Chapter 4 8.2 Other sector policies and linkages to food security Besides agricultural sector policies, there are other areas in structural and sectoral adjustment with possible substantial effects on agricultural sector performance and/or on food security, for example: 1) Transport and infrastructure policies, 2) Health policy, 3) Education policy, 4) Industrial sector adjustment. 1) Transport and infrastructure policies are closely linked with agricultural marketing, as they affect the costs and the efficiency of agricultural marketing operations. Liberalisation of transport tariffs and privatization of transport fleets are common elements of adjustment programmes. The effects, but also the problems, are similar to those of market and price liberalisation; where the government had a legal or effective monopoly and ran a transport fleet in an inefficient way, there is substantial scope for improvements, in terms of reduced transport costs or better services. Both effects imply improvements in marketing performance with positive repercussions on food security. Such positive effects stand against possible adverse effects for certain regions, if private transporters refuse to service remote areas with difficult access. This effect may be compounded, or compensated, by infrastructural policies. Reduced infrastructural investments are a common phenomenon under adjustment. This does. however, not necessarily mean a deterioration of the existing infrastructure. The opposite could be true: if less money is available to build new roads, the little money which is left may be used for maintaining the existing road network, a task which has been widely neglected in many countries in the past. 2) Health policy The issues of reduced state expenditures and cost recovery policies in the health sector have already been raised in connection with fiscal policies (Section 4.4 ). As a result of such policies, food security may be affected in two ways: a higher share of the household income has to be allocated for health service expenditures, leading to a real income decline and, specifically in low income households, less money available to purchase food. households may refrain from consulting health services. This could result in increased morbidity and a worsening of the nutritional status. - 166-