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. |