Friday, August 31, 2012

[EQ] No more disease silos for sub-Saharan Africa

No more disease silos for sub-Saharan Africa

Patricio V Marquez, lead health specialist, Eastern and Southern Africa Region World Bank, Washington, DC, USA

Jill L Farrington, honorary senior lecturer Nuffield Centre for International Health and Development, Leeds, UK
BMJ 2012; 345 doi: 10.1136/bmj.e5812 -- August 2012

….Countries in sub-Saharan Africa are facing a double burden of communicable and non-communicable disease.
Authors argue that knowledge of their common determinants and the links between diseases should be used to spur development of coordinated programmes to prevent and treat both…..


“…………Much illness and inefficient use of resources could be avoided in sub-Saharan Africa if the approach were rethought, building on accumulated scientific evidence and country experiences. Rather than concentrating on a few specific diseases, African governments and the international community should prioritise building health systems that offer universal financial protection against the cost of ill health along with improved access to, and the use of, quality services that meet the multiple health needs of the population.


But an effective response also needs to include multisectoral policies and actions for dealing with disease related risk behaviours, environmental factors, and their social and economic determinants in the entire population. Indeed, international evidence indicates that measures such as some of those included in the WHO Framework Convention on Tobacco Control (for example, higher excise taxes to make tobacco products less affordable), are highly cost effective for disease prevention and control, complementing and reinforcing medical care interventions.


Unless appropriate action is taken, the poor health status of African populations has the potential to magnify vulnerability among the sub-Saharan African countries, which are already easy prey to a variety of shocks—economic, natural disasters and armed conflicts—that tend to perpetuate poverty across generations………….”



 *      *     *
This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]
Washington DC USA

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
PAHO/WHO Website
Equity List - Archives - Join/remove:

IMPORTANT: This transmission is for use by the intended
recipient and it may contain privileged, proprietary or
confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
disclose, copy or distribute this transmission or take
any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission.

Thank you.

No comments: