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General country health policies

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Public policies in the health sector, together with those in other sectors, have a huge potential to secure the health of communities.[1] They represent an important complement to universal coverage and service delivery reforms. Unfortunately, in most societies, this potential is largely untapped and failure to effectively engage other sectors is widespread. Looking ahead at the diverse range of challenges associated with the growing importance of ageing, urbanization and the social determinants of health, there is, without question, a need for a greater capacity to seize this potential. That is why a drive for better public policies forms a third pillar supporting the move towards primary health care, along with universal coverage and primary care (see figure).

Primary health care reforms necessary to refocus health systems towards health for all

The following policies must be in place:

  • Systems policies – the arrangements that are needed across health systems’ building blocks to support universal coverage and effective service delivery. These are the health systems policies (related to essential drugs, technology, quality control, human resources, accreditation, etc.) on which primary care and universal coverage reforms depend.
  • Public health policies – the specific actions needed to address priority health problems through cross-cutting prevention and health promotion. Without effective public health policies that address priority health problems, primary care and universal coverage reforms would be hindered. These encompass the technical policies and programmes that provide guidance to primary care teams on how to deal with priority health problems. They also encompass the classical public health interventions from public hygiene and disease prevention to health promotion.
  • Policies in other sectors – contributions to health that can be made through intersectoral collaboration. These policies, which are of critical concern, are known as “health in all policies”, based on the recognition that a population's health can be improved through policies that are mainly controlled by sectors other than health. The health content of school curricula, industry’s policy towards gender equality, or the safety of food and consumer goods are all issues that can profoundly influence or even determine the health of entire communities and that can cut across national boundaries. It is not possible to address such issues without intensive intersectoral collaboration that gives due weight to health in all policies.

This section of the health system profile is structured as follows:

Contents

Résumé analytique

The English content will be available soon.

Journées médiacles d'Ophtalmologie au Moroni.jpg

L’Union des Comores dispose d’une Politique Nationale Sanitaire 2005-2014, réactualisé en octobre 2012 dont les objectifs globaux sont :

  • La réduction des mortalités maternelle, néonatale, infantile, en ligne avec les objectifs du millénaire
  • Réduire le taux de paludisme à moins de1% (par le traitement de masse avec les ACT)
  • Maintenir le taux de prévalence du VIH SIDA inférieur à 0,025%
  • Réduire de 50% le taux de morbidité et mortalité liés aux maladies non transmissibles
  • Réduire le risque annuel de l’infection de la tuberculose de 60 à 30 pour 100000 habitant
  • Réduire le taux d’incidence des maladies diarrhéiques de 18,3% à 9%
  • Réduire les taux de malnutrition chronique de 25,4% à 10% chez les enfants de 0 à 5 ans
  • Contribuer à la réduction de l’incidence des maladies liées à la qualité de l’eau et à l’insalubrité du milieu à travers des interventions de santé environnementale
  • Assurer un système de santé préparé et efficace à la riposte et au management des situations des risques et des catastrophes
  • Eliminer la lèpre et la filariose
  • Eradiquer la poliomyélite

Cette politique doit respecter et encourager :

  • L’éthique ,les droits humains ,l’équité, l’égalité à l’accès et à l’utilisation des services de santé ,la solidarité communautaire et nationale et la participation communautaire.


Vue d'ensemble des réformes politiques

Politique de santé publique

Politique du système de soins de santé

Politiques intersectorielles et dans d'autres secteurs d'activités

Priorités et pistes pour l'avenir

Autres

Notes de fin: sources, méthodes, abréviations, etc.

References

  1. Systems thinking for health systems strengthening (pdf 1.54Mb). Geneva, World Health Organization, 2009