This volume addresses the ideational and policy-oriented challenges of Africa’s health governance due to voluntary and involuntary cross-border migration of people and diseases in a growing 'mobile Africa'. The collected set of specialized contributions in this volume examines how national and regional policy innovation can address the competing conception of sovereignty in dealing with Africa’s emerging healthcare problems in a fast-paced, interconnect world.

Today’s era of intense globalization has unleashed dynamic movements of people, pathogens, and pests that overwhelm the static territorial jurisdictions on which the governance provided by sovereign states and their formal intergovernmental institutions is based. This world of movement calls for new ideas and institutions to govern people’s health, above all in Africa, where the movements and health challenges are the most acute. This book insightfully explores these challenges in ways that put the perspectives of Africans themselves at centre stage. It begins with the long central and still compelling African health challenge of combating the pandemic of HIV/AIDS. It then examines the global governance responses by the major multilateral organizations of the World Bank and the World Trade Organization and the newer informal flexible democratically oriented ones of the Group of Eight. It also addresses the compounding health challenge created by climate change to assess both its intensifying impact on Africa and how all international institutions have largely failed to link climate and health in their governance response. It concludes with several recommendations about the innovative ideas and institutions that offer a way to closing the great global governance gaps and thus improving Africans’ health and that of citizens beyond.

See The Results of the Uruguay Round: The Legal October 1999, p. 1. The GATS and South Africa's National Health Act: A Cautionary Tale 13 Exploring the relationship between the GATS law perspective, the commitments are unethical and the National Health Act (NHA) also sheds and illegitimate from the standpoint of human new light on one of the great controversies of rights and democratic self-determ [...] The South African constitution enshrines access to health services as a human right in several ways: South African • section 27(2) of the Constitution requires that governments have a the State must take reasonable legislative and constitutional responsibility other measures within its available resources to achieve the progressive realisation of the to ensure that the entire right of the people o [...] A 1997 white paper on health prepared care services; by the newly-elected African National Congress • section 24(a) of the Constitution provides that government portrayed the serious inequalities everyone has the right to an environment that and inefficiencies of the health care system in- is not harmful to their health or well-being; herited from the apartheid regime: • section 10 of the Constitu [...] At the same time, the decimating the ranks of front-line health care majority of the South African population has workers, and worsening poverty and inequality.2 very limited access to any form of services."22 At the same time, the shortcomings and inequal- ity in the current system hamper effective treat- Today, apartheid's noxious racial segrega- ment. [...] It is in- chief legislative response tended, among other matters, "to remedy the in- to the daunting and urgent equities of the past in the distribution of health care and to create a national health system that is health care challenges of the patient centred and for the good of all." The NHA post-apartheid era has been described as "the overarching piece of legislation that enables the establish.

The globalisation of research has resulted in the increased location of research involving humans in developing countries. Countries in Africa, along with China and India, have seen research grow significantly. With emerging infectious diseases, such as Ebola and Zika, emphasising the risk of public health crises throughout the world, a further increase in health research, including clinical research in developing countries, which are often the sites of these diseases, becomes inevitable. This growth raises questions about domestic regulation and the governance of health research. This book presents a comprehensive and systemic view of the regulation of research involving humans in African countries. It employs case studies from four countries in which research activities continue to rise, and which have taken steps to regulate health research activity: South Africa, Nigeria, Kenya, and Egypt. The book examines the historical and political contexts of these governance efforts. It describes the research context, some of the research taking place, and the current challenges. It also looks at the governance mechanisms, ranging from domestic ethical guidelines to legal frameworks, the strengthening of existing regulatory agencies to the role of professional regulatory bodies. The book analyses the adequacy of current governance arrangements within African countries, and puts forward recommendations to improve the emerging governance systems for health research in African and other developing countries. It book will be a valuable resource for academics, researchers, practitioners and policy-makers working in the areas of health research, biomedical ethics, health law and regulation in developing countries.

Global Health in Africa is a first exploration of selected histories of global health initiatives in Africa. The collection addresses some of the most important interventions in disease control, including mass vaccination, large-scale treatment and/or prophylaxis campaigns, harm reduction efforts, and nutritional and virological research.The chapters in this collection are organized in three sections that evaluate linkages between past, present, and emergent. Part I, “Looking Back,” contains four chapters that analyze colonial-era interventions and reflect upon their implications for contemporary interventions. Part II, “The Past in the Present,” contains essays exploring the historical dimensions and unexamined assumptions of contemporary disease control programs. Part III, “The Past in the Future,” examines two fields of public health intervention in which efforts to reduce disease transmission and future harm are premised on an understanding of the past. This much-needed volume brings together international experts from the disciplines of demography, anthropology, and historical epidemiology. Covering health initiatives from smallpox vaccinations to malaria control to HIV campaigns, Global Health in Africa offers a first comprehensive look at some of global health’s most important challenges.

This fascinating collection shines a social epidemiological spotlight on the key public health issues affecting sub-Saharan Africa today. Beginning with the legacy of colonial rule, this book outlines the complex interplay between population health and a range of social, economic, and cultural factors. It shows how social epidemiological methods can offer a deeper understanding of population health and features chapters on a range of infectious diseases that continue to have a devastating impact on the region, including Sickle Cell Disease, HIV/AIDS, Leprosy, and Ebola. The final section of this book includes a series of case studies in which social epidemiological methods have been used to explore specific public health issues. Providing a timely overview of the relationship between social systems and human biology in the region, this important book will interest students and researchers across Public Health, Medicine, and African Studies.

Despite sending huge sums of money on health every year the African region's burden of disease is persistently high. Most of the countries in the region are lagging behind in achieving the health-related United Nations Millennium Development Goals. The African region's dismal health situation has largely been blamed on weakness pertaining to such factors as health leadership and governance; service delivery; health workforce; medicines, vaccines, and health technologies; health information; and health system financing that have undermined the capacity of health systems of countries in the region to improve population health without wastage of resources. Institutionalising health system efficiency monitoring, as a basis for the design and implementation of appropriate policy interventions, has been proposed as an effective way of curbing wastage of health system inputs. Efficiency of Health System Units in Africa: A Data Envelopment Analysis is the first book of its kind on application of the data envelopment analysis technique to examine the efficiency of health system decision-making units in Africa. The book interlaces lecture notes with research articles and case studies to equip students and practitioners of economics, operations research, management science, and public health with knowledge and skills for undertaking technical efficiency, cost efficiency, and total factor productivity analyses.

This contributed volume focuses on the evolution and current state of the sub-discipline of health and medical geography in Africa. It encompasses theoretical and methodological issues as well as the current teaching and research capacities of institutions offering programs in health and medical geography in Africa. Further, the book will review the level of adoption of the sub-discipline in State policies and practice and also provide practical illustrations, with case studies, of how studies in the sub-discipline are central to the actualization of Africa's development agenda. Particular attention is paid to the relationship between health and development. Through its direct and indirect impacts on labor productivity, population health and wellbeing matter for the social and economic development of households and national economies. Yet, health is not uniform in space. And so is development. Comparatively on many health and development indicators, Africa fairs poorly. The variation in health may present as differences in the occurrence and spread of diseases, the distribution of and access to healthcare facilities, and/or in health outcomes among the population. Reasons for these variations range from biology to the population’s levels of exposure and susceptibility to elements in their environment, including the social interactions taking place within the environment. The field of health and medical geography focuses on the spatial patterns and processes underlying these variations and provides pathways for understanding and addressing them. More specifically, the sub-discipline of health and medical geography focuses on, among others, how places (their characteristics and processes that go on in them) and environmental factors underlie and/or influence disease patterns, exposure and susceptibility to diseases, health variations, health behavior, health outcomes, and the provision of and access to healthcare services. This volume documents perspectives and applications in health and medical geography in Africa for academics, students, health practitioners, and development policymakers.

What social factors contribute to the tragic state of health care in Africa? Focusing on East African societies, this book is the first to investigate what role religion plays in health care in African cultures. Taking into account the geopolitical and economic environments of the region, the authors examine the roles played by individual and group beliefs, government policies, and pressure from the Millennium Development Goals in affecting health outcomes. Informed by existing related studies, and on-the-ground interviews with individuals and organizations in Uganda, Mozambique and Ethiopia, this interdisciplinary book will form an invaluable resource for scholars seeking to better understand the links between society, multi-level state instruments, and health care in East Africa.