Achieving Sustainable Development Goals (SDGs) in Sub-Saharan Africa (SSA): A Conceptual Review of Normative Economics Frameworks.
Achieving Sustainable Development Goals (SDGs) in Sub-Saharan Africa (SSA): A Conceptual Review of Normative Economics Frameworks.
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DOI：
10.3389/fpubh.2020.584547
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发表时间：
2020
影响因子：
5.2
通讯作者：
Gachiri W
中科院分区：
文献类型：
--
作者：
Otim ME;Almarzouqi AM;Mukasa JP;Gachiri W
背景：撒哈拉以南非洲国家的健康状况远低于世界其他地区。加上人均收入较低，这些国家已同意并承诺通过到2030年实现联合国可持续发展目标3（SDG 3）来提高其健康状况公平标准。实现可持续发展目标3需要增加和公平地为全民健康覆盖、医疗基础设施、有效资源分配、改善优先事项设定、减少腐败和其他战略提供资金。然而，除其他外，迫切需要改进优先事项的确定过程或有意义的卫生系统改革。因此，有必要探讨经济和非经济（包括社会正义）的明确标准，这些标准应构成决策的规范性框架。这些明确的标准包括效率、疾病负担、平等（严格的平均主义）、公平和明确的标准。研究方法：最终目标是确定明确的价值观/原则/标准，可用于制定理想的规范框架，用于指导决策，以改善SSA中的SDG 3。我们综合了选定的文献，在卫生优先事项设定过程中的规范性框架，在撒哈拉以南非洲进行，明确的标准，应该指导这些框架被确定。确定了社会福利职能的形式及其原则。结果与结论：确定了撒哈拉以南非洲国家为改进其可持续发展目标3而应采用的框架及其明确的优先事项设定标准-非福利主义框架。这一框架允许公用事业、健康和其他重要的社会价值/属性/原则进入规范体系。有人认为，这样一个框架应该具体的经验和同时由决策者和社区代表的成员。应承认社区代表是已确定资源的合法要求者，因此应允许他们发挥作用，具体说明申请书中的论点以及所述论点的分量。这意味着，如框架所述，在决策过程中选择备选方案时，应侧重于实现效益最大化和尽量减少放弃的机会。
Background: The health status of the Sub-Saharan African (SSA) countries is well below that of the rest of the world. Coupled with low per capita income, these countries have agreed and committed themselves to raising their health status equitable standard by addressing United Nations (UN) Sustainability Development Goal number 3 (SDG3) by 2030. Addressing SDG3 requires increased and equitable funding for universal health coverage, healthcare infrastructure, efficient resource allocation, improved priority setting, reduction in corruption, and other strategies. However, what is urgently needed to improve priority setting processes or meaningful health system reform, among other things. There is therefore a need for the exploration of the economic and non-economic (which includes social justice) explicit criteria that ought to form the normative framework for Decision Making. These explicit criteria include efficiency, burden of disease, equality (strict egalitarianism), equity, and explicit criteria. Methods: The ultimate aim was to identify explicit values/principles/criteria that can be used to formulate an ideal normative framework to be used to guide decision Making so as to improve SDG3 in SSA. We synthesized selected literature on the normative frameworks for priority setting processes in health in SSA was undertaken, and the explicit criteria which, ought to guide these frameworks were identified. The form of the Social Welfare function and its principles was identified. Results and Conclusions: The framework and its explicit criteria for priority setting in the SSA countries that ought to be adopted in order to improve their SDG3 was identified—Non-Welfarist framework. This framework allows utility, health and other important social values/attributes/principles to enter the normative SWF. It is argued that such a framework ought to be specified empirically and concurrently by the decision-makers and members of the community representatives. Community representatives ought to be recognized as legitimate claimants of the resources determined, and should therefore be allowed to have a role in specifying the arguments in the SWF and what weights to be attached to the stated arguments. This implies that the selection of options in decision-making should focus on maximizing benefit and minimizing the opportunities forgone as stated in the framework.
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影响因子：
2.2
作者：
Konow, J
通讯作者：
Konow, J
影响因子：
1.9
作者：
McIntyre, D;Gilson, L
通讯作者：
Gilson, L
影响因子：
5.4
作者：
Coast, Joanna;Smith, Richard D.;Lorgelly, Paula
通讯作者：
Lorgelly, Paula
影响因子：
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作者：
FISHBURN, PC
通讯作者：
FISHBURN, PC