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Tableau 1. Déterminants de l’accès aux services de santé et de l’exemption au Plan Sésame Variables Odds ratio Erreur standard Interval de confiance Informé – Plan Sésame 1,500 (0,156)*** 1,223 1,839 Chef de ménage 1,204 (0,148) 0,946 1,533 Homme 0,939 (0,109) 0,748 1,180 Wolof 1,058 (0,108) 0,866 1,291 Éducation 0,978 (0,123 0,765 1,250 Urbain 0,979 (0,122) 0,767 1,250 Respect 1,169 (0,126) 0,946 1,445 Participation religion 1,066 (0,113) 0,866 1,313 Visites – amis/parents 0,834 (0,084)* 0,685 1,017 Pas seul 1,124 (0,114) 0,921 1,373 Vote 0,875 (0,095) 0,707 1,053 Utilise media 0,864 (0,087) 0,709 1,053 Satisfait gouvernement 1,007 (0,117) 0,802 1,264 Membre parti politique 1,229 (0,193) 0,904 1,671 Carte pension 1,590 (0,215)*** 1,220 2,072 Activité professionnelle 0,842 (0,099) 0,669 1,060 Secteur formel 1,031 (0,228 0,669 1,589 Revenus réguliers 1,033 (0,107) 0,843 1,266 Ressources écon – q1 Ressources écon – q2 0,805 (0,124) 0,596 1,089 Ressources écon – q3 1,310 (0,201)* 0,969 1,771 Ressources écon – q4 1,702 (0,271)*** 1,246 2,325 Ressources écon – q5 1,358 (0,227)* 0,978 1,886 Observations 1,682 Degré d’importance ES en parenthèses: *** p
News and events Renowned public health experts and leaders endorse a vision for an Africa health transformation programme to enhance health in the African Region An independent advisory group (IAG), comprising renowned public health experts and leaders, has endorsed the Africa Health Transformation Programme 2015–2020: A vision for universal health coverage, proposed by Dr Moeti, WHO Regional Director for Africa. At its inaugural meeting, held in Johannesburg 4–5 May 2015, the IAG congratulated the Regional Director for convening the IAG and for her vision, calling it a step in the right direction and a testimony to her personal commitment to change the work of WHO in the Region. In her opening remarks, Dr Moeti observed that addressing the health challenges in the African Region required rethinking the way the WHO Secretariat approaches the planning and implementation of health programmes and services in support of Member States. It is expected that the implementation of the transformation programme will address the unacceptable inequities and injustices in the Region’s health development. “We are taking a once-in-a-generation opportunity to transform the future for Africa, to strengthen health and economic security globally, and to deliver on the goals for a new era of sustainable development”, said Dr Moeti. The WHO Regional Office for Africa will lead the transformation in health and well-being based on five interrelated and overlapping priorities: • Improving health security; • Strengthening national health systems; • Sustaining focus on health-related SDGs; • Addressing the social determinants of health; and • Transforming the WHO Regional Office for Africa into a responsive and resultsdriven organization. The Regional Director told the participants that the strategy is bold and ambitious, but that it can be delivered. “We will deliver on our promise through our shared values of equity, dignity, transparency, integrity, professionalism and openness”, she added. It was highlighted that the growing recognition of health as critical to the SDGs, the dividends of unprecedented economic growth, political stability and the birth of a new middle class, among other factors, could be translated into tangible human development benefits that can enable Africa to contribute to global health and economic security worldwide. The IAG was set up by Dr Matshidiso Moeti to provide strategic and policy advice aimed at strengthening the work of WHO in the African Region to make better health a reality for people. WHO and AUC take stock on joint efforts to improve collaboration High-ranking officials from the African Union Commission (AUC) and WHO met in Brazzaville on 30 June to review their collaborative efforts to improve the health of people in Africa. Among the issues discussed were the progress made so far in the WHO-AUC partnership; the establishment of the African Centre for Disease Control (African CDC) and ways of improving collaboration between it and WHO. The meeting also deliberated on how far African countries have implemented the agreed actions during the first AUC- WHO ministerial conference held in Luanda, Angola in April 2014. Welcoming the delegates, Dr Matshidiso Moeti, the WHO Regional Director for Africa, underscored the strategic importance of the WHO-AUC partnership. She noted that the comparative advantage of the two organizations, their convening powers and their roles as secretariats of Member States can help position health as a central development theme on the continent, particularly in the context of the post-2015 development agenda. “It is particularly important that we continue to explore how best we can more effectively synergize the work of our two institutions for the betterment of our people in Africa. I am talking about the political mandate of the AUC and the technical mandate of WHO and how best they can be used together in a complementary and synergistic manner”, said Dr Moeti. The Regional Director commended the AUC for its advocacy and mobilization of nearly 1 000 volunteers in response to the Ebola virus disease outbreak. In his remarks, Dr Mustapha Kaloko, the AUC Commissioner for Social Affairs, highlighted some of the achievements of the AUC-WHO partnership during the past three years, including the re-establishment of a WHO Liaison Office to the AUC, a joint ministerial meeting in Angola and the development of a joint work plan. He said although the collaboration is going well, both parties could further strengthen it by having a common position before consulting Member States on matters of mutual interest such as the establishment of the African CDC. Dr Kaloko further stressed the need for the AUC and WHO to work together to respond to emergencies as well as to coordinate the continent in speaking with one voice at international fora such as the World Health Assembly. The two-day bilateral meeting agreed on a revised joint work plan for the period 2015– 2016, including preparations for the next joint ministerial meeting which is expected to take place in Tunis, Tunisia in April 2016. ISSUE 20 • SPECIAL ISSUE ON UNIVERSAL HEALTH COVERAGE 67
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