Four countries, Botswana, Cote d'Ivoire, Ghana and Zimbabwe, were chosen as cases to study the impact of national health policies on national health status in sub-Saharan Africa.
Through a conceptual framework that covers health problem identification, policy formulation and implementation procedures, the study examined national translations of Primary Health Care (PHC) and Health for All by the Year 2000 (HFA/2000) strategies.
A series of government measures, taken between 1980-1986 for health policy development and implementation in these countries, were treated as policy determinants of national health outcomes for the period ending 1990.
The impact of these determinants on national health status was then analyzed through a comparative description and documentation of observable patterns and trends in infant mortality rates (IMR), under-5 mortality rates (U5MR) and life expectancy.
Policy guidelines from PHC and HFA/2000) were used in conjunction with the respective per capita Gross National Products to categorize the four cases.
Based on these guidelines, Botswana was ranked high, both in terms of policy development and the level of economic development, while Zimbabwe ranked high in terms of policy development but relatively low in economic terms.
Cote d'lvoire ranked high on economic development but low with regard to its policy framework.
Ghana was at the other end of the spectrum, ranking low both in terms of its policy development and its economic performance. (...)
Mots-clés Pascal : Afrique subsaharienne, Afrique, Botswana, Côte d'Ivoire, Ghana, Zimbabwe, Homme, Santé, Système santé, Politique sanitaire, Evaluation, Soin santé primaire, Développement économique, Etude comparative
Mots-clés Pascal anglais : Sub-Saharan Africa, Africa, Botswana, Ivory Coast, Ghana, Zimbabwe, Human, Health, Health system, Health policy, Evaluation, Primary health care, Economic development, Comparative study
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0392696
Code Inist : 002B30A01C. Création : 22/03/2000.