Breaking down the silos of Universal Health Coverage : towards systems for the primary prevention of noncommunicable diseases in Africa

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dc.contributor.authorOni, Toluen_ZA
dc.contributor.authorMogo, Ebeleen_ZA
dc.contributor.authorAhmed, Alikoen_ZA
dc.contributor.authorDavies, Justine I.en_ZA
dc.date.accessioned2021-08-10T10:46:32Z
dc.date.available2021-08-10T10:46:32Z
dc.date.issued2019
dc.descriptionCITATION: Oni, T., et al. 2019. Breaking down the silos of Universal Health Coverage : towards systems for the primary prevention of non-communicable diseases in Africa. BMJ Global Health, 4(4):4:e001717, doi:10.1136/bmjgh-2019-001717.
dc.descriptionThe original publication is available at https://gh.bmj.com
dc.description.abstract►African countries are not on track to achieve global targets for non-communicable disease (NCD) prevention, driven by an insufficient focus on ecological drivers of NCD risk factors, including poor urban development and the unbridled proliferation of the commercial determinants of health. ► As the risk factors for NCDs are largely shaped outside the healthcare sector, an emphasis on downstream healthcare service provision to the exclusion of upstream population-level prevention limits the goals of universal health coverage (UHC) and its potential for optimal improvements in (achieving) health and well-being outcomes in Africa. ► The political will for UHC in Africa will miss the opportunity to turn the tide of this emerging NCD epidemic in Africa, if not oriented to a systems for health rather than a solely healthcare-centric approach. A successful approach needs to proactively incorporate wider health determinants (sectors)—housing, planning, waste management, education, governance and finance, among others—in strategies to improve health. This includes aligning governance and accountability mechanisms and strategic objectives of all ‘health determinant’ sectors for health creation and long-term cost savings. ► Researchers have a vital role to play, collaborating with policy makers to provide evidence to support implementation and to facilitate knowledge sharing between African countries and globally.en_ZA
dc.description.urihttps://gh.bmj.com/content/4/4/e001717
dc.description.versionPublisher's version
dc.format.extent4 pages
dc.identifier.citationOni, T., et al. 2019. Breaking down the silos of Universal Health Coverage : towards systems for the primary prevention of non-communicable diseases in Africa. BMJ Global Health, 4(4):4:e001717, doi:10.1136/ bmjgh-2019-001717
dc.identifier.issn2059-7908 (online)
dc.identifier.otherdoi:10.1136/bmjgh-2019-001717
dc.identifier.urihttp://hdl.handle.net/10019.1/110820
dc.language.isoen_ZAen_ZA
dc.publisherBMJ Publishing Group
dc.rights.holderAuthors retain copyright
dc.subjectNon-communicable diseases -- Prevention -- Africaen_ZA
dc.subjectChronic diseases -- Prevention -- Africaen_ZA
dc.subjectPublic health -- Africaen_ZA
dc.subjectMedical policy -- Africaen_ZA
dc.titleBreaking down the silos of Universal Health Coverage : towards systems for the primary prevention of noncommunicable diseases in Africaen_ZA
dc.typeArticleen_ZA
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