The study examined the impact of climate change on public health provisioning in Sub-Saharan Africa. In addition to recognising the multifarious influence of climate change on health, it argues that the quest for global health security can only be achieved against the backdrop of concerted mainstreaming of climate change response into public heath provisioning, especially in the developing world. Adapting to climate change and mitigating its impact would logically require integrating it into public health planning, programming and interventions. Therefore, if health security entails provisioning and catering to the full range of health needs of people, climate change given its undoubted implications for health should be in the forefront of health security globally. Despite the global discourse of climate change and health security, tangible actions and programmes at different levels are needed to achieve the goals of good health and effective health security. This is no less the case now that the pandemic has challenged and stretched health institutions and provisions. However, the complex and intertwining effects of climate change and its manifold nexus with public health and health security can easily be apprehended through the systems perspective. There is the need for both radicalization of the public health system in Sub-Saharan Africa and concerted efforts across disciplines and actors to achieve effective climate change mitigation and adaptation and thus further strengthen health security.
The chapter examines the place and role of health promotion in the drive for sustainable and effective public health delivery in Africa. It conceptualizes health promotion from a multifaceted and multi-professional perspective hinged on the empowerment of communities and individuals to play active roles and adopt behaviour consistent with the goals of good health. The paper drawing on documentary data sees health promotion as critical to the achievement of health goals in the continent and equally reflects on the theories of health promotion, strategies for health promotion and challenges to health promotion in Africa. It argues that health promotion in the continent can be strengthened through such measures as appropriate legislations, robust funding, gender inclusiveness, stepping up research, regular needs assessment and evaluation, setting needs-driven priorities and building capacity of health promotion to target vulnerable and marginal members of the society, among others.
This contribution examines the role of occult imaginations in the struggle against perceived socio-economic marginalization by youth militias from the Ijaw ethnic group in the oil-rich Niger Delta region of Nigeria. It argues that the asymmetric power between the federal government/transnational oil corporations (TNOCs) and the militias may have privileged the invocation of the supernatural as a critical agency of strength and courage by the youth militias. The conflict in the region embodies a cultural revision which has been necessitated by both the uncertainty of the oil environment and the prevailing narratives of social injustice. Hence the Egbesu deity, seen historically as embodying justice, has been reinvented by the youth militias and imbued with the powers of invincibility and justice in the conflict with the government and oil companies. The low intensity of the conflict has limited both the extent of operations and scale of force used by the military task force in the area and thus reinforced the perception of invincibility of the militias attributed to the Egbesu.
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