 Feminist political philosophers are also concerned with the gendered effects of structural adjustment policies (SAPs), which many poor countries have been forced to undertake as conditions of borrowing money or rescheduling their existing debts. The resulting reductions in publicly-funded health services, education, and childcare undermine the health and well-being of everyone they affect. However, the burdens of SAPs are disproportionately borne by women. Cuts in public health services have contributed to a rise in maternal mortality. The introduction of school fees has made education unavailable to poorer children, especially to girls, leading to higher school dropout rates for girls in many southern countries (Kittay 2008). Cuts to other publicly funded social services also disproportionately harm women, whose care-giving responsibilities make them more reliant on these programs. Because austerity programs decrease public support for women and increase women’s workload, programs like these put women at greater risk for some mental health disorders (Gosselin 2014).