attempt to deal with Tanzania's present social and economic crisis which dates back to the late 1970s, the government has adopted a variety of policy measures including The National Economic Survival Plan (NESP), Structural Adjustment Programme (SAP), Economic Recovery Programme (ERP) I (1986) and II (1989); the Economic and Social Action Plan (ESAP) and Priority Social Action Plan (PSAP) (1989). The principal objective of these adjustment measures has been to attain macroeconomic balance by bringing national expenditure into line with national income to reduce inflation and to increase exports. Other objectives have been to maintain egalitarian income distribution and provision of basic social services to the majority of the population. In order to realize these objectives, the government has been controlling credit and has removed subsidies on certain food items and agricultural inputs; introduced a system of progressive devaluation; liberalized trade; and has been trying to reduce government expenditure by introducing cost sharing measures in the education and health sector.


This work was published before the author joined Aga Khan University.

Publication (Name of Journal)

Review of African Political Economy