translate English to French: Evidence from Zambia showed that there was considerable decline in the demand for health care when user fees were introduced as part of the Structural Adjustment Policies (SAPs) of the 1980s.
On a ainsi constaté, à l'inverse, en Zambie, que la demande de soins a considérablement baissé dès l'instant où, suite aux politiques d'ajustement structurel des années 80, on les a rendus payants.