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
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
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………….”
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