African
Health Problems, African Solutions
by John Kiwanuka Ssemakula, 24 March 2002
An
article in the BMJ states that with sufficient will and commitment,
Africa can successfully address its own health problems. Drawing
on the experience of the Northern Indian state of Kerala which
has achieved health indicators almost as good as the US, despite
spending $28 per person compared to $3295 in USA and having
a per capita income 99% less.
According
to the WHO poverty is the greatest risk to health in Africa
and this can only be countered by economic improvements. But
merely accumulating wealth is not enough, the article states,
there must be a commitment to equity and distribution of economic
wealth to alleviate property and reduce it as a health risk.
In
order to tackle the unequal access of healthcare within African
nations, effective health systems are required to deliver services
to the people. This will require development and capacity building
especially in terms of training health personnel. The article
ends by quoting Thabo Mbeki, President of South Africa “African
Solution to African health problems”.
African
medical schools such as Ibadan (Nigeria), Accra (Ghana) and
Makerere (Uganda) were amongst the leading institutions in the
developing world in the late 1960’s and early 1970’s engaged
in research of health problems in Africa. There is an urgent
need to revitalize and revive these institutions as a source
of a new generation of health professionals who will create
the new knowledge and ideas relevant to tackling African health
problems.
Africa
can solve its own health problems