International University of Management, Windhoek, Namibia.
University of Botswana Faculty of Health Sciences, Gaborone, Botswana.
Glob Health Promot. 2020 Dec;27(4):107-113. doi: 10.1177/1757975920938765. Epub 2020 Aug 4.
Namibia is a Southern African country with social inequalities. This paper discusses the historical development of health promotion in Namibia. The country has achieved tremendous progress in public health after gaining independence in March 1990, with increased life expectancy, reduced tuberculosis and AIDS mortality due to high coverage of antiretroviral therapy (90%) in 2012, and a reduced under-five mortality rate, from 74 deaths per 1000 live births in 1990 to 50 in 2013. However, challenges still exist in achieving health for all. Non-communicable diseases such as cancer, diabetes and cardiovascular diseases are among the top 10 diseases and top 15 causes of death, with diabetes emerging as one of the greatest threats to health. Opportunities and obstacles for effective health promotion are discussed. In conclusion, health promotion in Namibia has the potential to improve the health of the populace.
纳米比亚是一个存在社会不平等的南部非洲国家。本文讨论了纳米比亚健康促进的历史发展。1990 年 3 月纳米比亚独立后，在公共卫生方面取得了巨大进展，预期寿命增加，由于 2012 年抗逆转录病毒疗法（90%）的高覆盖率，结核病和艾滋病死亡率降低，五岁以下儿童死亡率从 1990 年每千例活产 74 例下降到 2013 年的 50 例。然而，在实现全民健康方面仍面临挑战。非传染性疾病如癌症、糖尿病和心血管疾病等位列十大疾病和前十五大死因，糖尿病成为对健康的最大威胁之一。本文讨论了有效健康促进的机遇和障碍。总之，纳米比亚的健康促进有可能改善民众的健康状况。
