Contemporary Healthcare Issues In Sub Saharan Africa

Contemporary Healthcare Issues in Sub-Saharan Africa: Social, Economic, and Cultural Perspectives discusses contemporary healthcare issues in Sub-Saharan Africa to identify deficiencies in the system and provide workable recommendations for strengthening healthcare delivery on the continent. Contributors address topical issues such as drug quality, malaria control, health insurance, geriatric care, and the environment-health nexus. The contributors also study intimate partner violence and maternal-child health, food safety, prevalence of childhood tuberculosis, and cardiovascular diseases. This book provides in-depth analyses of current issues in Sub-Saharan Africa that blend theory and practice. The diverse group of contributors includes experts in clinical medicine, pharmacy, economics, anthropology, public health, and the social sciences.

Seventy percent of the global burden of mental disorders is located in low and middle income countries (LMIC),including sub-Saharan Africa (SSA). However, in Africa,only 0.62% of the national health budget is allocated to mental health compared to a global median of 2.8% and 5% in Europe. The government is the source of funding in 62%of patients with severe mental disorder in the World Health Organisation (WHO), Africa Region, the lowest of all the WHO regions, and lower compared to a global median of 79%. This is compounded by poor resources, with mental health outpatient facilities in WHO Africa Region being less that 10% of the global median. To address these problems, the WHO launched its Mental Health Action Gap Programme (mhGAP) in 2008, to scale-up mental health services in low and middle income countries (LMIC). The book is directed to all policy makers in sub-Saharan Africa to aid decision making about the urgent need for sustainable and relevant mental health care strategies, and the important areas that need priority. The book should be helpful to local and international researchers in formulating research questions relevant to the African continent and it will be of interest to medical practitioners and students in the region as adjunct to standard text books.

This volume creates a platform to showcase health geography research from countries in sub-Saharan Africa (SSA), and draws on theoretical and methodological innovations to initiate a discussion on the complexities of the issues impacting health in the region. Through theoretically and empirically grounded contributions from a variety of researchers working across SSA, the book addresses a wide range of topics that are usually treated separately when discussing health geography in the region. By bridging the social science and health disciplines, the book introduces new ways of thinking temporally and spatially about these topics in non-geography contexts as well. In 4 sections, the text will broadly appeal to students, researchers, teachers, policy makers, and global health professionals. Section 1 addresses the social determinants of health, including gender, disability, and other inequities and inequalities associated with healthcare access. Section 2 discusses the environmental determinants of health such as food security, water and sanitation, mining, and climate change. Section 3 focuses on current and emerging challenges to health in SSA, including ageing, non-communicable disease, and infectious diseases. Section 4 concludes the text by discussing the need to develop social and environmental intervention policies and strategies to address health challenges in SSA.

"The essays in this collection are written to make readers (re)consider what is possible in Africa. The essays shake the tree of received wisdom and received categories, and hone in on the complexities of life under ecological and economic constraints. Yet, throughout this volume, people do not emerge as victims, but rather as inventors, engineers, scientists, planners, writers, artists, and activists, or as children, mothers, fathers, friends, or lovers - all as future-makers. It is precisely through agents such as these that Africa is futuring: rethinking, living, confronting, imagining, and relating in the light of its many emerging tomorrows"--

In our globalized world, diseases originating in Africa have become worldwide concerns. Health in Contemporary Africa examines the illnesses that affect people around the continent, as well as the challenges countries face due to current infrastructure. The book traces the transmission of disease and medical interventions while looking ahead to cutting edge technology and new advances poised to improve lives around Africa.

The challenges to better health services in Africa are well known: Africa lags behind all regions of the world, including other developing regions, on all indicators of better health. A recent report from the World Health Organisation for instance shows that while Africa has 20% of the world's sick people, it has only 4% of its healthcare workers - many of them vulnerable to the high mortality rate associated with malaria and notably the AIDS epidemic. The state of investment in healthcare infrastructure is also grossly inadequate as is the efficiency of healthcare delivery. But does this need to be so? What factors are responsible for this unacceptable state of affairs? Contributors to the volume examine the evolution of healthcare services in Africa, the ongoing national, regional and continental efforts to improve the delivery of healthcare in the continent, and the direct and indirect obstacles militating against the maturation of the services and their efficient delivery. The contributors - all distinguished experts in the field, who hold either challenging responsibilities in health in Africa or have worked in multiple components of the healthcare delivery system in the continent - also provide powerful personal insights and lessons learned in their current or previous work in the health sector in Africa. Some of the themes covered include clinical care and centers of excellence, healthcare finance and resource mobilization, primary health care systems and community health; preventive care and risk reduction in health; the role of reference laboratories; clinical research and partnerships, the role of epidemiology, statistics, monitoring and evaluation in health services; the role of the African Diaspora, and the role of politics in the organization of healthcare and the training of medical and other health professionals. From their analyses and experience the authors articulate proven strategies and solutions based on consensus expert opinions on how to improve the quality of health services and health outcomes in the continent.

The research in this technical brief is part of a multi-country study commissioned by the Alliance for Health Policy and Systems Research to understand the evidence-to-policy process around health decisions in Ghana, Ethiopia and Mozambique. Through surveys and in-depth interviews with representatives from 54 locally based research institutions and 41 health policy-makers, the studies explored the entire chain of evidence generation, from conception of the research idea, through to its synthesis and dissemination. For each country, this included discussions with key actors involved in tracer policies. This technical brief distils regional lessons from the studies and offers a set of recommendations to support efforts to develop and strengthen existing institutions towards enhanced uptake of research.

This book focuses on Africa’s challenges, achievements, and failures over the past several centuries using an interdisciplinary approach that combines theory and fact and evidence-based practices and interventions in public health, and argues that most of the health problems in Africa are not a result of scarce or lack of resources, but of the misconceived and misplaced priorities that have left the continent behind every other on the globe in terms of health, education, and equitable distribution of opportunities and access to (quality) health as agreed by the United Nations member states at Alma-Ata in 1978.