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Health Policy and Planning; 4(3): 219-228
© 1989

review-article

The eclipse of idealism: health planning in Zambia

KATELE KALUMBA1,3 and PAUL FREUND2

1Department of Community Medicine, University of Zambia
2Pritech Representative, WHO, Zambia

3Dr Katele Kalumba, Department of Community Medicine, School of Medicine, University of Zambia, Box 50110, Lusaka, Zambia.

National health development planning in Zambia has translated largely into the maintenance and reproduction of the political logic of Party-State administration. Although Zambia has produced a number of health 'development' plans there is no evidence to suggest that the country's health development problems have resulted from inadequate 'planning'. In fact, the most visible institutional feature of Zambia's health care system's development has been the phenomenal extent of 'planning' activity. This paper describes how that planning has failed to restructure the health system to support the rural population. It also describes current trends which suggest major policy reversals in the face of an ever-increasing crisis of state finance. This crisis has its roots in the structural deficiencies of a copper-dependent economy.


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