Post-Ebola Awakening: Urgent Call for Investing in Maintaining Effective Preparedness Capacities at the National and Regional Levels in Sub-Saharan Africa.
Journal
The East African health research journal
ISSN: 2520-5285
Titre abrégé: East Afr Health Res J
Pays: Burundi
ID NLM: 101713200
Informations de publication
Date de publication:
2019
2019
Historique:
received:
24
05
2019
accepted:
01
07
2019
entrez:
26
7
2021
pubmed:
1
1
2019
medline:
1
1
2019
Statut:
ppublish
Résumé
The 2014 Ebola outbreak reminded us of the importance of preparedness for addressing health security threats. Learning from this experience, we aim to (1) enhance the understanding of preparedness by policy and decision makers, (2) discuss opportunities for Africa to invest in the prevention of health security threats, (3) highlight the value of investing in preventing health security threats, and (4) propose innovations to enhance investments for the prevention or containment of health security threats at the source. We used observations of governments' attitudes towards investing in preparedness for health security prevention or containment at the source. We conducted a literature review through PubMed, the World Wide Web, and Mendeley using the keywords: "health emergency financing", "investing in health threats prevention", and "stopping outbreaks at the source". Countries in sub-Saharan Africa invest inadequately towards building and maintaining critical capacities for preventing, detecting, and containing outbreaks at the source. Global health security emergency funding schemes target responses to outbreaks but neglect their prevention. Governments are not absorbing and maintaining adequately capacity built through GHS, World Bank, and development aid projects - a lost opportunity for building and retaining outbreak prevention capacity. Governments should (1) allocate adequate national budgets for health honouring the Abuja and related commitments; (2) own and maintain capacities developed through International Development Aids, OH networks, research consortia and projects; (3) establish a regional health security threats prevention fund. The global community and scientists should (1) consider broadening existing health emergency funds to finance the prevention and containment outbreaks at the source and (2) Strengthen economic analyses and case studies as incentives for governments' budget allocations to prevent health security threats.
Sections du résumé
BACKGROUND
BACKGROUND
The 2014 Ebola outbreak reminded us of the importance of preparedness for addressing health security threats. Learning from this experience, we aim to (1) enhance the understanding of preparedness by policy and decision makers, (2) discuss opportunities for Africa to invest in the prevention of health security threats, (3) highlight the value of investing in preventing health security threats, and (4) propose innovations to enhance investments for the prevention or containment of health security threats at the source.
METHODS
METHODS
We used observations of governments' attitudes towards investing in preparedness for health security prevention or containment at the source. We conducted a literature review through PubMed, the World Wide Web, and Mendeley using the keywords: "health emergency financing", "investing in health threats prevention", and "stopping outbreaks at the source".
RESULTS
RESULTS
Countries in sub-Saharan Africa invest inadequately towards building and maintaining critical capacities for preventing, detecting, and containing outbreaks at the source. Global health security emergency funding schemes target responses to outbreaks but neglect their prevention. Governments are not absorbing and maintaining adequately capacity built through GHS, World Bank, and development aid projects - a lost opportunity for building and retaining outbreak prevention capacity.
RECOMMENDATIONS
CONCLUSIONS
Governments should (1) allocate adequate national budgets for health honouring the Abuja and related commitments; (2) own and maintain capacities developed through International Development Aids, OH networks, research consortia and projects; (3) establish a regional health security threats prevention fund. The global community and scientists should (1) consider broadening existing health emergency funds to finance the prevention and containment outbreaks at the source and (2) Strengthen economic analyses and case studies as incentives for governments' budget allocations to prevent health security threats.
Identifiants
pubmed: 34308199
doi: 10.24248/EAHRJ-D-19-00019
pii: EAHRJ-D-19-00019
pmc: PMC8279345
doi:
Types de publication
Journal Article
Langues
eng
Pagination
79-84Informations de copyright
© The East African Health Research Commission 2019.
Déclaration de conflit d'intérêts
Competing Interests: None declared.
Références
N Engl J Med. 2015 Apr 9;372(15):1381-4
pubmed: 25853741
Lancet. 2014 Oct 11;384(9951):e49-51
pubmed: 25201591
Afr Health Sci. 2014 Sep;14(3):495-501
pubmed: 25352864
BMC Int Health Hum Rights. 2014 Oct 28;14:28
pubmed: 25345988
Lancet. 2015 May 9;385(9980):1884-901
pubmed: 25987157
Lancet. 2015 May 9;385(9980):1902-9
pubmed: 25987158
Rev Sci Tech. 2014 Aug;33(2):639-50
pubmed: 25707190
Lancet. 2018 Jan 27;391(10118):296
pubmed: 29413033
Lancet Glob Health. 2017 Nov;5(11):e1064-e1065
pubmed: 29025623
J Infect Dis. 2011 Aug 15;204(4):502-5
pubmed: 21653230
PLoS Negl Trop Dis. 2014 May 22;8(5):e2884
pubmed: 24851901
BMC Public Health. 2015 Dec 29;15:1307
pubmed: 26715066
J Vector Borne Dis. 2011 Jun;48(2):105-8
pubmed: 21715734
Lancet. 2012 Sep 8;380(9845):862-4
pubmed: 22959372
J Health Econ. 2014 Jul;36:1-19
pubmed: 24721206
Comp Immunol Microbiol Infect Dis. 2013 May;36(3):211-6
pubmed: 23711930
Lancet. 2012 Dec 1;380(9857):1936-45
pubmed: 23200502
Lancet. 2016 May 21;387(10033):2063
pubmed: 27301805
Emerg Infect Dis. 2016 Jun;22(6):956-63
pubmed: 27070842