Meeting the Challenges of Health Transition in the Middle East and North Africa : Building Partnerships for Results - Time for Strategic Action
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Washington, DC
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In its recent history, the Middle East
and North Africa region has made a remarkable progress in
expanding access to basic health services for its citizens,
and the Region can be justifiably proud of having achieved
one of the fastest rates of decline in child mortality among
all the developing regions of the world. These
accomplishments are particularly noteworthy in that the
Region maintained a steady mortality decline despite of the
periods of stagnation in economic growth that have affected
different parts of the Region over this period. They
reflect the benefits of past investments in basic health
services and the beneficiary effects of the broader social
and economic development, such as improved access to safe
drinking water and hygiene as well as the higher educational
attainment of girls - all of which are known to have a
positive impact on child and maternal health. These past
achievements form an important basis for addressing future
challenges. At the same time, the benefits of economic
development are bringing new risks and health issues that
will require substantial realignment of the existing
policies and programs. Middle East and North Africa region
has one of the youngest populations in the world; this
provides a window of demographic opportunity to prepare the
next generation of children and youth for a healthy and
productive adulthood, and avoid the unnecessary suffering
and heavy cost of modern diseases. The healthcare system
will also need to be prepared to provide adequate financial
protection and quality healthcare as the ageing population
will require increasing support to avoid premature deaths
and minimize the suffering from disabilities associated with
chronic diseases and injuries.
Palabras clave
ACCESS TO FAMILY PLANNING, ACCESS TO HEALTH CARE, ACCESS TO HEALTH SERVICES, ADOLESCENTS, AGE OF MARRIAGE, AGED, AGRICULTURAL POLICIES, ALLOCATION OF RESOURCES, ANTENATAL CARE, BASIC HEALTH CARE, BIRTH ATTENDANTS, BIRTH COMPLICATIONS, BREAST MILK, BREASTFEEDING, CARDIOVASCULAR DISEASE, CAUSES OF DEATH, CHILD DEVELOPMENT, CHILD HEALTH, CHILD MORTALITY, CHILD MORTALITY RATE, CHILD MORTALITY RATES, CHILD NUTRITION, CHILDBIRTH, CHRONIC CONDITIONS, CHRONIC DISEASE, CITIZENS, COMMUNICABLE DISEASES, COMPLEMENTARY FOOD, CONTRACEPTION, CONTRACEPTIVE PREVALENCE, DECISION MAKING, DEMOGRAPHIC TRANSITION, DEVELOPING COUNTRIES, DEVELOPMENT EFFORTS, DIABETES, DIET, DIETS, DISABILITIES, DISABILITY, DRUG USERS, DRUGS, EARLY MARRIAGE, ECONOMIC GROWTH, ECONOMIC PRODUCTIVITY, ECONOMIC STATUS, EDUCATIONAL ATTAINMENT, ELDERLY, ELDERLY POPULATION, EPIDEMIC, EPIDEMIOLOGY, EQUAL OPPORTUNITIES, EQUITABLE ACCESS, FAMILIES, FAMILIES DUE, FAMILY MEMBERS, FAMILY PLANNING, FERTILITY, FERTILITY DECLINE, FERTILITY RATE, FERTILITY RATES, FINANCIAL CONSTRAINTS, FOOD INSECURITY, FOOD SECURITY, GENERATION OF CHILDREN, GLOBAL HEALTH, HEALTH CARE, HEALTH CARE PROVIDERS, HEALTH CARE SERVICES, HEALTH CARE SYSTEMS, HEALTH FACILITIES, HEALTH INEQUITIES, HEALTH INSURANCE, HEALTH INSURERS, HEALTH MANAGEMENT, HEALTH OUTCOMES, HEALTH POLICIES, HEALTH POLICY, HEALTH PROBLEMS, HEALTH REFORM, HEALTH REGULATIONS, HEALTH RISKS, HEALTH SECTOR, HEALTH SERVICES, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTHCARE PROVIDERS, HEALTHY LIFESTYLES, HIGH CHILD MORTALITY, HOSPITAL, HOSPITALIZATION, HOSPITALS, HUMAN CAPACITY, HUMAN CAPITAL, HUMAN DEVELOPMENT, HYGIENE, ILLNESS, ILLNESSES, IMMUNE SYSTEM, IMPROVEMENTS IN QUALITY OF CARE, INEQUITIES, INFANT, INFANT FEEDING, INFECTIOUS DISEASES, INFLUENZA, INFORMATION SYSTEM, INFORMATION SYSTEMS, INJURIES, INSTITUTIONAL CAPACITY, INSURANCE SCHEMES, INTERNATIONAL ORGANIZATIONS, INTERNATIONAL TRADE, INTERVENTION, INVESTMENTS IN EDUCATION, IRON, LABOR FORCE, LABOR MARKET, LABOR MARKETS, LARGE POPULATION, LAWS, LEADING CAUSE OF DEATH, LEADING CAUSES, LIFE EXPECTANCY, LIFESTYLES, LITERACY RATES, LIVE BIRTH, LIVE BIRTHS, LIVING CONDITIONS, LONG-TERM CARE, LOW BIRTH WEIGHT, MARKETING, MARRIED WOMEN, MATERNAL DEATHS, MATERNAL HEALTH, MATERNAL HEALTH CARE, MATERNAL MORTALITY, MATERNAL MORTALITY RATES, MATERNAL MORTALITY RATIO, MEDIA COVERAGE, MICRONUTRIENT SUPPLEMENTATION, MIGRATION, MILLENNIUM DEVELOPMENT GOAL, MILLENNIUM DEVELOPMENT GOALS, MINISTRIES OF HEALTH, MORBIDITY, MORTALITY, MORTALITY DECLINE, MORTALITY REDUCTION, NATIONAL AUTHORITIES, NATIONAL GOALS, NATIONAL LEVELS, NATIONAL POPULATION, NATIONAL PRIORITIES, NEONATAL CARE, NUMBER OF CHILDREN, NUMBER OF HOUSEHOLDS, NUTRITION, NUTRITIONAL STATUS, OBESITY, PALESTINIAN TERRITORY, PARTICIPATION IN DECISION, PATIENT, PATIENT SATISFACTION, PATIENTS, PERINATAL CARE, PHYSICIANS, POLICY MAKERS, POOR NUTRITION, POPULATION GROUPS, PREGNANCIES, PREGNANCY, PREGNANT WOMEN, PRENATAL CARE, PRIMARY HEALTH CARE, PROGNOSIS, PROGRESS, PUBLIC HEALTH, PUBLIC INFORMATION, QUALITY IMPROVEMENT, QUALITY OF CARE, QUALITY OF SERVICES, REPRODUCTIVE HEALTH, RESOURCE ALLOCATION, RESOURCE REQUIREMENTS, RESPECT, RISING DEMAND, RISK FACTORS, RURAL AREAS, RURAL POPULATIONS, RURAL WOMEN, SAFE DRINKING WATER, SAFE MOTHERHOOD, SAFE MOTHERHOOD STRATEGY, SANITATION, SCREENING, SEGMENTS OF SOCIETY, SERVICE UTILIZATION, SEX WORKERS, SEXUALLY TRANSMITTED INFECTIONS, SKILLED BIRTH ATTENDANCE, SMOKING, SOCIAL HEALTH INSURANCE, SOCIAL WELFARE, STATUS OF WOMEN, UNEMPLOYMENT, URBAN AREAS, URBAN POPULATION, URBAN WOMEN, URBANIZATION, USE OF CONTRACEPTIVES, USE OF MATERNAL HEALTH SERVICES, USE OF RESOURCES, VITAL STATISTICS, VITAMINS, WOMAN, WOMEN OF CHILDBEARING AGE, WORKERS, WORKING-AGE POPULATION, WORLD HEALTH ORGANIZATION, YOUNG CHILDREN