Introduction to the HS&R Nigeria Issue

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2016-10-01 DOI:10.1080/23288604.2016.1247556

M. Reich

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引用次数: 2

Abstract

Reference This issue of Health Systems & Reform is dedicated to the challenges of improving health system performance in Nigeria. This is no small task. The Nigerian population was estimated at 182 million in 2015, making it the most populous country in Africa and including one out of five people in the sub-Saharan region. While the country is rich in material resources (especially oil) and human resources (with many universities and educational institutions), the obstacles to development remain daunting. The New York Times captured this challenge succinctly (and provocatively) in its summer 2016 article titled “Nigeria Finds a National Crisis in Every Direction it Turns.” In this issue, we examine the deep-seated challenges in Nigeria’s health system and the efforts of various organizations—governmental, multilateral development banks, nongovernmental development consultants, and private foundations—to make progress. What can be done to improve the quantity and quality of health services delivered? How can those improvements be achieved in the Nigerian context? This is the first issue of an international journal devoted to the Nigeria health system. We hope that the articles will help advance both understanding and actions for innovative reforms that will make tangible improvements in the Nigerian health system. We begin the issue with two commentaries: one from current Nigerian Minister of Health Isaac Adewole and his team, and the other from seasoned Nigerian global health expert Olusoji Adeyi, who has participated in many health reform efforts around the world (through his position at the World Bank). Minister Adewole and his team at the Federal Ministry of Health recognize Nigeria’s long history of seeking to develop its primary health care system, starting with the establishment of a federal agency in 1992. They also recognize that primary care suffers from institutional fragmentation across three levels of government and within each one as well. They call this the “most critical challenge for primary health care in Nigeria” along with the assignment of managing primary health care to the “weakest and most chronically underfunded tier *Correspondence to: Michael R. Reich; Email: reich@hsph.harvard.edu

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介绍HS&R尼日利亚问题

本期《卫生系统与改革》致力于探讨尼日利亚改善卫生系统绩效所面临的挑战。这不是一项简单的任务。2015年，尼日利亚人口估计为1.82亿，是非洲人口最多的国家，包括撒哈拉以南地区五分之一的人口。虽然该国拥有丰富的物质资源(特别是石油)和人力资源(拥有许多大学和教育机构)，但发展的障碍仍然令人生畏。《纽约时报》在2016年夏季的一篇名为《尼日利亚在各个方向发现了一场国家危机》的文章中，简洁(且具有挑衅性)地抓住了这一挑战。在本期中，我们考察了尼日利亚卫生系统中根深蒂固的挑战，以及政府、多边开发银行、非政府发展顾问和私人基金会等各种组织为取得进展所做的努力。可以采取哪些措施来改善所提供保健服务的数量和质量?如何在尼日利亚的情况下实现这些改进?这是专门讨论尼日利亚卫生系统的国际期刊的第一期。我们希望这些文章将有助于促进对创新改革的理解和行动，从而切实改善尼日利亚的卫生系统。我们首先发表两篇评论:一篇来自尼日利亚现任卫生部长Isaac Adewole及其团队，另一篇来自经验丰富的尼日利亚全球卫生专家Olusoji Adeyi，他(通过在世界银行任职)参与了世界各地的许多卫生改革工作。Adewole部长和他在联邦卫生部的团队认识到尼日利亚从1992年建立一个联邦机构开始寻求发展其初级卫生保健系统的悠久历史。他们还认识到，初级保健在三级政府之间以及每一级政府内部都存在体制分裂。他们称这是“尼日利亚初级卫生保健面临的最严峻挑战”，同时还有向“最薄弱和长期资金不足的阶层”管理初级卫生保健的任务。电子邮件:reich@hsph.harvard.edu

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.