ABSTRACT
Improved nutrition of children and women in developing countries is associated with improved primary health care, poverty reduction, and expanded community involvement (UNICEF 1990). After the mid-1980s, many Third World governments faced severe budgetary crises. In Sub-Saharan Africa, governments began implementing both structural adjustment programs and health reforms in efforts to expand coverage and improve quality and equity of health care. The shared components of structural adjustment and health reforms often included severe cutbacks in real government spending along with organizational decentralization, community involvement, and re-allocation of resources to new priorities.
