Public Health Transformation in Africa: A Call to Action

By Danélia Botes

February 27, 2024

Introduction:

Continued efforts are being made by African nations to fulfil their commitments, which include the Sustainable Development Goals (SDGs) for the year 2030 and the Agenda for the African Union through the year 2063. The key to tracking progress is the availability of timely and quality data. This article provides light on the critical role that Longitudinal Population Studies (LPSs) play, as well as the urgent necessity to include a Learning Health System (LHS) framework into these studies in order to have a transformative impact on public health in Africa.

The Data Revolution and Population Health Response in Africa:

The 2015 Africa Data Consensus emphasises the need for timely and quality data to inform policy development and implementation on the continent. The goal is to create a conducive environment for data use, establish appropriate infrastructure, and strengthen local capacities for data collection and use to address development priorities holistically. The 2016 Africa Data Revolution report underscores the importance of building a data usage culture. Leveraging a wide range of data is crucial to improving the effectiveness and sustainability of health systems.

The Role of Longitudinal Population Studies:

LPSs enable the collection and processing of data on demographic change and other population- and health-related issues. LPS platforms are invaluable tools for monitoring population health and informing public health interventions in Africa. In addition, to contribute to the Data Revolution, institutions operating LPS platforms need to enhance data discoverability and promote responsible open data sharing. Communities of practice can improve population-based health data sharing, standardisation, and harmonisation, ensuring reliable data that follows the principles of Findability, Accessibility, Interoperability, and Reusability (FAIR).

The Learning Health System Framework:

The Learning Health System (LHS) approach integrates research, clinical practice, and continuous learning. It converts routinely collected health data into useful information that enables informed, timely decisions to optimise health care delivery and population health outcomes. However, despite the fact that the idea of LHS has been generating a growing amount of interest throughout public health sectors all over the world, the LHS approach in LPSs in Africa is currently fairly unknown.

Ways for Integrating the LHS Framework into LPS Platforms:

The LHS framework into LPS platforms can significantly transform public health in Africa. Nongovernmental organizations (NGOs) and institutions can use their existing data-collection infrastructure with this approach. It enhances their ability to generate knowledge and implement evidence-based interventions:

    • By incorporating diverse data sources, advanced analytics techniques and evidence generation.
    • Continuous learning, these platforms can gain a comprehensive understanding of health trends and guide decision making.
    • The LHS framework also emphasises community engagement, partnerships, and collaborations for successful implementation.
    • As data collection and sharing expand, robust ethical considerations and data governance, including privacy safeguards and transparent frameworks, are essential.

 

A Call to Action for Public Health Transformation in Africa:

Integrating an LHS framework into LPS platforms holds immense promise for advancing public health in the African continent. Therefore, by embracing data integration and analysis, promoting continuous learning and research, engaging communities, fostering partnerships, and upholding ethical considerations, NGOs/institutions operating LPSs can optimise their impact on population health.

Conclusion:

In conclusion, if we combine our resources and collaborate, we can enhance public health in Africa. We can build stronger health systems and create healthier, more resilient communities. Incorporating the LHS framework into LPS platforms is a critical move. This step can drive equitable and sustainable development in Africa.

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