Institute for Health and Wellbeing, Leeds Metropolitan University, Leeds NU, UK.
Glob Health Promot. 2013 Jun;20(2):5-12. doi: 10.1177/1757975913486682.
This paper discusses the difficulties facing the development of health promotion in The Gambia, and in 'closing the implementation gap' noted by the WHO 7(th) Global Conference on Health Promotion (2009, Nairobi). The Gambia has achieved a great deal so far, but health promotion as a discipline has not really informed the development of its approach to health. There is not a central concern with determinants of health and tackling health inequalities and there is no well-developed health promotion infrastructure. The difficulties facing sub-Saharan Africa generally can be extrapolated from the paper, with the conclusion that sub-Saharan Africa faces many disease and health challenges not experienced by richer countries and thus not only does the discourse of health promotion need to take this into account, but also the basic needs of Africa need to be placed at the forefront.
本文讨论了冈比亚在健康促进发展上面临的困难，以及世卫组织第七届全球健康促进大会（2009 年，内罗毕）所指出的“实施差距”问题。冈比亚迄今已取得了很大成就，但健康促进作为一门学科并没有真正为其健康发展方法提供信息。人们没有对健康决定因素和解决健康不平等问题给予高度关注，也没有建立起完善的健康促进基础设施。撒哈拉以南非洲普遍面临的困难可以从本文中推断出来，结论是，撒哈拉以南非洲面临着许多较富裕国家没有经历过的疾病和健康挑战，因此，健康促进的论述不仅需要考虑到这一点，还需要将非洲的基本需求放在首位。
