Verani André, Shayo Peter, Howse Genevieve
Centers for Disease Control and Prevention, center for Global health, division of Global HIV/AIDS.
East Central and Southern Africa Health Community.
Afr J Midwifery Womens Health. 2011 Oct-Dec;5(4):181-184. doi: 10.12968/ajmw.2011.5.4.181. Epub 2013 Sep 23.
The lack of sufficient, high-quality health workers is one of the primary barriers to improving health in sub-saharan africa. An approach to address this challenge is for public health practitioners to increase their cooperation with public health lawyers, regulators and other policymakers in order to develop strengthened health workforce laws, regulations, and policies that are vigorously implemented and enforced. Conceptual frameworks can help clarify the meaning of health system governance and the pathways between law and health. International recommendations for policy interventions governing health workers provide countries with valuable guidance for domestic reforms. Monitoring and evaluation of legal, regulatory, and other policy interventions are required to ascertain their public health impact. At the intersection of law and public health, professionals from both fields can collaborate in concrete ways such as those discussed here to improve laws and policies governing health.
缺乏足够数量的高素质卫生工作者是撒哈拉以南非洲地区改善健康状况的主要障碍之一。应对这一挑战的一种方法是，公共卫生从业者加强与公共卫生律师、监管人员及其他政策制定者的合作，以制定出更有力且能得到大力实施和执行的卫生人力法律、法规及政策。概念框架有助于厘清卫生系统治理的含义以及法律与健康之间的路径。关于卫生工作者政策干预的国际建议为各国国内改革提供了宝贵指导。需要对法律、监管及其他政策干预措施进行监测和评估，以确定其对公共卫生的影响。在法律与公共卫生的交叉领域，来自这两个领域的专业人员可以通过诸如本文所讨论的具体方式进行合作，以完善卫生相关法律和政策。
