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Analyzes the disappearance of public health in the form of state services in Africa, and the growth of a private market in health care that will serve primarily an urban elite. Debates the pros and cons of shifting the delivery of health services to the nongovernmental sector in absence of social security and other safety nets, and disputes the World Bank's plans to privatize health care in Africa. Provides a case study of Zimbabwe and comparative material from Malawi, Mozambique, and Zambia.