Background to the Health Policy Documents of

Report
Background to the Health Policy
Documents of Africa Union
Presentation Outline
1. Introduction
2. Abuja Call for Acceleration Actions Towards
Universal Access to HIV and AIDS, TB and
Malaria Services in Africa 2006-2015
3. Maputo
Plan
of
Action
for
the
Operationalisation of he Continental Policy
Framework for Sexual and Reproductive
Health and Rights 2007-2015
4. Africa Health Strategy 2007-2015
1. Introduction
• Africa = 54 countries, >1 billion people
(about 14% of the global population)
• 25% of the global disease burden
• >50% of the global deaths of children under
five
• High infectious disease burden
• Growing NCD
• Software –HR ~ 3% of the world’s deployed–
inequitably distributed, Migration.
1. Introduction
• Hard ware – clinics, hospitals, labs, inadequate, Supply
chain.
• 1% of global healthcare expenditure
• Limited National budgets
• Donor dependence
• Africa’s people face a huge burden of preventable and
treatable health problems whose solutions are
known, proportionately far beyond Africa’s share of
the world’s population.
• Cognisant of these challenges AU HoSG adopted the
main health policy documents.
2. Abuja Call
• In 2006, the AU Heads of
State and Government at a
Special
Summit
on
HIV/AIDS, Tuberculosis, and
Malaria in Abuja, Nigeria,
from 2-4 May 2006,
adopted the Abuja Call on
“Universal
Access
to
HIV/AIDS, Tuberculosis and
Malaria Services by A
United Africa by 2010”.
• The priority areas include
the following:
2. Abuja Call
1.
Leadership at National, Regional and continental Levels
2.
Resource Mobilization
3.
Protection of Human Rights
4.
Poverty Reduction, Health and Development
5.
Strengthening Health Systems
6.
Prevention, Treatment, Care and Support
7.
Access to Affordable Medicines and Technologies
8.
Research and Development
9.
Implementation
10. Partnerships
11. Monitoring, Evaluation and Reporting
2. Abuja Call
• Implementation:
– the AUC in 2010, conducted a 5-Year review of the
implementation of the Abuja Call.
– The outcomes of this review, included the
recommendations to extend the “Abuja Call” to 2015 to
coincide with the MDGs and “the indicators of the “Abuja
Call” should be reviewed and aligned to MDG 6”.
– Developed the Abuja Call M&E Plan
– A Progress Report on the status of implementation was
done in 2013.
– The report findings indicate that Member States have
made substantial progress ​between 2010 and 2012 in
certain areas, demonstrating willingness and political
commitment.
3. Maputo PoA
• After recognizing that African
countries were unlikely to
achieve the MDGs without
significant improvements in the
SRH the Continental Policy
Framework
on
Sexual
Reproductive Health and Rights
and its Maputo Plan of Action
(MPoA) were adopted.
• The MPoA’s function is to
operationalize the Continental
Policy framework on SRHR.
• Implementation of the Maputo
Plan of Action was supposed to
end in 2010 but was extended
by the 15th Ordinary Session AU
Assembly to 2015 following
recommendations from the
review done in the same year.
3. Maputo PoA
• The following six key strategies were developed for the
operationalization of the SRH Policy framework:
1.
2.
3.
4.
5.
6.
Integrating STI/HIV/AIDS, and SRHR programmes and services,
including reproductive cancers, to maximize the effectiveness of
resource utilization and to attain a synergetic complementary of the
two strategies;
Repositioning family planning as an essential part of the attainment
of health MDGs;
Addressing the sexual and reproductive health needs of adolescents
and youth as a key SRH component;
Addressing unsafe abortion;
Delivering quality and affordable services in order to promote Safe
Motherhood, child survival, maternal, Newborn and child health.
African and south-south co-operation for the attainment of ICPD
and MDG goals in Africa
3. Maputo PoA
• The MPOA represents Africa’s most robust collective
response to the alarming rates of Maternal Mortality Rates
in Africa – a highly sensitive indicator of the inequality
between men and women on this continent.
• Since the adoption of the Maputo Plan of Action (MPOA),
some countries have:
–
–
–
–
–
–
Increased the share of health allocations in national budgets.
Created new incentives to retain health and medical personnel.
Increased emphasis on emergency obstetric and neonatal care.
Instituted maternal death audits in annual operational plans.
Improved health management information systems.
Adopted progressive gender policies.
4. Africa Health Strategy
•
•
•
In 2007, The 3rd Conference of AU
Ministers of Health decided to adopt
the Africa Health Strategy (AHS).
The Strategy was intended to
recognise that Member States and
regions and indeed the continent had
previously set health goals in addition
to the Millennium Development
Goals that they have committed to.
The strategy also intended to explore
some challenges that militate against
the continent decreasing the burden
of
disease
and
improving
development and also draws on
existing opportunities.
4. Africa Health Strategy
• In highlighting strategic directions in a multisectoral fashion, the AHS intended to
stimulate a co-ordinated response to ensure
maximum benefit from the resources
mobilised and to prevent fragmentation and
duplication.
• It was further intended to provide an
overarching framework to enable coherence
within and between countries, civil society
and the international community.
4. Africa Health Strategy
• In approaching the
end of tenure of the
AHS, a review of its
performance
is
imperative.
4. Africa Health Strategy
Thank You

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