Health Sector Services Fund

Kenyan local-level experience echoes this complexity. There, public sector lower-level facilities obtained their KEMSA supplies through the local district hospital. The parallels to the basket funds were the Health Sector Services Fund (HSSF) and Facility Improvement Funds (FIF), and they also used fees and charges. In addition, there was in Kenya a widespread local culture of borrowing between public facilities, especially when patients could not afford to buy medicines in the shops, and especially in the rural districts in these circumstances. 

Of particular danger for countries under the influence of the WB and IMF is the external funding of the import of cheep goods (a form of dumping). For instance, in Zambia, the opening up of the domestic market to textile import led to the collapse of the domestic textile sector with the closure of the majority of textile factories and the ensuing unemployment, closure of schools, reduced finance for the health service and... 

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