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Why Multi-Sectoral Approaches Are Rarely Applied in Community Health Interventions in Some Countries in Sub-Saharan Africa?

Why Multi-Sectoral Approaches Are Rarely Applied in Community Health Interventions in Some Countries in Sub-Saharan Africa?

作     者:T. Maurice Agonnoudé S. David Houéto Luc Béhanzin Géraud Padonou T. Maurice Agonnoudé;S. David Houéto;Luc Béhanzin;Géraud Padonou

作者机构:School of Public Health (ENATSE) University of Parakou Parakou Benin Health Sciences Faculty (FSS) University of Abomey-Calavi (UAC) Abomey-Calavi Benin 

出 版 物:《Open Journal of Epidemiology》 (流行病学期刊(英文))

年 卷 期:2022年第12卷第2期

页      面:75-85页

学科分类:0502[文学-外国语言文学] 050201[文学-英语语言文学] 05[文学] 

主  题:Multisectoral Approach Community Health Interventions Health Professional Training Health Policies and Plans 

摘      要:The objective of this work is to analyze the reasons why community health interventions in Africa do not consider multisectoral approaches. To achieve it, we perform a mini-review of health development policies and plans available online in seven countries from four regions of Sub-Saharan Africa. Thus, two main reasons have been highlighted. First, national strategic plans and policies for health development, in their formulation, neither sufficiently emphasize multisectoral approaches, nor sufficiently make these approaches operational in strategies and activities. Second, the mindset of health professionals due to their initial training orientation based on the biomedical approach, stands that disease is only a result of a physiological imbalance in the body;therefore, to restore health, such an imbalance only needs sophisticated procedures and interventions to be overcome. Such an orientation completely ignores the social, cultural and economic context in which the individual lives, which has an irretrievable influence on the health imbalance. However, health, influenced by the conditions in which people are conceived, born, grow, live, work and aged, cannot be effectively improved in a sustainable way without taking into account all these conditions. Whence the importance of approaches based on every sector of human activity that influences the living conditions.

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