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Politics of disease control in Africa and the critical role of global health diplomacy: A systematic review

Chattu VK 1 , Knight WA 2 , Adisesh A 1 , Yaya S 3 , Reddy KS 4 , Di Ruggiero E 5 Show all authors , Aginam O 6 , Aslanyan G 5 , Clarke M 7 , Massoud MR 8 , Jha A 9

Affiliations 

  • 1 Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
  • 2 Department of Political Science, Faculty of Arts, University of Alberta, Edmonton, Canada
  • 3 School of International Development and Global Studies, Faculty of Social Sciences, University of Ottawa, Ottawa, Ontario, Canada
  • 4 Bruyère Research Institute, University of Ottawa, Ottawa, Canada
  • 5 Centre for Global Health, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
  • 6 International Institute for Global Health, United Nations University, Kuala Lumpur, Malaysia
  • 7 Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
  • 8 USAID Applying Science to Strengthen and Improve Systems (ASSIST) and University Research Co.,LLC, Center for Human Service, Maryland, USA
  • 9 Harvard T.H. Chan School of Public Health and Harvard Global Health Institute, Cambridge, MA, USA
Health Promot Perspect, 2021;11(1):20-31.
PMID: 33758752 DOI: 10.34172/hpp.2021.04

Abstract

Background: Africa is facing the triple burden of communicable diseases, non-communicable diseases (NCDs), and nutritional disorders. Multilateral institutions, bilateral arrangements, and philanthropies have historically privileged economic development over health concerns. That focus has resulted in weak health systems and inadequate preparedness when there are outbreaks of diseases. This review aims to understand the politics of disease control in Africa and global health diplomacy's (GHD's) critical role. Methods: A literature review was done in Medline/PubMed, Web of Science, Scopus, Embase, and Google scholar search engines. Keywords included MeSH and common terms related to the topics: "Politics," "disease control," "epidemics/ endemics," and "global health diplomacy" in the "African" context. The resources also included reports of World Health Organization, United Nations and resolutions of the World Health Assembly (WHA). Results: African countries continue to struggle in their attempts to build health systems for disease control that are robust enough to tackle the frequent epidemics that plague the continent. The politics of disease control requires the crafting of cooperative partnerships to accommodate the divergent interests of multiple actors. Recent outbreaks of COVID-19 and Ebola had a significant impact on African economies. It is extremely important to prioritize health in the African development agendas. The African Union (AU) should leverage the momentum of the rise of GHD to (i) navigate the politics of global health governance in an interconnected world(ii) develop robust preparedness and disease response strategies to tackle emerging and reemerging disease epidemics in the region (iii) address the linkages between health and broader human security issues driven by climate change-induced food, water, and other insecurities (iv) mobilize resources and capacities to train health officials in the craft of diplomacy. Conclusion: The AU, Regional Economic Communities (RECs), and African Centres for Disease Control should harmonize their plans and strategies and align them towards a common goal that integrates health in African development agendas. The AU must innovatively harness the practice and tools of GHD towards developing the necessary partnerships with relevant actors in the global health arena to achieve the health targets of the Sustainable Development Goals.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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