Kirigia Joses Muthuri, Nabyonga-Orem Juliet, Dovlo Delanyo Yao Tsidi
Systems and Services Cluster, World Health Organization Regional Office for Africa, B.P. 06, Brazzaville, Congo.
BMC Health Serv Res. 2016 Jul 18;16 Suppl 4(Suppl 4):221. doi: 10.1186/s12913-016-1452-0.
Majority of the countries in the World Health Organization (WHO) African Region are not on track to achieve the health-related Millennium Development Goals, yet even more ambitious Sustainable Development Goals (SDGs), including SDG 3 on heath, have been adopted. This paper highlights the challenges - amplified by the recent Ebola virus disease (EVD) outbreak in West Africa - that require WHO and other partners' dialogue in support of the countries, and debate on how WHO can leverage the existing space and place to foster health development dialogues in the Region.
To realise SDG 3 on ensuring healthy lives and promoting well-being for all at all ages, the African Region needs to tackle the persistent weaknesses in its health systems, systems that address the social determinants of health and national health research systems. The performance of the third item is crucial for the development and innovation of systems, products and tools for promoting, maintaining and restoring health in an equitable manner. Under its new leadership, the WHO Regional Office for Africa is transforming itself to galvanise existing partnerships, as well as forging new ones, with a view to accelerating the provision of timely and quality support to the countries in pursuit of SDG 3. WHO in the African Region engages in dialogues with various stakeholders in the process of health development. The EVD outbreak in West Africa accentuated the necessity for optimally exploiting currently available space and place for health development discourse. There is urgent need for the WHO Regional Office for Africa to fully leverage the space and place arenas of the World Health Assembly, WHO Regional Committee for Africa, African Union, Regional economic communities, Harmonization for Health in Africa, United Nations Economic Commission for Africa, African Development Bank, professional associations, and WHO African Health Forum, when it is created, for dialogues to mobilise the required resources to give the African Region the thrust it needs to attain SDG 3.
The pursuit of SDG 3 amidst multiple challenges related to political leadership and governance, weak health systems, sub-optimal systems for addressing the socioeconomic determinants of health, and weak national health research systems calls for optimum use of all the space and place available for regional health development dialogues to supplement Member States' efforts.
世界卫生组织(WHO)非洲区域的大多数国家未能如期实现与健康相关的千年发展目标,然而,包括关于健康的可持续发展目标3(SDG 3)在内的更具雄心的可持续发展目标已经通过。本文强调了一些挑战——最近西非埃博拉病毒病(EVD)疫情加剧了这些挑战——这些挑战需要WHO和其他伙伴进行对话以支持各国,并就WHO如何利用现有空间和场所促进该区域的健康发展对话展开辩论。
为实现确保所有人在所有年龄段享有健康生活和促进福祉的可持续发展目标3,非洲区域需要解决其卫生系统、应对健康社会决定因素的系统以及国家卫生研究系统中长期存在的薄弱环节。第三项的表现对于以公平方式促进、维护和恢复健康的系统、产品和工具的开发与创新至关重要。在新领导班子的带领下,WHO非洲区域办事处正在进行自我转型,以激发现有伙伴关系,并建立新的伙伴关系,以期在各国追求可持续发展目标3的过程中加快提供及时和高质量的支持。WHO非洲区域办事处在健康发展过程中与各类利益相关方进行对话。西非的埃博拉病毒病疫情凸显了优化利用当前可用空间和场所进行健康发展讨论的必要性。WHO非洲区域办事处迫切需要充分利用世界卫生大会、WHO非洲区域委员会、非洲联盟、区域经济共同体、非洲卫生协调、联合国非洲经济委员会、非洲开发银行、专业协会以及即将设立的WHO非洲卫生论坛等空间和场所进行对话,以调动所需资源,为非洲区域提供实现可持续发展目标3所需的动力。
在面临与政治领导和治理、薄弱的卫生系统、应对健康社会经济决定因素的次优系统以及薄弱的国家卫生研究系统相关的多重挑战的情况下,追求可持续发展目标3需要最佳利用所有可用于区域健康发展对话的空间和场所,以补充会员国的努力。