Delays to essential surgery at four faith based hospitals in rural Sub‐Saharan Africa

2021 ◽  
Author(s):  
Gregory Sund ◽  
Andrew H. Huang ◽  
Edward J. Mascha ◽  
Césarie Miburo ◽  
Solomon Machemedze ◽  
...  
Keyword(s):  
Sub Saharan Africa ◽  
Faith Based ◽  
Essential Surgery ◽  
Sub Saharan

The Theology of Emergency: Welfare Reform, US Foreign Aid and the Faith-Based Initiative

2014 ◽  
Vol 32 (2) ◽  
pp. 53-77 ◽  
Author(s):  
Melinda Cooper
Keyword(s):  
Public Health ◽  
Foreign Aid ◽  
Service Providers ◽  
The United States ◽  
Sub Saharan Africa ◽  
Health Crisis ◽  
Emergency Relief ◽  
Faith Based ◽  
Social Authority ◽  
Sub Saharan

This article addresses the rise of faith-based emergency relief by examining the US President’s Emergency Plan for HIV/AIDS (PEPFAR), a public health intervention focused on the AIDS epidemic in sub-Saharan Africa. It argues that the theological turn in humanitarian aid serves to amplify ongoing dynamics in the domestic politics of sub-Saharan African states, where social services have assumed the form of chronic emergency relief and religious organizations have come to play an increasingly prominent role in the provision of such services. In the context of an ongoing public health crisis, PEPFAR has institutionalized the social authority of the Pentecostal and charismatic churches, leading to a semantic confluence between the postcolonial politics of emergency and the Pentecostal/Pauline theology of kairos or event. Far from being confined to the space of foreign aid, however, the faith-based turn in humanitarianism is in keeping with ongoing reforms in domestic social policy in the United States. While on the one hand the sustained welfare programmes of the New Deal and Great Society have been dismantled in favour of a system of emergency relief, on the other hand the federal government has intensified its moral, pedagogical and punitive interventions into the lives of the poor. The wilful transfer of welfare services to overtly religious service providers has played a decisive role in this process. The article concludes with a critical appraisal of the links between African and North American Pentecostal-evangelical churches and questions the revolutionary mission ascribed to Pauline political theology in recent political theory.

scholarly journals Religion and Peacebuilding in Sub-Saharan Africa

2020 ◽  
pp. 47-64
Author(s):  
Lado Tonlieu Ludovic, S. J.
Keyword(s):  
Central African Republic ◽  
Sub Saharan Africa ◽  
Faith Based ◽  
Traditional Religions ◽  
Sub Saharan ◽  
Conflict In Africa ◽  
Religious Landscape ◽  
African Traditional Religions

Abstract This chapter critically examines the contribution of religion to peacebuilding in Sub-Saharan Africa. An overview of the complex and evolving religious landscape of Africa today, where Christianity and Islam coexist alongside African traditional religions, is followed by an exploration of the intersection of secular and faith-based processes of peacebuilding in what remains a profoundly religious continent. Thirdly, this chapter probes the different ways religion has been appropriated or justified in the service of terror, notably in the case of the Central African Republic. Lastly, the chapter considers how religion-based efforts to mitigate conflict in Africa can be made more effective, especially Muslim-based initiatives, given the disproportionate impact on Africa’s Muslims.

scholarly journals Shaping service delivery through faith-based service inclusion: the case of the Salvation Army in Zambia

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Janet Davey ◽  
Eldrede Kahiya ◽  
Jayne Krisjanous ◽  
Lucy Sulzberger
Keyword(s):  
Service Delivery ◽  
Service Providers ◽  
Well Being ◽  
Sub Saharan Africa ◽  
Structured Interviews ◽  
Content Type ◽  
Faith Based ◽  
Managerial Implications ◽  
Sub Saharan ◽  
The Individual

Purpose While service inclusion principles raise the awareness of scholars to service that improves holistic well-being, little research explicitly investigates the spiritual dimensions of service inclusion. This study, therefore, aims to explore faith-based service inclusion in sub-Saharan Africa. Design/methodology/approach A qualitative case study of the Salvation Army’s Chikankata Services in Zambia was undertaken. Semi-structured interviews with the organization’s leaders and professionals were analyzed thematically. Findings Service inclusion pillars evince contextualized meaning and priority. In resource-constrained, vulnerable communities, faith-based service inclusion prioritizes two additional pillars – “fostering eudaimonic well-being” and “giving hope,” where existence is precarious, fostering (hedonic) happiness is of low priority. Findings reveal that pillars and processes are mutually reinforcing, harnessed by the individual and collective agency to realize transformative outcomes from service inclusion. Research limitations/implications This paper provides unique insight into faith-based service inclusion but acknowledges limitations and areas warranting further research. Practical implications The study yields important managerial implications. Service providers can use the framework to identify the contextual priority and/or meaning of service inclusion pillars and relevant reciprocal processes. The framework emphasizes the harnessing potential of individual agency and capability development for transformative well-being. Social implications Faith-based service inclusion, predicated on inclusion, human dignity and holistic well-being, has important implications for reducing the burden on scarce resources while building resilience in communities. Originality/value By examining a faith-based service in sub-Saharan Africa, this paper provides a holistic framework conceptualizing pillars, processes, agency and outcomes to extend Fisk et al.’s (2018) service inclusion pillars and to better understand the shaping of service delivery for service inclusion.

scholarly journals The neglected role of Faith-based Organizations in prevention and control of COVID-19 in Africa

2020 ◽  
Vol 114 (10) ◽  
pp. 784-786
Author(s):  
Phesheya Ndumiso Vilakati ◽  
Simone Villa ◽  
Riccardo Alagna ◽  
Bongani Khumalo ◽  
Sarah Tshuma ◽  
...  
Keyword(s):  
Rural Areas ◽  
Prevention And Control ◽  
Sub Saharan Africa ◽  
Faith Based ◽  
Governmental Organizations ◽  
Advanced Technologies ◽  
Non Governmental Organizations ◽  
Sub Saharan ◽  
And Control

Abstract The COVID-19 pandemic has exposed health system weaknesses of economically wealthy countries with advanced technologies. COVID-19 is now moving fast across Africa where small outbreaks have been reported so far. There is a concern that with the winter transmission will grow rapidly. Despite efforts of African Governments to promptly establish mitigating measures, rural areas, especially in sub-Saharan Africa, risk being neglected. In those settings, faith-based and other non-governmental organizations, if properly equipped and supported, can play a crucial role in slowing the spread of COVID-19. We describe our experience in two rural health facilities in eSwatini and Ethiopia highlighting the struggle towards preparedness and the urgency of international support to help prevent a major public health disaster.

Faith Communities and the Potential for Health Promotion

2017 ◽  
Author(s):  
Alice M. Kiger ◽  
Donna M. Fagan ◽  
Edwin R. van Teijlingen
Keyword(s):  
Health Promotion ◽  
Public Health System ◽  
The United States ◽  
Sub Saharan Africa ◽  
Faith Communities ◽  
Faith Based ◽  
The United Kingdom ◽  
The World ◽  
National Public Health ◽  
Sub Saharan

Faith communities play an important role in health promotion in some parts of the world, notably North America and sub-Saharan Africa. They appear to be less prominent in the United Kingdom, despite the fact that it is a high-income country with a well-developed national public health system. Faith communities can be instigators of health promotion (faith-based health promotion), or they can provide settings where other agencies can conduct health promotion (faith-placed health promotion). Key opportunities and barriers for faith-based and faith-placed health promotion can be found by drawing on examples from the United States and Africa.

scholarly journals Increasing Access to Surgical Services in Sub-Saharan Africa: Priorities for National and International Agencies Recommended by the Bellagio Essential Surgery Group

PLoS Medicine ◽  
2009 ◽  
Vol 6 (12) ◽  
pp. e1000200 ◽  
Author(s):  
Sam Luboga ◽  
Sarah B. Macfarlane ◽  
Johan von Schreeb ◽  
Margaret E. Kruk ◽  
Meena N. Cherian ◽  
...  
Keyword(s):  
Sub Saharan Africa ◽  
International Agencies ◽  
Surgical Services ◽  
Surgery Group ◽  
Essential Surgery ◽  
Sub Saharan

scholarly journals Geospatial mapping of access to timely essential surgery in sub-Saharan Africa

2018 ◽  
Vol 3 (4) ◽  
pp. e000875 ◽  
Author(s):  
Sabrina Juran ◽  
P. Niclas Broer ◽  
Stefanie J. Klug ◽  
Rachel C. Snow ◽  
Emelda A. Okiro ◽  
...  
Keyword(s):  
Travel Time ◽  
Sub Saharan Africa ◽  
Ancillary Data ◽  
Surgical Disease ◽  
Country Level ◽  
Time Estimates ◽  
Essential Surgery ◽  
Scale Population ◽  
Estimate Travel Time ◽  
Sub Saharan

IntroductionDespite an estimated one-third of the global burden of disease being surgical, only limited estimates of accessibility to surgical treatment in sub-Saharan Africa exist and these remain spatially undefined. Geographical metrics of access to major hospitals were estimated based on travel time. Estimates were then used to assess need for surgery at country level.MethodsMajor district and regional hospitals were assumed to have capability to perform bellwether procedures. Geographical locations of hospitals in relation to the population in the 47 sub-Saharan countries were combined with spatial ancillary data on roads, elevation, land use or land cover to estimate travel-time metrics of 30 min, 1 hour and 2 hours. Hospital catchment was defined as population residing in areas less than 2 hours of travel time to the next major hospital. Travel-time metrics were combined with fine-scale population maps to define burden of surgery at hospital catchment level.ResultsOverall, the majority of the population (92.5%) in sub-Saharan Africa reside in areas within 2 hours of a major hospital catchment defined based on spatially defined travel times. The burden of surgery in all-age population was 257.8 million to 294.7 million people and was highest in high-population density countries and lowest in sparsely populated or smaller countries. The estimated burden in children <15 years was 115.3 million to 131.8 million and had similar spatial distribution to the all-age pattern.ConclusionThe study provides an assessment of accessibility and burden of surgical disease in sub-Saharan Africa. Yet given the optimistic assumption of adequare surgical capability of major hospitals, the true burden of surgical disease is expected to be much greater. In-depth health facility assessments are needed to define infrastructure, personnel and medicine supply for delivering timely and safe affordable surgery to further inform the analysis.

RTS,S/AS01, a vaccine targeting pre-erythrocytic stages of Plasmodium falciparum

2017 ◽  
Vol 1 (6) ◽  
pp. 533-537
Author(s):  
Lorenz von Seidlein ◽  
Borimas Hanboonkunupakarn ◽  
Podjanee Jittmala ◽  
Sasithon Pukrittayakamee
Keyword(s):  
Protective Efficacy ◽  
Age Groups ◽  
Sub Saharan Africa ◽  
Phase Iii ◽  
European Medicines Agency ◽  
Older Children ◽  
Pivotal Phase ◽  
Malaria Epidemiology ◽  
Maximum Benefit ◽  
Sub Saharan

RTS,S/AS01 is the most advanced vaccine to prevent malaria. It is safe and moderately effective. A large pivotal phase III trial in over 15 000 young children in sub-Saharan Africa completed in 2014 showed that the vaccine could protect around one-third of children (aged 5–17 months) and one-fourth of infants (aged 6–12 weeks) from uncomplicated falciparum malaria. The European Medicines Agency approved licensing and programmatic roll-out of the RTSS vaccine in malaria endemic countries in sub-Saharan Africa. WHO is planning further studies in a large Malaria Vaccine Implementation Programme, in more than 400 000 young African children. With the changing malaria epidemiology in Africa resulting in older children at risk, alternative modes of employment are under evaluation, for example the use of RTS,S/AS01 in older children as part of seasonal malaria prophylaxis. Another strategy is combining mass drug administrations with mass vaccine campaigns for all age groups in regional malaria elimination campaigns. A phase II trial is ongoing to evaluate the safety and immunogenicity of the RTSS in combination with antimalarial drugs in Thailand. Such novel approaches aim to extract the maximum benefit from the well-documented, short-lasting protective efficacy of RTS,S/AS01.

Mortality and Society in Sub-Saharan Africa

1993 ◽  
Vol 47 (3) ◽  
pp. 555-556
Author(s):  
Lado Ruzicka
Keyword(s):  
Sub Saharan Africa ◽  
Sub Saharan
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