Political actors, governments and other leaders in the healthcare sector have been called on to enact and also enforce a standard regulatory system that facilitates and ensures true accountability in the health system.
A two-day conference on strengthening accountability in African health systems is opening in Kigali today.
The request to put in place ethical standards at the center of the quality of care offered has been disclosed by The Sustainable Development Goals Center for Africa.
The SDGC/A urges that governments to create greater awareness in the public of their inherent human rights to health and ensure that health officials and practitioners at all levels have the right to accountability.
SDGC/A notes that despite the global declarations of human rights and goals, government commitments, pledges, actions and targeted interventions, many health issues that are no longer problematic in other countries continue to plague Africa.
SDGC/A director general Dr. Belay Begashaw, said that ‘Every life matters’ is a theme that entices the strengthening and building of an accountable health system.
Speaking at a media briefing yesterday, Dr Belay Begashaw, the Director General of SDGC/A Said “This is the most theme of the conference that is about strengthen and build accountability in the health system. We are not saying there is not accountability at all but want to strengthen them. As you all know a lot works is going around the health since the 2000 during the MDG time with focus to improve the welfare of citizens. That focus centers of dealing with killer diseases like HIV/AIDS. SDGC was launched in 2015 and the SDGC 3 is covering health and is trying finish the agendas of the MDGs like building the health system.”
In the SDGC/A statement calling for the enforcement of laws that regulate health standard and systems, responsible players in the health sectors in Africa are reminded that in the 1948 Declaration of Human Rights,”Everyone has the right to a standard of living adequate for the health and well being of himself and of his family.”
Declining mortality rates in world are not experienced in Africa where in spite of modern technologies applied in the health sector, mortality rates continue to increase incomparably to rest of the world.
According to the World Health Organization an estimated 303000 women died during and following pregnancy and at childbirth in 2015. More than a half of all preventable maternal deaths or a 99% occur in Sub Saharan Africa. Mortality rates among adults has declined to 361 per 1000 people in 1990 but remained highest in world with 306 deaths per the same population in 2013.
The under-5 mortality rate declined from 177 per 1000 lives born since 1990 to 81 in 2015 but Africa need more effort to ensure continuance of that trend.
Governments and international partners and actors need to report negligence-related deaths in African to spread knowledge that helps avoid the deaths.
Negligence of depending on such data practically makes hospitals and health workers unaccountable for all avoidable deaths, poor hospital or clinic administration.
SDGC/A notes also that such tendencies and malpractice is unacceptable to make dysfunctions, even in low-resource countries efficiency, accountability, rule of law and order should be realized in African countries.
The Alma-Ata Declaration of 1978, the first international declaration states that, “the importance of primary health care and the irrefutable responsibility of the government to provide primary health care to their people. It was adopted in Africa under the Bamako Initiative in 1987 by health minister to increase access to a minimum package of integrated services and essential at community managed health centers.
Mortality shows a decline in the last 15 years around the world but when it comes to Africa the situations a bit very different because it is not par with rest of the world.