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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.

Les nouvelles autorités ont entrepris un vaste programme de réformes qui visent à créer l’environnement idoine pour faire du Gabon un pays émergent à l’horizon 2025.

Sont concernés par ce programme le renforcement de la bonne gouvernance, notamment dans son volet « lutte contre la corruption et contre la pauvreté », l’accès au logement et à la propriété foncière, la mise en place du régime obligatoire d’assurance maladie universelle, le fonctionnement de l’appareil statistique national pour produire des informations de qualité sur le suivi des OMD et des secteurs économiques et sociaux, le dispositif législatif et règlementaire pour le conformer aux Déclarations, Conventions et Accords internationaux signés par le Gabon, la promotion des initiatives et organisations à base communautaire facilitant l’appropriation par les populations des mesures préventives favorables à l’amélioration de leur bien-être, l’entrepreneuriat local pour qu’il contribue à la diversification de l’économie nationale, la mise en œuvre des politiques et stratégies sectorielles visant le développement équitable, égalitaire et inclusif du capital humain, l’accès aux services de qualité en matière d’éducation et de santé, notamment pour les populations les plus démunies.

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