Overcoming fragmentation and waste in health care systems in Africa: Collaboration of health care professionals with pastoral caregivers

Agbiji, Emem; Landman, Christina

doi:10.4102/hts.v70i2.2654

Cited by 2 publications

(2 citation statements)

References 34 publications

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“…Many countries in Africa are undertaking health care reforms and developing policies to improve health care systems. However, the success of health care reforms, policies and practices is dependent on the ability of the designers of health care delivery systems to replace fragmentation and waste with coordination and cost-effectiveness across disciplines [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Analyzing efforts to synergize the global health agenda of universal health coverage, health security and health promotion: a case-study from Ethiopia

et al. 2021

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Background Evidence exists about synergies among universal health coverage, health security and health promotion. Uniting these three global agendas has brought success to the country’s health sector. This study aimed to document the efforts Ethiopia has made to apply nationally synergistic approaches uniting these three global health agendas. Our study is part of the Lancet Commission on synergies between these global agendas. Methods We employed a case study design to describe the synergistic process in the Ethiopian health system based on a review of national strategies and policy documents, and key informant interviews with current and former policymakers, and academics. We analyzed the “hardware” (using the World Health Organization’s building blocks) and the “software” (ideas, interests, and power relations) of the Ethiopian health system according to the aforementioned three global agendas. Results Fragmentation of health system primarily manifested as inequities in access to health services, low health workforce and limited capacity to implementation guidelines. Donor driven vertical programs, multiple modalities of health financing, and inadequate multisectoral collaborations were also found to be key features of fragmentation. Several approaches were found to be instrumental in fostering synergies within the global health agenda. These included strong political and technical leadership within the government, transparent coordination, and engagement of stakeholders in the process of priority setting and annual resource mapping. Furthermore, harmonization and alignment of the national strategic plan with international commitments, joint financial arrangements with stakeholders and standing partnership platforms facilitated efforts for synergy. Conclusions Ethiopia has implemented multiple approaches to overcome fragmentation. Such synergistic efforts of the primary global health agendas have made significant contributions to the improvement of the country’s health indicators and may promote sustained functionality of the health system.

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Section: Discussionmentioning

confidence: 99%

Analyzing efforts to synergize the global health agenda of universal health coverage, health security and health promotion: a case-study from Ethiopia

et al. 2021

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“…The different development components inherent in pastoral care highlight the value of pastoral care as a resource for health and also for spiritual and social capital for development of people and communities. Thus, Agbiji and Landman (2014a) attempt to establish pastoral care as a resource for health and healthcare both in Africa and the global context.…”

Section: Pastoral Care As Developmentmentioning

confidence: 99%

Pastoral care as a resource for development in the global healthcare context: Implications for Africa’s healthcare delivery system

Agbiji

2016

HTS Teologiese Studies / Theological Studies

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Development is concerned with the transformation of people to foster their health, wholeness and growth. The link between health and development points to religion as potential social capital for development. There is an ongoing debate about the role of pastoral care as a religious resource in global healthcare contexts. This is unfortunately not the case in Africa, as pastoral care has not received sufficient attention for its role in healthcare and development in development discourses. The limited research on pastoral care in healthcare contexts in Africa has implications for African healthcare systems, pastoral care and the delivery of an effective, holistic and quality healthcare service. Taking as its point of departure a thesis about the potential of religion as a social capital resource for development, the article argues for pastoral care as a viable religious resource for healthcare and development. Osmer’s theological task of good practice is employed as an interdisciplinary engagement in dialogue with selective perspectives in the disciplines of development and health and social sciences for appropriate analysis.

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Overcoming fragmentation and waste in health care systems in Africa: Collaboration of health care professionals with pastoral caregivers

Cited by 2 publications

References 34 publications

Analyzing efforts to synergize the global health agenda of universal health coverage, health security and health promotion: a case-study from Ethiopia

Analyzing efforts to synergize the global health agenda of universal health coverage, health security and health promotion: a case-study from Ethiopia

Pastoral care as a resource for development in the global healthcare context: Implications for Africa’s healthcare delivery system

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