Political Economy Analysis Reveals Challenges Facing Primary Health Care in Eastern and Southern Africa
Investments in health management capacity are important, but improving the environment in which managers operate is equally critical to achieving Sustainable Development Goal targets for health. A political economy analysis conducted in Kenya, Malawi, and Uganda revealed that while decentralization should improve PHC, it has been accompanied by thick bureaucracy, underfunded budgets, weak accountability, and insufficient public administration capacity. The emergence of COVID-19 has highlighted these challenges and underscored the need to address the disconnection between the vision for decentralization and the reality of health managers mired in unhelpful processes and politics.
Recent Posts
HIV Prevention Access Strategies Through Collaborative Partnerships in South Africa
HIV prevention access strategies have reached a pivotal moment in South Africa with the imminent launch of lenacapavir, a long-acting injectable administered twice yearly. This coordinated effort directly confronts the country’s immense HIV burden, including 7.8 million people living with the vir...
Enhancing Tuberculosis Outcomes Through Counselling Incentives
Tuberculosis counselling incentives that combine conditional cash transfers with structured pre- and post-test counselling are proving highly effective at overcoming socioeconomic barriers to treatment adherence. This integrated strategy reduces long-term disease transmission while requiring only...
Advancing Biovac Vaccine Manufacturing for Africa’s Health Sovereignty
South Africa is strengthening continental health security through a major expansion of Biovac vaccine manufacturing at its Cape Town facility, scheduled for completion in 2028. The project will deliver 30–40 million annual doses of vaccines against cholera, polio, pneumonia, and meningitis while ...