Rwanda: a primary health care case study in the context of the COVID-19 pandemic


Book Description

This case study examines country-level primary health care (PHC) systems in Rwanda. The case study is part of a collection of case studies providing critical insights into key PHC strengths, challenges and lessons learned using the Astana PHC framework, which considers integrated health services, multisectoral policy and action, and people and communities. Led by in-country research teams, the case studies update and extend the Primary Health Care Systems (PRIMASYS) case studies commissioned by the Alliance in 2015.




Primary Care and Public Health


Book Description

Ensuring that members of society are healthy and reaching their full potential requires the prevention of disease and injury; the promotion of health and well-being; the assurance of conditions in which people can be healthy; and the provision of timely, effective, and coordinated health care. Achieving substantial and lasting improvements in population health will require a concerted effort from all these entities, aligned with a common goal. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) requested that the Institute of Medicine (IOM) examine the integration of primary care and public health. Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which HRSA and CDC can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention. This report is essential for all health care centers and providers, state and local policy makers, educators, government agencies, and the public for learning how to integrate and improve population health.




Lifestyle and Epidemiology


Book Description

Lifestyle and Epidemiology - The Double Burden of Poverty and Cardiovascular Diseases in African Populations examines the profile of non-communicable diseases (NCDs) in the rural South African population. The burden of diseases in South Africa is characterized by a combination of poverty-related diseases with emerging NCDs associated with urbanization, industrialization, and a Westernised lifestyle. Chapters in this book examine the effects of poverty, COVID-19, and other social factors on the prevalence of cardiovascular disease, reproductive health, and diabetes in rural South Africa.




Identifying Future Disease Hot Spots


Book Description

The Infectious Disease Vulnerability Index is intended to inform actions for preparedness and response to infectious disease outbreaks and foster greater resiliency of national health systems worldwide.




Health Systems Recovery in the Context of COVID-19 and Protracted Conflict


Book Description

The COVID-19 pandemic has caused unprecedented disruption worldwide highlighting once again the interdependency of health and socioeconomic development, and the global lack of health systems resilience. Two years into the pandemic, most countries report sustained disruptions across service delivery platforms and health areas with a profound impact on health outcomes. The impact of these disruptions is magnified within marginalized communities and in countries experiencing protracted conflict. There is an urgent need to focus on recovery through investment in the essential public health functions (EPHFs) and the foundations of health systems with a focus on primary health care, and whole-of-government and -society engagement. The aim of this Research Topic is to gather, transfer and promote operationalization of key experiences from COVID-19 to inform global and country level recovery that better promote health; guide policy direction towards building health systems resilience; and thereby ensure economic and social prosperity. Experience with COVID-19 has demonstrated that traditional approaches to health system strengthening have failed to achieve the complementary goals of Universal Health Coverage (UHC) and health security with the divide between the most vulnerable and well-off only widening. Much of what had been learned from previous experiences such as Ebola in West Africa has not been widely applied. This has left health and economic systems vulnerable to 21 st century public health challenges, ranging from conflict and natural disasters to aging demographics and rising rates of non-communicable and communicable diseases and antimicrobial resistance. These challenges require intentional focus and investment as well as whole-of-government and -society engagement with health to build health system resilience. Greater action is needed to prevent the devastating effects of war and conflict on the health of the most vulnerable. This Research Topic will convene the knowledge and practices of leaders in public health, health systems, and humanitarian and development sectors. This is to ensure lessons from COVID-19 inform the recovery agenda and promote sustainable health and socioeconomic recovery for all. Lest we forget and find ourselves again unprepared and vulnerable in the face of an even greater threat.




Historical Perspectives on the State of Health and Health Systems in Africa, Volume II


Book Description

This book focuses on Africa’s challenges, achievements, and failures over the past several centuries using an interdisciplinary approach that combines theory and fact and evidence-based practices and interventions in public health, and argues that most of the health problems in Africa are not a result of scarce or lack of resources, but of the misconceived and misplaced priorities that have left the continent behind every other on the globe in terms of health, education, and equitable distribution of opportunities and access to (quality) health as agreed by the United Nations member states at Alma-Ata in 1978.




Sustainable Development Outlook 2020


Book Description

The setbacks caused by COVID-19 (coronavirus) need not be permanent, and it is possible to regain the momentum and move ahead towards the SDGs. It is even possible to convert the COVID-19 crisis into an opportunity for recovering better, by directing much of the resources earmarked for recovery toward investment in promoting the SDGs. While the impact of COVID-19 for many prosperity-related SDGs was negative, its impact for many planet-related SDGs has been positive: greenhouse gas emissions declined; air and water quality improved; and nature's regeneration was witnessed in many areas. These opposite impacts revealed that current ways of achieving prosperity conflict with the health of the planet.




Routledge Handbook of Law and the COVID-19 Pandemic


Book Description

The COVID-19 pandemic not only ravaged human bodies but also had profound and possibly enduring effects on the health of political and legal systems, economies and societies. Almost overnight, governments imposed the severest restrictions in modern times on rights and freedoms, elections, parliaments and courts. Legal and political institutions struggled to adapt, creating a catalyst for democratic decline and catastrophic increases in poverty and inequality. This handbook analyses the global pandemic response through five themes: governance and democracy; human rights; the rule of law; science, public trust and decision making; and states of emergency and exception. Containing 12 thematic commentaries and 25 chapters on countries of diverse size, wealth and experience of COVID-19, it represents the combined effort of more than 50 contributors, including leading scholars and rising voices in the fields of constitutional, international, public health, human rights and comparative law, as well as political science, and science and technology studies. Taking stock after the onset of global emergency, this book provides essential analysis for politicians, policy-makers, jurists, civil society organisations, academics, students and practitioners at both national and international level on the best, and most concerning, practices adopted in response to COVID-19 – and key insights into how states and multilateral institutions should reform, adapt and prepare for future emergencies.




COVID-19 Pandemic and the Social Determinants of Health


Book Description

The COVID-19 pandemic has disproportionately affected those population sectors that experience inequality. Specifically, marginalized racial and ethnic populations with pre-existing health conditions, those living in poverty, those possessing a low education level, hourly wage employees, etc. have experienced an excess burden of COVID-19 morbidity and mortality compared to their White counterparts in developed countries. The interaction of the social determinants of health with a novel virus has made visible the inequities that have been hidden or accustomed to in many communities globally. As we work to end the current pandemic, we must consider the post-COVID-19 pandemic era and address the social determinants of health so that populations start from a place of health, as opposed to a place of disease for the next public health challenge. Syndemic research has demonstrated the interaction among socio-cultural factors, socio-economic factors, structural factors, and individual factors (collectively referred to as the social determinants of health) and infectious disease epidemics (e.g., COVID-19, AIDS) and social epidemics (e.g., structural racism). These interactions can exacerbate and sustain adverse health outcomes for marginalized populations. How can communities improve the social determinants of health for impoverished populations? The importance of doing so would have implications not only for the health status of communities but could also improve economic conditions for these geographic areas. Addressing the social determinants of health for marginalized populations has the potential to improve health for all.