From Policy to Practice: A Review of Africa’s Public Health Policy

O. Otorkpa, C. Otorkpa, O. Adebola, Stephen Emmanuel, Ahamed Adamu, Ololade Olaniyan, Saizonou Jacques, O. Oseni, Abdirizak Yusuf, Maman Ibrahim, Z. Njoumemi, Ruhaima Zorro, Francis Kiese, Abechi Alapa, Dechasa Adare, Adamu Musa, Fatima Ahmed
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Abstract

Africa faces persistent health challenges, from infectious diseases to non-communicable illnesses, necessitating robust public health policies. However, the translation of these policies into effective practice remains a substantial challenge across the continent. This study employed a rigorous literature review, and policy analysis to shed light on the multifaceted factors impeding the successful transition from policy formulation to tangible health outcomes. Findings indicates that while Africa has made substantial progress in crafting health policies that align with global health goals, critical gaps persist in their execution. Major challenges include resource limitations, weak health infrastructure, insufficient capacity building, and complex socio-cultural dynamics that influence health behaviors and practices. In addition, bureaucratic hurdles, corruption, and lack of political will are identified as systemic barriers to policy implementation. The study highlights the need for adaptive and evidence-based policy making rigorous monitoring and evaluation mechanisms to track progress, and a multifaceted approach to bridge these gaps and address challenges. This includes strategic investments in healthcare infrastructure and workforce development, enhancing collaboration between governments and international partners, and fostering community engagement to ensure policies resonate with local contexts.
从政策到实践:非洲公共卫生政策回顾
非洲面临着从传染病到非传染性疾病等持续不断的卫生挑战,因此必须制定强有力的公共卫生政策。然而,如何将这些政策转化为有效的实践仍是整个非洲大陆面临的巨大挑战。本研究通过严谨的文献综述和政策分析,揭示了阻碍从政策制定成功过渡到实际卫生成果的多方面因素。研究结果表明,虽然非洲在制定与全球卫生目标相一致的卫生政策方面取得了重大进展,但在执行过程中仍然存在重大差距。主要挑战包括资源限制、卫生基础设施薄弱、能力建设不足以及影响卫生行为和实践的复杂社会文化动态。此外,官僚障碍、腐败和缺乏政治意愿也被认为是政策实施的系统性障碍。研究强调,需要制定适应性强、以证据为基础的政策,建立严格的监测和评估机制以跟踪进展情况,并采取多方面的方法来弥补这些差距和应对挑战。这包括对医疗保健基础设施和劳动力发展进行战略投资,加强政府与国际合作伙伴之间的合作,促进社区参与以确保政策与当地情况产生共鸣。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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