How West African countries prioritize health.
How West African countries prioritize health.
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DOI：
10.1186/s41182-021-00380-6
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发表时间：
2021-10-26
影响因子：
4.5
通讯作者：
Lucero-Prisno DE 3rd
中科院分区：
文献类型：
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作者：
Adebisi YA;Alaran A;Badmos A;Bamisaiye AO;Emmanuella N;Etukakpan AU;Oladunjoye IO;Oluwaseyifunmi O;Musa SK;Akinmuleya T;Olaoye OC;Olarewaju OA;Lucero-Prisno DE 3rd
全民健康覆盖（UHC）的目标是确保每个人都能够获得所需的医疗服务，而不会遭受经济困难。如果政府的卫生支出得不到改善，全民健康覆盖仍然是一个海市蜃楼。卫生优先是指政府一般卫生支出占政府一般支出的百分比。它表明政府优先从国内公共资源中支出医疗保健。我们的研究旨在使用世界卫生组织全球卫生支出数据库中的卫生优先事项指数评估西非国家经济共同体（ECOWAS）的卫生优先事项。我们提取并分析了世卫组织全球卫生支出数据库中2010年至2018年西非经共体15个成员国（贝宁、布基纳法索、卡波佛得角、科特迪瓦、冈比亚、加纳、几内亚、几内亚比绍、利比里亚、马里、尼日尔、尼日利亚、塞内加尔、塞拉利昂和多哥）的卫生优先事项数据，以评估这些国家如何优先考虑卫生问题。数据采用描述性统计量呈现。我们的研究结果显示，没有一个西非国家能超过最低15%的健康优先指数。加纳（8.43%），佛得角（8.29%）和布基纳法索（7.60%）是平均健康优先指数最高的前三个国家，而几内亚（3.05%），利比里亚（3.46%）和几内亚比绍（3.56%）在我们的分析期间（2010年至2018年）在西非地区的平均健康优先指数最低。我们的研究重申，西非各国政府和其他相关利益攸关方需要在实现全民健康覆盖的政治议程中优先考虑卫生问题。
The goal of Universal Health Coverage (UHC) is to ensure that everyone is able to obtain the health services they need without suffering financial hardship. UHC remains a mirage if government health expenditure is not improved. Health priority refers to general government health expenditure as a percentage of general government expenditure. It indicates the priority of the government to spend on healthcare from its domestic public resources. Our study aimed to assess health priorities in the Economic Community of West African States (ECOWAS) using the health priority index from the WHO’s Global Health Expenditure Database. We extracted and analysed data on health priority in the WHO’s Global Health Expenditure Database across the 15 members of the ECOWAS (Benin, Burkina Faso, Cabo Verde, Cote d'Ivoire, The Gambia, Ghana, Guinea, Guinea-Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, and Togo) from 2010 to 2018 to assess how these countries prioritize health. The data are presented using descriptive statistics. Our findings revealed that no West African country beats the cutoff of a minimum of 15% health priority index. Ghana (8.43%), Carbo Verde (8.29%), and Burkina Faso (7.60%) were the top three countries with the highest average health priority index, while Guinea (3.05%), Liberia (3.46%), and Guinea-Bissau (3.56%) had the lowest average health priority in the West African region within the period of our analysis (2010 to 2018). Our study reiterates the need for West African governments and other relevant stakeholders to prioritize health in their political agenda towards achieving UHC.