Region

Country

Covered period

Occurrence of SDH concept uses

Priority issues related to multisectoral approach

Strategies related to the approach

Targeted determinants of health

West Africa

Benin

National health development plan (PNDS) 2009-2018

‒ Determinants of Health: None

‒ SDH: 0

Insufficient intra- and intersectoral collaboration

‒ Advocacy for in-depth intra sectoral collaboration,

‒ Development of a model of partnership agreement,

‒ Periodic evaluation meetings,

‒ Strengthening the MoH in health communication

Not clear:

‒ education sector: School Health

‒ employment and labour sector: occupational health

Ghana

National Health Policy 2020

‒ Determinants of Health: One

‒ SDH: 0

No problems identified, but an explicit recognition of:

‒ WHO definition of Health,

‒ Ecological model of health

‒ Not the strategies,

‒ But the 5 objectives are oriented towards SDHs

‒ Physical environment,

‒ Socioeconomic status,

‒ Healthy lifestyles,

‒ Health system,

‒ Population dynamics

Central Africa

Tchad

PNDS 2017-2021

‒ Determinants of Health: 6

‒ SDH: 0

‒ Multisectoral dynamics in the health sector are weak,

‒ Health in all policies not promoted

‒ Revitalization of multisectoral approach in implementing health activities at all levels of the health system

‒ No

RDC

PNDS 2019-2022

‒ Determinants of Health: 1

‒ SDH: 0

Intra- and intersectoral collaboration not optimal to:

‒ Improve population health;

‒ Support supply and demand of quality health care services

‒ Establishment and/or strengthening of existing intersectoral consultation frameworks

‒ Action plans of joint implementation between MoH other sectors (food security and the fight against malnutrition, water, hygiene and sanitation)

East Africa

Kenya

Health Policy

2014-2030

‒ Determinants of Health: 0

‒ SDH: 4

No priority problems statement, but explicit recognition of:

‒ multisectoral approach based on SDHs in achieving the overall health goals

‒ Minimize exposure to health risk factors,

‒ Strengthen collaboration with private and other sectors that have an impact on health

‒ Lifestyles;

‒ Physical or economic environments

Tanzania

The National Health Policy 2017-2027

‒ Determinants of Health: None

‒ SDH: One

The Government will enhance institutional linkages between health promotions with other stakeholders

The health and social welfare sector will:

‒ Collaborate with other sectors;

‒ And advocate for the inclusion of health promoting and health protecting measures in other sectors’ policies and strategies

‒ Not clear,

‒ Strategies were formulated by sector, denied the multi or trans-sectoral approach.

‒ A lot of Determinants were targeted in a fragmented way.

‒ Health services organisation

‒ Water; Sanitation, Hygiene and Food Safety;

‒ Occupational Health and Safety;

‒ Environmental health;

‒ General environment (acts et legislations

Southern Africa

Zambia

PNDS 2017-2021

‒ Determinants of Health: 5

‒ SDH: 6

‒ No identified problems, but use of a model that incorporates underlying socio-economic factors impacting health behaviors,

‒ SDH model postulates that poor social and economic factors (at individual, societal, and physical environment levels) impact health throughout an individual’s life

‒ Strengthen multi-sectoral collaboration, community linkages, and coordination in line with the decentralization policy to address SDHs and within the Health in All Policies framework

‒ Not explicit,

‒ Great priority on primary community health care,

‒ All SDHs.