Health-industry linkages for local health: reframing policies for African health system strengthening.
Health-industry linkages for local health: reframing policies for African health system strengthening.
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DOI：
10.1093/heapol/czy022
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发表时间：
2018-05-01
影响因子：
3.2
通讯作者：
Karimi Njeru M
中科院分区：
文献类型：
--
作者：
Mackintosh M;Mugwagwa J;Banda G;Tibandebage P;Tunguhole J;Wangwe S;Karimi Njeru M
非洲在当地生产药品对当地获得药品和有效治疗的好处仍然存在争议。国际卫生系统专家怀疑撒哈拉以南非洲（SSA）的药品生产能否提供有竞争力的价格、质量和供应可靠性。与此同时，尽管国际社会做出了巨大的资助努力，但低收入非洲人口仍然难以获得广泛的药物。当前医药工业对非洲南部地区的投资浪潮与非洲政府积极推动医药作为工业化战略的一个关键部门有关。我们提供了2013 - 2015年和2017年在东非进行的访谈证据，表明卫生系统行为体将这些对当地生产的投资视为改善获得药品和用品的机会。然后，我们确定能够确保地方卫生系统从投资中受益的关键政策。我们主张以邻近性和位置性概念为框架的“地方卫生”政策视角，它与地方优先事项和不同的政策时间尺度一起工作，并确定激励对齐的范围，以产生互利的卫生产业联系并加强两个部门。我们认为，这种地方卫生观点代表了政策框架的一种独特转变：它不一定与“全球卫生”框架相冲突，但对其一些基本假设提出了挑战。
The benefits of local production of pharmaceuticals in Africa for local access to medicines and to effective treatment remain contested. There is scepticism among health systems experts internationally that production of pharmaceuticals in sub-Saharan Africa (SSA) can provide competitive prices, quality and reliability of supply. Meanwhile low-income African populations continue to suffer poor access to a broad range of medicines, despite major international funding efforts. A current wave of pharmaceutical industry investment in SSA is associated with active African government promotion of pharmaceuticals as a key sector in industrialization strategies. We present evidence from interviews in 2013–15 and 2017 in East Africa that health system actors perceive these investments in local production as an opportunity to improve access to medicines and supplies. We then identify key policies that can ensure that local health systems benefit from the investments. We argue for a ‘local health’ policy perspective, framed by concepts of proximity and positionality, which works with local priorities and distinct policy time scales and identifies scope for incentive alignment to generate mutually beneficial health–industry linkages and strengthening of both sectors. We argue that this local health perspective represents a distinctive shift in policy framing: it is not necessarily in conflict with ‘global health’ frameworks but poses a challenge to some of its underlying assumptions.
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DOI：
10.1080/09064710.2013.789123
发表时间：
2013-06-01
影响因子：
1.6
作者：
Eriksen, Safania Normann
通讯作者：
Eriksen, Safania Normann
影响因子：
2.8
作者：
Cohen, Justin M.;Sabot, Oliver;Goodman, Catherine
通讯作者：
Goodman, Catherine
影响因子：
4.2
作者：
Ewen, M;Kaplan, W;Laing, R
通讯作者：
Laing, R
影响因子：
4.6
作者：
Boschma, RA
通讯作者：
Boschma, RA
影响因子：
3.2
作者：
Aldis, William
通讯作者：
Aldis, William