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  • DorrisFci8

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  • theguardian.comI intend to share a
    perspective on the future of health and the promise of primary health care in Nigeria, while also placing Nigeria’s health situation within the
    context of important trends that are occurring globally, as well as
    in our mother continent, Africa. Also, I will attempt to link health and economic development, share some observations on Nigeria’s demographic
    dynamics linked to its health status, aspects from the recent
    history of its health system’s evolution,
    identify the underlying reasons for the key challenges and present
    a few ideas on the way forward.


    There are several major transitions happening gradually in our world today, and particularly
    in Africa and Nigeria, which can easily escape notice.

    These range from demographic transitions in terms of the population structure and
    ageing, urbanisation, politics - which until recently was in democratic directions, climatic shifts, the economic movement into the fourth industrial revolution, and technological changes involving the shift from
    big mechanical machines towards miniaturisation; and transitions in mobile technology,
    biotechnology, nanotechnology, genomics to proteomics
    and metabolomics. All these transitions can be interconnected and have potential implications for individual,
    public and planetary health. More immediately, they may have implications for the future of health
    systems and the ongoing epidemiologic transitions.


    In May 2012, The Lancet medical journal convened a specific Commission on the future of health in sub-Saharan Africa.
    The Commission, comprising diverse African experts, academics, policy makers
    and practitioners, decided to take a medium to longer term perspective on the issues, opportunities and
    challenges facing African health systems.
    We recognised the region’s potential to improve health on its own terms, and largely within its own resources in the long-term.
    Recognising the substantial inter-country, as well as intra-country,
    variabilities in health systems and outcomes, the Commission concluded its work with justified
    evidence for optimism in Africa’s health future. But that optimism is not
    guaranteed, it will depend on how national and sub-national leaders exercise their roles to
    invest appropriately in people-centered systems with solid primary
    health care foundations.


    In this era of the Sustainable Development Goals,
    and move toward Universal Health Coverage, bold new ideas must be explored and executed, thinking ahead,
    learning from global experiences but pursuing sometimes uniquely African paths, and delivering results
    to everyone. The Commission’s vision and aspiration is that by 2030 Africans should have the same opportunities for long and healthy
    lives that new technologies, well-functioning health systems, and
    good governance, offer people living everywhere.
    It laid out a clear agenda for action.


    I was very honoured to join some brilliant minds on health
    in the African continent and globally to contribute to the Commission’s work, led by Peter Piot and Nelson Sewankanbo.
    The Commission’s report was officially launched on September 14th
    in Nairobi, Kenya, but given this gracious invitation by UNIMED,
    I thought to also bring copies of the report as a way of disseminating the results within Nigeria.



    Demographic Dynamics

    go.comNigeria has a large and fast-growing, youthful population. By the year 2050,
    it is likely that its population, based on current growth
    rates, will be near 400 million, making Nigeria the third or fourth most
    populous country in the world. There are economic benefits for a nation from having a youthful population when they are gainfully employed.
    This potential benefit, also called the demographic dividend,
    results when the share of the working-age population is
    larger, relative to the non-working-age, dependent population.

    My website ... Yohaig

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