Are we chasing the wind? Translating global health commitments to actions, for health results

Karamagi, Humphrey

doi:10.4102/phcfm.v15i1.4148

African Journal of Primary Health Care & Family Medicine

2023

DOI: 10.4102/phcfm.v15i1.4148

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Are we chasing the wind? Translating global health commitments to actions, for health results

Humphrey Karamagi

Abstract: No abstract available.

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Cited by 4 publications

(2 citation statements)

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“…Recent discussions at global platforms like the United Nations General Assembly and the World Health Summit have underscored the pressing need for high-quality primary health care (PHC) to guarantee UHC. 1 The question resonates: What does quality genuinely mean, especially in the context of South African communities? This conversation accentuates the need for professional and ethical frameworks within quality healthcare.…”

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confidence: 99%

Myriad untold stories unfolding daily: South Africa’s pursuit of quality primary health care

von Pressentin,

Kaswa,

Murphy

et al. 2024

South African Family Practice

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mentioning

confidence: 99%

Myriad untold stories unfolding daily: South Africa’s pursuit of quality primary health care

von Pressentin,

Kaswa,

Murphy

et al. 2024

South African Family Practice

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“…9 An uncontested system built on this foundation can lead to the expected results of health security, universal health coverage, improved determinants of health and achievement of the health-related sustainable development goals. 10 …”

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confidence: 99%

Opportunities for primary health care in South Africa – Reflections from the USA

Mash

2023

African Journal of Primary Health Care & Family Medicine

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Mapping inequalities in health service coverage in Africa: a scoping review

Karamagi,

Afriyie,

Ben Charif

et al. 2024

BMJ Open

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ObjectiveIn this scoping review, we aim to consolidate the evidence on inequalities in service coverage in Africa using a comprehensive set of stratifiers. These stratifiers include place of residence, race/ethnicity/culture/language, occupation, gender/sex, religion, education, socioeconomic status and social capital. Our approach provides a more holistic understanding of the different dimensions of inequality in the context of universal health coverage (UHC).DesignWe conducted a scoping review following the Joanna Briggs Institute Manual for Evidence Synthesis.Data sourcesWe searched MEDLINE, Embase, Web of Science, CINAHL, PyscINFO, Cochrane Library, Google Scholar and Global Index Medicus for articles published between 1 January 2005 and 29 August 2022 examining inequalities in utilisation of health services for reproductive, maternal, newborn and child health (RMNCH), infectious or non-communicable diseases in Africa.Eligibility criteria for selecting studiesWe included any empirical research that assessed inequalities in relation to services for RMNCH (eg, family planning), infectious diseases (eg, tuberculosis treatment) and non-communicable diseases (eg, cervical cancer screening) in Africa.Data extraction and synthesisThe data abstraction process followed a stepwise approach. A pilot-tested form capturing study setting, inequality assessment and service coverage indicators was developed and finalised. Data were extracted by one reviewer and cross-checked by another, with discrepancies resolved through consensus meetings. If a consensus was not reached, senior reviewers made the final decision. We used a narrative approach to describe the study characteristics and mapped findings against PROGRESS-Plus stratifiers and health service indicators. Quantitative findings were categorised as ‘proequity’, ‘antiequity’ or ‘equal’ based on service utilisation across social groups.ResultsWe included 178 studies in our review, most studies published within the last 5 years (61.1%). Most studies assessed inequality using socioeconomic status (70.6%), followed by age (62.4%), education (60.7%) and place of residence (59.0%). Few studies focused on disability, social capital and ethnicity/race and intersectionality of stratifiers. Most studies were on RMNCH services (53.4%) and infectious disease services (43.3%). Few studies were qualitative or behavioural analyses. Results highlight significant inequalities across different equity stratifiers and services with inconsistent trends of inequalities over time after the implementation of strategies to increase demand of services and strengthen health systems.ConclusionThere is a need to examine equity in service coverage for a variety of health conditions among various populations beyond the traditional classification of social groups. This also requires using diverse research methods identifying disparities in service use and various barriers to care. By addressing these knowledge gaps, future research and health system reforms can support countries in moving closer to achievement of UHC targets.

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Are we chasing the wind? Translating global health commitments to actions, for health results

Abstract: No abstract available.

Cited by 4 publications

References 7 publications

Myriad untold stories unfolding daily: South Africa’s pursuit of quality primary health care

Myriad untold stories unfolding daily: South Africa’s pursuit of quality primary health care

Opportunities for primary health care in South Africa – Reflections from the USA

Mapping inequalities in health service coverage in Africa: a scoping review

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