Audit Culture & Austerity
What is audit culture in global health?
Donors demanding data and indicators to prove accountability.
What type of funding do NGOs rely on?
Vertical funding- disease-specific aid
What kind of health system did Mozambique build after independence?
A public socialist system for universal care.
What city was called the "Hub of the Copperbelt"?
Kitwe
PHC
Primary Health Care
Which two international institutions drove African austerity?
IMF & World Bank
What does horizontal funding support?
Overall health systems and infrastructures.
Civil war with what group wrecked Mozambique's early progress?
RENAMO
By 1995, what share of Zambia's exports went to debt?
41 cents per dollar.
DALY
Disability adjusted life year
How did SAPs affect public health?
They cut public spending and weakened national systems.
Why do donors prefer NGOs?
To bypass state budgets and keep control of aid.
What did Mozambique sign in 1987 that caused austerity?
IMF Structural adjustment program.
What anthropological school of thought was Gluckman and RLI part of?
The Manchester School.
HAI
Health Alliance International
What did investing in health (1993) promote?
Privatization and cost effectiveness as measures of success.
What is "off-budget" aid?
Money spent by NGOs outside government systems.
How did PEPFAR affect Mozambique's health system?
Sent HIV funds off-budget through NGOs.
What 1970s price shock hurt copper profits?
The oil crisis.
PARPA
Plan for reduction of absolute poverty.
Why is audit culture called "insidious"?
It hides inequality behind "neutral" "accountability."
What's the contradiction of NGO aid?
It fills gaps but deepens dependency.
What does PEPFAR say Mozambique reveals?
Audit culture erodes public health sovereignty.
Ferguson critiques urbanization and what other anthropological idea?
Social change
SAPR
Semi- Annual Program Reports