Customizing Health Security Preparedness Activities in Sub-Saharan Africa: Leveraging Political Context to Enhance IHR Implementation

Greenhill, Richard G.; Johnson, James Allen; Malone, P; Westrum, Andrew

doi:10.1080/01900692.2020.1867575

Cited by 2 publications

(4 citation statements)

References 23 publications

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“…This could serve as a conduit to promoting transformational healthcare changes in policy and practical terms. Examining the political determinants of health in addition to the usual socio-economic determinants could enable proactive health services across the various core medical and support categories (Dawes, 2020;Agbodzakey, 2015;Greenhill et al, 2022). Furthermore, reimagining the role of medical diplomacy within the Global North and Global South dynamics, and accentuating the embrace and utilization of technology in healthcare could expediate access, quality, and safety aspirations in Africa while at the same time helping close equity gaps, especially as it pertains to women's health (Lau et al, 2023;De Vos et al, 2007;Feinsilver, 2010;Kirk, 2009;Adler-Milstein et al, 2014;DesRoches, Painter, & Jha, 2013;Akanbi et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Collaborative governance presents cross sector stakeholders' opportunities to collectively make decisions and/or implement decisions to solve complex public problems and promote a common resolve for action (Gray, 1989;Ansell & Gash, 2008;Bryson, Crosby, & Stone, 2015). The approach seems to be gaining popularity globally especially in developing countries for addressing complex problems like health, environment-ecology, climate action, national security, natural disasters, socio-economic development issues, and crisis management in general among others (Gray 1989;Daniel, Pinel, & Brooks, 2013;Agbodzakey 2012). It includes face-to-face dialogue, trust building, commitment to process, and shared understanding (Ansell and Gash;2008), as well as initiatives to increase agreement among stakeholders, promote leadership and legitimacy, and manage conflict (Bryson et al, 2006).…”

Section: Application Of the Collaborative Governance Frameworkmentioning

confidence: 99%

“…They are resource-constrained, are grappling with healthcare access challenges, face uncertainty when it comes to meeting health care cost after illness, and they have their fair share of the global health burden with communicable/infectious and noncommunicable diseases wreaking havoc in their communities (Rothe, Schlaich, & Thompson, 2013;Rutherford, Mulholland, & Hill, 2010;Pheage, 2017;Gouda et al, 2019). For example, the WHO Joint External Evaluation Reports show Sierra Leone lacking the capability to detect and surveil infectious pathogens; and Nigeria lacking the mechanisms to respond to actual or potential infections, biosafety, and security (WHO, 2016b;2018;Greenhill et al, 2022). It should also be noted that Institute of Medicine (IOM), the Organization for Economic Co-operation and Development (OECD), and the World Health Organizations (WHO) among others, have over the years been making a case for healthcare that embraces access, quality, and safety as a conduit to better health outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Addressing Sustainable Development Goals in Women’s Health Through Collaborative Governance: A Look at Africa

2023

JESD

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Disparities in healthcare access, quality, and safety are a global phenomenon. While the gaps between developed and developing countries in healthcare are enormous, the gender aspect is equally alarming. Globally, women's health is always at the receiving end, especially in Africa and other continents/regions in the global south. There is a dearth of data on the health of women and girls, hence problems in realistically addressing needed and critical concerns using policy instruments. The recent research partnership to address the data gaps on women's health and to highlight priorities for policymaking and implementation within the United Nations Sustainable Development Goals (SDGs) framework is a welcome relief to many advocates, policymakers, and other critical stakeholders in Africa. This study relies on existing quantitative evidence on global health disparities relative to women, specifically the recently publicized "Hologic Global Women's Health Index" and uses collaborative governance framework for conceptual explication. In essence, the study synthesizes current thinking on the problem of disparities in women's health in Africa and proposes an actionable model to help concurrently foster healthcare access, quality, and safety as a conduit to outcomes that would benefit women and population health in general. To some extent, the study has theory, research, policy, pedagogical and praxis relevance in consonance with emergent knowledge strategies to advancing women's health in Africa.

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Section: Discussionmentioning

confidence: 99%

Section: Application Of the Collaborative Governance Frameworkmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Addressing Sustainable Development Goals in Women’s Health Through Collaborative Governance: A Look at Africa

2023

JESD

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“…2 There is a need to scale-up efforts by considering the implication of this critical contextual factor in SDG 3.4 attainment, through contextual customization that addresses internal dynamics for effective strategic execution and long-term sustainability of premature NCD mortality reduction. 29 …”

Section: Discussionmentioning

confidence: 99%

Contextual factors in premature non-communicable disease mortality in selected African countries within the sustainable development goals framework: the implication of voice and accountability

Dotun-Olujinmi

Johnson

Greenhill

et al. 2022

J. Public Health Afr.

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Sustainable Development Goal number 3, target 4 (SDG 3.4), seeks a 30% reduction in premature Non-Communicable Diseases (NCDs) mortality from 2015 levels by 2030. Africa United Nations (UN) Member States continue to experience increasing NCD mortality significantly, with the highest proportion of diabetes mortality among the working-age group. Past efforts to address this burden have been centered primarily on individual risk modifications evident by the NCDs Cluster Program at the World Health Organization (WHO) Africa Regional Office. To achieve a progressive reduction, a comprehensive premature NCD reduction approach which includes a consideration of contexts within which premature NCD, such diabetes mortality arises is necessary. The aim was to examine the relationship between contextual factors and diabetes-related deaths as premature NCD mortality and to enable an improved contextualized evidence-based approach to premature NCD mortality reduction. Country-level data was retrieved for post SDG initiative years (2016-2019) from multiple publicly available data sources for 32 selected Africa UN Member States in the International Diabetes Federation (IDF) East and West Africa Region. Multiple linear regression was employed to examine the relationship between diabetes-related deaths in individuals 20-79 years and contextual factors identified within the SDG framework. Weighted data analysis showed that voice and accountability as a contextual factor explained approximately 47% variability in diabetes-related deaths across the selected Africa UN Member Sates in IDF East and West Region (n=32). Civil society engagement is vital to develop effective premature NCD mortality reduction policies, and strategies and stakeholders’ accountabilities are necessary to ensure adherence to obligations.

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Customizing Health Security Preparedness Activities in Sub-Saharan Africa: Leveraging Political Context to Enhance IHR Implementation

Cited by 2 publications

References 23 publications

Addressing Sustainable Development Goals in Women’s Health Through Collaborative Governance: A Look at Africa

Addressing Sustainable Development Goals in Women’s Health Through Collaborative Governance: A Look at Africa

Contextual factors in premature non-communicable disease mortality in selected African countries within the sustainable development goals framework: the implication of voice and accountability

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