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Essential evidence for guiding health system priorities and policies

Anticipating epidemiological transition in Africa

Bibliographic Data

ID19530797
AuthorsPeter Bya (0000-0001-5474-4361, University of the Witwatersrand, corresponding author), Don De Savigny (0000-0002-6903-4722, Swiss Tropical and Public Health Institute), Alan D Lopez (0000-0001-5818-6512, The University of Melbourne)
Year2014
Volume7
Issue1
Pages23359-23359
Publication date2014-12-01
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.3402/gha.v7.23359
PMID24848653
OpenAlexW2110149355
LanguageEN
Citations received9
References cited45

BACKGROUND: Despite indications that infection-related mortality in sub-Saharan Africa may be decreasing and the burden of non-communicable diseases increasing, the overwhelming reality is that health information systems across most of sub-Saharan Africa remain too weak to track epidemiological transition in a meaningful and effective way. PROPOSALS: We propose a minimum dataset as the basis of a functional health information system in countries where health information is lacking. This would involve continuous monitoring of cause-specific mortality through routine civil registration, regular documentation of exposure to leading risk factors, and monitoring effective coverage of key preventive and curative interventions in the health sector. Consideration must be given as to how these minimum data requirements can be effectively integrated within national health information systems, what methods and tools are needed, and ensuring that ethical and political issues are addressed. A more strategic approach to health information systems in sub-Saharan African countries, along these lines, is essential if epidemiological changes are to be tracked effectively for the benefit of local health planners and policy makers. CONCLUSION: African countries have a unique opportunity to capitalize on modern information and communications technology in order to achieve this. Methodological standards need to be established and political momentum fostered so that the African continent's health status can be reliably tracked. This will greatly strengthen the evidence base for health policies and facilitate the effective delivery of services

Developing country · Development economics · Documentation · Economic growth · Economics · Environmental health · Epidemiological transition · Global health · Psychological intervention · Public health · Computer Science · Data-Driven Disease Surveillance · Global Maternal and Child Health · Medicine · Nursing · Viral Infections and Outbreaks Research · Health Informatics · Health Policy

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Citations per year0.75
Citation span2014 - 2021 (8)
Highly citedNo

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