Health Promotion and Its Challenges to Public Health Delivery System in Africa

Anugwom, Edlyne Eze

doi:10.5772/intechopen.91859

Cited by 8 publications

(7 citation statements)

References 17 publications

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“…In Africa, health promotion policies have consistently prioritized the well-being of the population, even in the face of corruption and limited financial resources on the continent. Despite financial constraints, significant progress has been achieved in critical areas such as combating HIV/AIDS, controlling TB, addressing female genital mutilation, combating gender-based violence, promoting breastfeeding, and reducing maternal and under-5 mortality rates [76][77][78] However, studies have reported several deficiencies in the health promotion workforce structure, policies, as well as managerial supervision and monitoring. [79]…”

Section: Discussionmentioning

confidence: 99%

From Policy to Practice: A Review of Africa’s Public Health Policy

Otorkpa,

Adebola

et al. 2024

CAJPH

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Africa faces persistent health challenges, from infectious diseases to non-communicable illnesses, necessitating robust public health policies. However, the translation of these policies into effective practice remains a substantial challenge across the continent. This study employed a rigorous literature review, and policy analysis to shed light on the multifaceted factors impeding the successful transition from policy formulation to tangible health outcomes. Findings indicates that while Africa has made substantial progress in crafting health policies that align with global health goals, critical gaps persist in their execution. Major challenges include resource limitations, weak health infrastructure, insufficient capacity building, and complex socio-cultural dynamics that influence health behaviors and practices. In addition, bureaucratic hurdles, corruption, and lack of political will are identified as systemic barriers to policy implementation. The study highlights the need for adaptive and evidence-based policy making rigorous monitoring and evaluation mechanisms to track progress, and a multifaceted approach to bridge these gaps and address challenges. This includes strategic investments in healthcare infrastructure and workforce development, enhancing collaboration between governments and international partners, and fostering community engagement to ensure policies resonate with local contexts.

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Section: Discussionmentioning

confidence: 99%

From Policy to Practice: A Review of Africa’s Public Health Policy

Otorkpa,

Adebola

et al. 2024

CAJPH

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“…Limited access to health promotion and disease prevention programs and healthcare services contribute to these health challenges. 17 This has an effect on low awareness of prenatal diagnosis for a variety of reasons, including long distances to hospitals, the economy, and employment. 16,18 Basically, prenatal diagnosis is done to detect 3 types of birth defects caused by structural defects, genetic syndromes, and chromosomal disorders.…”

Section: Discussionmentioning

confidence: 99%

The Importance of Prenatal Diagnosis for the Early Detection of Fetal Abnormalities in Rural Area

Wenang,

Febrianti,

Nahdiyati

et al. 2023

Preprint

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Background Prenatal diagnosis in rural area is a global challenges. The detection rate of congenital abnormalities is still increasing in rural areas due to delays of early detection during pregnancy. Therefore, community service was conducted through webinars to provide insight into the importance of prenatal diagnosis for pregnant women in rural area.Methods This is a pre-experimental study with 200 webinar participants of community service. Participants who were willing to fill out the questionnaire in google form were 100 people. The participants consisted of patients and non-patients of the PKU Muhammadiyah Gamping Hospital Yogyakarta, Indonesia. They come from rural areas in the Regency of Kulon Progo and Sleman. The Pearson correlation analysis was used to correlate the 3 indicators with knowledge of the importance of prenatal diagnosis of the fetus in the womb.Results The importance of knowledge in early detection for fetal abnormalities and children's growth development, have a significance value of 0.000 each (p-value < 0.05). While the hospital services expectation has a significance value of 0.243 (p-value > 0.05).Conclusion Prenatal diagnosis in rural area is considered as an effort to increase early detection of fetal abnormalities and child development. The building of awareness of prenatal diagnosis begins with a positive expectations of the services at the hospital.

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“…The SCT considers both the personal and socio-structural aspects of health because a comprehensive approach to health promotion demands changing the practices of social systems that have pervasive determinantal effects on health rather than concentrating solely on changing the habits of individuals. 33 In the same vein, contemporary health promotion extends beyond recommending best practices. It encompasses initiatives to modify social and physical environments within communities.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

A Study on Communication Practices in Reducing Non-Communicable Diseases in Bahir Dar City, Ethiopia

Tefera,

Ali,

Woldearegay

2024

RMHP

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Background Non-communicable diseases (NCDs) pose special challenges in developing countries In Ethiopia, the growing NCD burden has raised a public health concern with significant social, economic, and developmental effects. Thus, the study sought to examine health communication practices in addressing the NCDs in Bahir Dar City of the Amhara Region of Ethiopia. Methods A qualitative case study was conducted from January to April 2023. The study employed in-depth interviews, focus group discussions, and observations to gather data from health extension workers, NCD experts, and NCD focal persons about their experiences and perspectives regarding NCD prevention and control. The participants were purposively selected, and a thematic analysis technique was employed to analyze the data. Results The study found that several health communication strategies, such as health promotion, training and creating model households, screening, referrals, follow-ups, rehabilitation services, and activities reporting were employed. Nevertheless, there was a lack of consistent, reliable, and long-lasting and professional health communication regarding NCD prevention and management. Some of the challenges contributing to such deficient practices were overloading HEWs with various tasks, allocating many households to a single HEW, shortage of screening tools, shortage of financial and human resources, weak interdisciplinary collaboration, COVID-19, and recurrent conflicts in the city and the region. Above all, lack of health communication skills affected the health interventions. Concerning communication methods, one-to-one communication was frequently employed, while mass media and social media were rare. Generally, NCD communication, in particular, and health communication, in general, did not receive priority as other health-related activities in the city. Conclusion The study found that there were poor health communication practices in preventing and controlling NCDs. Thus, professional practice of health communication about NCDs must be prioritized, and emphasis should be given to inter-sectoral collaborations. Prioritizing financial and human resources is also essential for effective NCD communication.

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Health Promotion and Its Challenges to Public Health Delivery System in Africa

Cited by 8 publications

References 17 publications

From Policy to Practice: A Review of Africa’s Public Health Policy

From Policy to Practice: A Review of Africa’s Public Health Policy

The Importance of Prenatal Diagnosis for the Early Detection of Fetal Abnormalities in Rural Area

A Study on Communication Practices in Reducing Non-Communicable Diseases in Bahir Dar City, Ethiopia

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