Juliet Nabyonga‐Orem
Dados Biográficos
| ID | 7798068 |
|---|---|
| NOME | Juliet Nabyonga‐Orem |
| PRENOMES | Juliet |
| SOBRENOME | Nabyonga‐Orem |
| ASSINATURA | OREM J N |
| AFILIAÇÕES | North-West University |
| ORCID | 0000-0002-1061-8678 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 27 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 27 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2014 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 0 |
High health system performance, low health system resilience
Modelling the health labour market outlook in Kenya
Kenya is committed to achieving Universal Health Coverage (UHC) within its devolved health system in which significant investments have been made in health infrastructure, workforce development, and service delivery. Despite these efforts, the country faces considerable health workforce challenges. To address these, the Ministry of Health undertook a comprehensive Health Labour Market Analysis (HLMA) in 2022 to generate evidence supporting the de…
Countdown to 2030
Background: Countries in the World Health Organization (WHO) African region are lagging behind in the global push toward universal health coverage (UHC), a core component of the 2030 Agenda for Sustainable Development. As the target year steadily approaches, it is crucial to assess countries' current and planned health financing reforms to understand their path towards UHC. We examine both current and planned health financing reforms in the WHO A…
What opportunities exist for the governance of private sector engagement in mixed health systems in the African Region
Given the significant role of private actors in health across the African Region, there is a need to interrogate how private sector engagement (PSE) is governed. We identify three key opportunities for strengthening the governance of PSE in mixed health systems in the African Region. This work draws on a programme of activities conducted by the World Health Organization Regional Office for Africa, including a multi-country stakeholder survey, a r…
Knowledge, attitudes, and practices on rational antimicrobial use and antimicrobial resistance in Namibia
Background: Antimicrobial resistance (AMR) is a growing global health threat, particularly in low- and middle-income countries. Understanding public knowledge, attitudes, and practices (KAP) regarding antimicrobial use (AMU) and AMR is essential for designing effective interventions. Through this cross-sectional study, we aimed to assess the KAP related to rational AMU and AMR among Namibian adults using an online, self-administered survey. Metho…
First National Bridging Workshop on International Health Regulations 2005 and Performance of Veterinary Services Pathway in Kenya
The health of humans and animals is interlinked, and endemic, emerging, and re-emerging zoonotic diseases easily pose risks to both humans and animals. Approximately 60% of widely known infectious diseases and 75% of emerging pathogens are of zoonotic origin [1], and the potential impact of zoonotic diseases on citizens’ livelihoods and socio-economic activities is significant. [...]
Estimating the economic impact of Covid-19 disruption on access to sexual and reproductive health and rights in Eastern and Southern Africa
Background: The Coronavirus disease 2019 (COVID-19) resulted in the disruption of Sexual and Reproductive Health Rights (SRHR) services in the Eastern and Southern Africa region. To date, studies estimating the impact of COVID-19 disruptions have mainly focused on SRHR services without estimating the economic implication. Method: We used national service coverage data on the effectiveness of interventions from the lives saved tool (LiST), a mathe…
How to better engage the private sector in health service delivery in Africa
Recovery of health systems during protracted humanitarian crises
Assessing the governance environment for private sector engagement in health in Africa
Background: The role of the private sector in health is clear in many countries but engagement can be improved. The World Health Organization (WHO) developed a global strategy in 2020 focused on engaging the private sector in health service delivery through governance in mixed health systems and detailed six governance behaviours to guide its Member States. To operationalise these global ideas into practice, the Regional Office for Africa conduct…
Attracting private sector inflows to close the financing gap for universal health coverage
A financial gap exists between the resources available for Universal Health Coverage (UHC) and current needs [1]. Even the available resources have often been misused [2], exacerbating existing inequities by widening the access gap. To address this challenge, calls have been issued to leverage the private sector to close both the financing and access gaps. [...]
The nature and contribution of innovative health financing mechanisms in the World Health Organization African region
Background: Achieving financial risk protection for the whole population requires significant financing for health. Health systems in low- and middle-income countries (LMIC) are plagued with persistent underfunding, and recent reductions in official development assistance have been registered. To create fiscal space for health, the pursuit of efficiency gains and exploring innovative health financing for health seem attractive. This paper sought …
First Covid-19 intra-action review
Since the first report in March 2020, Kenya experienced five waves of coronavirus 2019 (COVID-19), with cases and deaths reported in all 47 counties, amounting to 323 000 and 5600, respectively, in late March 2022 (Figure 1). Several public health and social measures were implemented in the country during the pandemic (Figure 1, Table 1). The [...]
The state and significant drivers of health systems efficiency in Africa
Exploring the availability of specialist health workforce education in East and Southern Africa
BACKGROUND: Specialist health professionals improve health outcomes. Most low-income and middle-income countries do not have the capacity to educate and retain all types of specialists across various health professions. This study sought to explore and describe the opportunities available for specialist health professions education and the pathways to becoming a specialist health professional in East and Southern Africa (ESA). Understanding the r…
The process of developing health workforce strategic plans in Africa
BACKGROUND: Many countries are faced with a multitude of health workforce-related challenges partly attributed to defective health workforce planning. Earlier efforts to guide the process and harmonise approaches to national health workforce policies and planning in the Africa Region included, among others, the development of the WHO Africa Regional Office (WHO/AFRO) Policies and Plans for Human Resources for Health Guidelines for Countries in th…
Cost analysis of health workforce investments for Covid-19 response in Ghana
The COVID-19 pandemic had multiple adverse impacts on the health workforce that constrained their capacity to contain and combat the disease. To mitigate the impact of the pandemic on the Ghanaian health workforce, the government implemented a strategy to recruit qualified but unemployed health workers to fill staffing gaps and incentivise all public sector health workers. This paper estimated the cost of the new recruitments and incentives given…
Investing in the health workforce
BACKGROUND AND OBJECTIVES: The health workforce (HWF) is at the core of ensuring an efficient, effective and functional health system, but it faces chronic underinvestment. This paper presents a fiscal space analysis of 20 countries in East and Southern Africa to generate sustained evidence-based advocacy for significant and smarter investment in the HWF. METHODS: We adapted an established empirical framework for fiscal space analysis and applied…
Health workforce supply, needs and financial feasibility in Lesotho
BACKGROUND: The Government of Lesotho has prioritised health investment that aims to improve the health and socioeconomic development of the country, including the scaling up of the health workforce (HWF) training and improving their working conditions. Following a health labour market analysis, the paper highlights the available stock of health workers in Lesotho's health labour market, 10-year projected supply versus needs and the financial imp…
Estimating the threshold of health workforce densities towards universal health coverage in Africa
BACKGROUND: There have been past efforts to develop benchmarks for health workforce (HWF) needs across countries which have been helpful for advocacy and planning. Still, they have neither been country-specific nor disaggregated by cadre-primarily due to data inadequacies. This paper presents an analysis to estimate a threshold of 13 cadres of HWF density to support the progressive realisation of universal health coverage (UHC). METHOD: Using UHC…
Investing in the health workforce in Kenya
Investing in the health workforce to ensure universal access to qualified, skilled and motivated health workers is pertinent in achieving the Sustainable Development Goals (SDGs). The policy thrust in Kenya is to improve the quality of life of the population by investing to improve health service provision and achieving universal health coverage. To realise this, the Ministry of Health undertook a Health Labour Market Analysis with to generate ev…
To what extent did African countries prepare mechanisms to ensure transparency and accountability of the Covid-19 extra-budgetary funds
The COVID-19 pandemic presented an unprecedented crisis and, in such cases, the need to err on the side of over-preparedness is justified. In all ways – scale and speed in response efforts (no regrets policy), as opposed to a wait-and-see approach, is the preferred option. The World Bank estimated the required additional funding for COVID-19 [...]
Towards universal health coverage in the WHO African Region
The move towards universal health coverage is premised on having well-functioning health systems, which can assure provision of the essential health and related services people need. Efforts to define ways to assess functionality of health systems have however varied, with many not translating into concrete policy action and influence on system development. We present an approach to provide countries with information on the functionality of their…
Article processing charges are stalling the progress of African researchers
The recognition and progression of an academic or research career is hinged on the number and quality of publications in high-impact journals. Open access publication, especially in high-impact journals, confers a significant citation (ie, recognition and progression) advantage.1 However, there is increasing demand for publication fees or article processing charges (APCs), by high-impact open access journals. Where does this leave African researc…
Strengthening national health research systems in the WHO African Region – progress towards universal health coverage
BACKGROUND: Health challenges and health systems set-ups differ, warranting contextualised healthcare interventions to move towards universal health coverage. As such, there is emphasis on generation of contextualized evidence to solve local challenges. However, weak research capacity and inadequate resources remain an impendiment to quality research in the African region. WHO African Region (WHO AFR) facilitated the adoption of a regional strate…
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Health systems performance assessment in low-income countries
BACKGROUND: The study aimed at developing a set of attributes for a 'good' health system performance assessment (HSPA) framework from literature and experiences in different contexts and using the attributes for a structured approach to lesson learning for low-income countries (LICs). METHODS: Literature review to identify relevant attributes for a HSPA framework; attribute validation for LICs in general, and for Uganda in particular, via a high-…
Counting the cost of child mortality in the World Health Organization African region
It is estimated that the African Region will incur a loss of approximately 6 % of its non-health GDP from the future years of life lost among the 2 976 000 child deaths that occurred in 2013. Therefore, countries and development partners should in solidarity sustainably provide the resources essential to build resilient national health systems and systems to address the determinants of health and meet the other basic needs such as for clothing, e…
Strengthening national health research systems in the WHO African Region – progress towards universal health coverage
BACKGROUND: Health challenges and health systems set-ups differ, warranting contextualised healthcare interventions to move towards universal health coverage. As such, there is emphasis on generation of contextualized evidence to solve local challenges. However, weak research capacity and inadequate resources remain an impendiment to quality research in the African region. WHO African Region (WHO AFR) facilitated the adoption of a regional strate…
Article processing charges are stalling the progress of African researchers
The recognition and progression of an academic or research career is hinged on the number and quality of publications in high-impact journals. Open access publication, especially in high-impact journals, confers a significant citation (ie, recognition and progression) advantage.1 However, there is increasing demand for publication fees or article processing charges (APCs), by high-impact open access journals. Where does this leave African researc…
Towards universal health coverage in the WHO African Region
The move towards universal health coverage is premised on having well-functioning health systems, which can assure provision of the essential health and related services people need. Efforts to define ways to assess functionality of health systems have however varied, with many not translating into concrete policy action and influence on system development. We present an approach to provide countries with information on the functionality of their…
Exploring the availability of specialist health workforce education in East and Southern Africa
BACKGROUND: Specialist health professionals improve health outcomes. Most low-income and middle-income countries do not have the capacity to educate and retain all types of specialists across various health professions. This study sought to explore and describe the opportunities available for specialist health professions education and the pathways to becoming a specialist health professional in East and Southern Africa (ESA). Understanding the r…
The process of developing health workforce strategic plans in Africa
BACKGROUND: Many countries are faced with a multitude of health workforce-related challenges partly attributed to defective health workforce planning. Earlier efforts to guide the process and harmonise approaches to national health workforce policies and planning in the Africa Region included, among others, the development of the WHO Africa Regional Office (WHO/AFRO) Policies and Plans for Human Resources for Health Guidelines for Countries in th…
Cost analysis of health workforce investments for Covid-19 response in Ghana
The COVID-19 pandemic had multiple adverse impacts on the health workforce that constrained their capacity to contain and combat the disease. To mitigate the impact of the pandemic on the Ghanaian health workforce, the government implemented a strategy to recruit qualified but unemployed health workers to fill staffing gaps and incentivise all public sector health workers. This paper estimated the cost of the new recruitments and incentives given…
Investing in the health workforce
BACKGROUND AND OBJECTIVES: The health workforce (HWF) is at the core of ensuring an efficient, effective and functional health system, but it faces chronic underinvestment. This paper presents a fiscal space analysis of 20 countries in East and Southern Africa to generate sustained evidence-based advocacy for significant and smarter investment in the HWF. METHODS: We adapted an established empirical framework for fiscal space analysis and applied…
Health workforce supply, needs and financial feasibility in Lesotho
BACKGROUND: The Government of Lesotho has prioritised health investment that aims to improve the health and socioeconomic development of the country, including the scaling up of the health workforce (HWF) training and improving their working conditions. Following a health labour market analysis, the paper highlights the available stock of health workers in Lesotho's health labour market, 10-year projected supply versus needs and the financial imp…
Estimating the threshold of health workforce densities towards universal health coverage in Africa
BACKGROUND: There have been past efforts to develop benchmarks for health workforce (HWF) needs across countries which have been helpful for advocacy and planning. Still, they have neither been country-specific nor disaggregated by cadre-primarily due to data inadequacies. This paper presents an analysis to estimate a threshold of 13 cadres of HWF density to support the progressive realisation of universal health coverage (UHC). METHOD: Using UHC…
Investing in the health workforce in Kenya
Investing in the health workforce to ensure universal access to qualified, skilled and motivated health workers is pertinent in achieving the Sustainable Development Goals (SDGs). The policy thrust in Kenya is to improve the quality of life of the population by investing to improve health service provision and achieving universal health coverage. To realise this, the Ministry of Health undertook a Health Labour Market Analysis with to generate ev…
To what extent did African countries prepare mechanisms to ensure transparency and accountability of the Covid-19 extra-budgetary funds
The COVID-19 pandemic presented an unprecedented crisis and, in such cases, the need to err on the side of over-preparedness is justified. In all ways – scale and speed in response efforts (no regrets policy), as opposed to a wait-and-see approach, is the preferred option. The World Bank estimated the required additional funding for COVID-19 [...]
Estimating the economic impact of Covid-19 disruption on access to sexual and reproductive health and rights in Eastern and Southern Africa
Background: The Coronavirus disease 2019 (COVID-19) resulted in the disruption of Sexual and Reproductive Health Rights (SRHR) services in the Eastern and Southern Africa region. To date, studies estimating the impact of COVID-19 disruptions have mainly focused on SRHR services without estimating the economic implication. Method: We used national service coverage data on the effectiveness of interventions from the lives saved tool (LiST), a mathe…
How to better engage the private sector in health service delivery in Africa
Recovery of health systems during protracted humanitarian crises
Assessing the governance environment for private sector engagement in health in Africa
Background: The role of the private sector in health is clear in many countries but engagement can be improved. The World Health Organization (WHO) developed a global strategy in 2020 focused on engaging the private sector in health service delivery through governance in mixed health systems and detailed six governance behaviours to guide its Member States. To operationalise these global ideas into practice, the Regional Office for Africa conduct…
Attracting private sector inflows to close the financing gap for universal health coverage
A financial gap exists between the resources available for Universal Health Coverage (UHC) and current needs [1]. Even the available resources have often been misused [2], exacerbating existing inequities by widening the access gap. To address this challenge, calls have been issued to leverage the private sector to close both the financing and access gaps. [...]
The nature and contribution of innovative health financing mechanisms in the World Health Organization African region
Background: Achieving financial risk protection for the whole population requires significant financing for health. Health systems in low- and middle-income countries (LMIC) are plagued with persistent underfunding, and recent reductions in official development assistance have been registered. To create fiscal space for health, the pursuit of efficiency gains and exploring innovative health financing for health seem attractive. This paper sought …
First Covid-19 intra-action review
Since the first report in March 2020, Kenya experienced five waves of coronavirus 2019 (COVID-19), with cases and deaths reported in all 47 counties, amounting to 323 000 and 5600, respectively, in late March 2022 (Figure 1). Several public health and social measures were implemented in the country during the pandemic (Figure 1, Table 1). The [...]
The state and significant drivers of health systems efficiency in Africa
First National Bridging Workshop on International Health Regulations 2005 and Performance of Veterinary Services Pathway in Kenya
The health of humans and animals is interlinked, and endemic, emerging, and re-emerging zoonotic diseases easily pose risks to both humans and animals. Approximately 60% of widely known infectious diseases and 75% of emerging pathogens are of zoonotic origin [1], and the potential impact of zoonotic diseases on citizens’ livelihoods and socio-economic activities is significant. [...]
High health system performance, low health system resilience
Modelling the health labour market outlook in Kenya
Kenya is committed to achieving Universal Health Coverage (UHC) within its devolved health system in which significant investments have been made in health infrastructure, workforce development, and service delivery. Despite these efforts, the country faces considerable health workforce challenges. To address these, the Ministry of Health undertook a comprehensive Health Labour Market Analysis (HLMA) in 2022 to generate evidence supporting the de…
Countdown to 2030
Background: Countries in the World Health Organization (WHO) African region are lagging behind in the global push toward universal health coverage (UHC), a core component of the 2030 Agenda for Sustainable Development. As the target year steadily approaches, it is crucial to assess countries' current and planned health financing reforms to understand their path towards UHC. We examine both current and planned health financing reforms in the WHO A…
Economic growth (19 obras) · Economics (19 obras) · Medicine (19 obras) · Global Maternal and Child Health (18 obras) · Political science (17 obras) · Business (16 obras) · Environmental health (10 obras) · Healthcare Systems and Reforms (10 obras) · Nursing (9 obras) · Public health (9 obras)