The call to action: health promotion in The Gambia – closing the implementation gap?

Dixey, Rachael; Njai, Modou

doi:10.1177/1757975913486682

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…During the Nairobi conference in 2009 it was stated that African continent is in urgent need to develop appropriate health policies against obesity 15 . These should be based on robust research and use local approaches and traditions 16 .…”

Section: Introductionmentioning

confidence: 99%

Analysis of main risk factors contributing to obesity in the region of East Africa: meta-analysis

Mařincová¹,

Šafaříková²,

Cahlíková³

2020

Afr H. Sci.

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Background: Over a few decades obesity has become a major global health problem. Its prevalence worldwide has more than doubled since 1980. The situation is expected to worsen in the future, especially in the developing countries that experience nutrition transition due to economic growth. It contributes to reduction in malnutrition which supports an increase in obesity prevalence. Objectives: The aim of this study was to analyse the predictors of obesity in the region of East Africa. Methods: Meta-analysis of existing studies was used in order to find the different risk factors and their significance in obesity development. Data extracted from 16 published academic research articles described the situation in East African countries. The significance of the effect of each variable was tested by means of an asymptotic chi-square test, or Fisher's exact (factorial) test and the risk ratios were calculated. Results: Based on the chi-square test and the risk ratios of the aggregated data, three risk factors were found to be significant in the development of obesity – gender, type of residence and socio-economic status. In East African countries, women are significantly more likely to be obese. Living in an urban area and socioeconomic status are also positively associated with obesity. Because of insufficient data three other risk factors did not prove to be of any significance – alcohol consumption, smoking and education level. Conclusion: Conclusions of this meta-analysis confirm world trends but we also found results that are not in line with them (e.g. education). This meta-analysis confirms the huge existing research gap concerning obesity predictors in the East African region. Keywords: Obesity; meta-analysis; East Africa.

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Section: Introductionmentioning

confidence: 99%

Analysis of main risk factors contributing to obesity in the region of East Africa: meta-analysis

Mařincová¹,

Šafaříková²,

Cahlíková³

2020

Afr H. Sci.

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“…En Afrique, les interventions publiques ne font pas systématiquement l' objet d'une évaluation. En effet, même si, depuis 1999, l' Association africaine d' évaluation (AfrEA) a vu le jour dans l' optique de promouvoir et de renforcer la pratique évalua tive en Afrique, dans la pratique, l' évaluation reste rare (Dixey et Njai, 2013). Même quand les interventions sont évaluées, ces évaluations sont très souvent imposées par les bailleurs de fonds externes et sont généralement réalisées par des consultants (nationaux comme internationaux) dont l'indépendance est sujette à caution (Oli vier de Sardan, 2011, Lavigne-Delville, 2011, Lavigne-Delville, 2016.…”

Section: Bref Aperçu De La Pratique éValuative En Afriqueunclassified

Étude exploratoire de la pratique évaluative dans le domaine de la santé au Burkina Faso

Souratié

Sossa

Paul

2021

Canadian Journal of Program Evaluation

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Cette étude fournit une analyse réflexive de la pratique évaluative dans le domaine de la santé au Burkina Faso. Pour ce faire, une analyse d’un échantillon de dix évaluations réalisées dans le secteur de la santé depuis 2011 a été conduite. Il ressort de cette analyse descriptive que les pratiques évaluatives actuelles sont très variables dans le pays. La majorité des rapports d’évaluation produits ne respectent pas les standards et normes internationaux en matière d’évaluation, notamment pour ce qui concerne la définition du mandat et des questions évaluatives, la précision des critères d’évaluation et la qualité de la méthodologie utilisée. Nous concluons que le développement d’une culture évaluative et un renforcement des capacités sont nécessaires pour une meilleure capitalisation des expériences et pour l’utilisation des données probantes dans la prise de décision.

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“…Local ownership is scarce: international donors’ funds are channelled to Ministry of Health. They determine how funds are dispersed locally, to local governments (Conn, Jenkins, & Touray, 1996; Dixey & Njai, 2013). However, MCH care is offered free of charge over the past 5 years.…”

Section: The National Setting Over Timementioning

confidence: 99%

“…Skilled providers are indeed in shortage, and posting policies do not favour the rural poor. There is considerable need for focussed health promotion at the local level (Dixey & Njai, 2013). There is a very high turnover of staff in local health units, which makes any attempt of skills training somewhat unsustainable.…”

Section: Remaining Challengesmentioning

confidence: 99%

A rollercoaster of policy shifts: Global trends and reproductive health policy in The Gambia

Sundby

2014

Global Public Health

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Global trends influence strategies for health-care delivery in low- and middle-income countries. A drive towards uniformity in the design and delivery of healthcare interventions, rather than solid local adaptations, has come to dominate global health policies. This study is a participatory longitudinal study of how one country in West Africa, The Gambia, has responded to global health policy trends in maternal and reproductive health, based on the authors’ experience working as a public health researcher within The Gambia over two decades. The paper demonstrates that though the health system is built largely upon the principles of a decentralised and governed primary care system, as delineated in the Alma-Ata Declaration, the more recent policies of The Global Fund to Fight HIV/AIDS, Tuberculosis, and Malaria and the GAVI Alliance have had a major influence on local policies. Vertically designed health programmes have not been easily integrated with the existing system, and priorities have been shifted according to shifting donor streams. Local absorptive capacity has been undermined and inequalities exacerbated within the system. This paper problematises national actors’ lack of ability to manoeuvre within this policy context. The authors’ observations of the consequences in the field over time evoke many questions that warrant discussion, especially regarding the tension between local state autonomy and the donor-driven trend towards uniformity and top–down priority setting.

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The call to action: health promotion in The Gambia – closing the implementation gap?

Cited by 5 publications

References 15 publications

Analysis of main risk factors contributing to obesity in the region of East Africa: meta-analysis

Analysis of main risk factors contributing to obesity in the region of East Africa: meta-analysis

Étude exploratoire de la pratique évaluative dans le domaine de la santé au Burkina Faso

A rollercoaster of policy shifts: Global trends and reproductive health policy in The Gambia

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