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World: Countries move to strengthen public health institutions and services amid mounting pressures
Country: World Source: World Health Organization As health challenges grow more diverse and complex, and public budgets tighten, WHO Member States are increasingly looking to more integrated public health capacity and services that can better promote and protect people’s health, prevent illness and respond to emerging threats. More than 120 countries have identified building institutional capacity to deliver essential public health functions (EPHFs) as a medium-to-high priority for WHO support. The shift comes as fragmented programmes, uneven workforce investment, and reliance on external financing in low- and middle-income countries make public health capacity harder to sustain. These pressures can also limit the ability of governments to respond effectively to both everyday health needs and emergencies. “Countries need public health systems that can do more with limited resources,” said Dr Kalipso Chalkidou, Director of the Performance, Financing and Delivery Department at WHO. “Essential public health functions provide a practical and tested way to bring core capabilities together at the country level, using resources more efficiently while placing promotion, prevention and preparedness at the heart of health systems.” Building the foundations of resilient health systems Building national institutional capacity to deliver EPHFs is a dedicated output of WHO’s Fourteenth General Programme of Work (GPW14) – WHO’s global strategy for 2025–2028. EPHFs are the core public health actions and services countries need to keep people healthy and safe. They bring together four broad areas: promoting health preventing illness protecting people from health risks preparing for and responding to emergencies. Their delivery also depends on effective leadership, workforce, governance and coordination between health and allied sectors. Too often, these functions are planned, financed and delivered separately. WHO’s EPHFs framework therefore helps governments connect them across sectors and levels of the health system, so that keeping people healthy receives sustained attention, alongside treating people when they become ill. National Public Health Institutes (NPHIs), ministries of health and other public health authorities have a central role in putting this approach into practice, from subnational to national levels and across primary, secondary and tertiary care. Connecting public health and universal health coverage EPHFs focus on population-based services as well as building capacities within health systems and societies for tackling crises and emergencies. This ensures that the general population, including hard-to-reach communities, has access to needed health services and commodities before, during and after crises. Achieving this requires a strengthened public health role across primary care and other front-line facilities, which at the same time protects other core health systems functions including secondary and tertiary care. An EPHF lens can support the design and financing of universal health benefit packages that cover population health services, as well as direct service delivery needs for individuals. Growing international momentum The EPHF agenda is also gaining momentum through multilateral cooperation. The 16th BRICS (Brazil, Russia, India, China and South Africa) Health Ministers’ Declaration , adopted in July 2026 under India’s chairship, recognized NPHIs as National Centres of Excellence for essential public health functions and endorsed an operational framework for the BRICS Network of NPHIs. The Declaration highlights the importance of universal health coverage (UHC) packages as a foundation for sustaining the pathway towards health for all, health security and other social development goals (SDGs). Moreover, it underscores technical cooperation among public health institutes as a shared priority. WHO’s existing work on EPHFs provides a basis for engagement with the BRICS Network of NPHIs and other multilateral initiatives including the International Association of National Public Health Institutes. It also creates opportunities to expand South–South cooperation and institutional partnerships, including with India, China and other BRICS members and partners. Financing stronger public health capacity Sustained financing is critical to maintaining the institutions, workforce and systems needed to deliver EPHFs. Current budgets allocated to the health sector are insufficient and largely skewed towards curative services. Allocation towards EPHFs is typically donor driven and function-specific and hence does not benefit sector-wide capacity development. Amid growing resource constraints, multilateral development banks (MDBs) have a critical role to play in financing on the right terms and with the right priorities, aligned with the UHC mission and governments’ own systems and plans. The prospect of a BRICS New Development Bank financing window dedicated to digital determinants and social determinants of health (DD-SDH) health infrastructure – supporting primary health centres; water, sanitation and hygiene (WASH); and housing with a pro-poor focus – is a welcome development. Partnerships in action WHO-supported initiatives are already putting the EPHF approach into practice. Through projects supported by China’s Global Development and South-South Cooperation Fund, WHO is working with Iraq, Morocco and Pakistan to apply EPHFs through locally adapted service platforms including facilities providing primary care and traditional medicines. At the same time, efforts in Maldives, Papua New Guinea, Thailand and Timor-Leste focus on building national workforce capacity for EPHFs. Through the EU-funded Team Europe Initiative on Public Health Institutes, WHO is also supporting the establishment of national public health institutes in Central African Republic and Zimbabwe, improving EPHF coordination in Guinea-Bissau, and supporting federal-state coordination on EPHFs, workforce and public health services in Nigeria. These initiatives combine national capacity-building with South–South and North–South institutional partnerships. Connecting resilience, innovation and economic development Health systems resilience builds capacity to tackle small crises from the source, before they escalate into major emergencies, while maintaining trust in and access to essential health services and functions. This strengthens confidence in health systems, boosts national self-reliance and shields economies from the broad disruptions to trade, commerce and industry caused by health crises. Brazil’s health-industrial nexus offers a clear example of this self-reliance in action. By placing domestic production, research and innovation at the center of its Unified Health System (SUS), the country exemplifies the WHO Economics of Health for All strategy. This approach demonstrates how strong public sector leadership can drive local health innovation and ensure equitable access to essential medical supplies – a core pillar of the global resilience agenda. The growing focus on EPHFs reflects a broader shift towards building public health capacity that is integrated, nationally owned and sustainable. By bringing public health functions together, strengthening the institutions and workforce that deliver them, and aligning domestic and international investment behind them, countries can build systems better equipped to advance and protect health gains, respond to future threats and deliver healthier lives for all. Media Contacts WHO Media Team World Health Organization Email: mediainquiries@who.int
2026-09-16 01:26:21

GIEWS Country Brief: Somalia 15-September-2026
Country: Somalia Source: Food and Agriculture Organization of the United Nations Please refer to the attached file. FOOD SECURITY SNAPSHOT Uncertain production prospects for 2026 Gu main season crops due to erratic rains and pests Livestock severely affected by water and pasture shortages Prices of cereals at high levels due to reduced market supplies and high fuel prices High levels and prevalence of food insecurity mainly due to climatic shocks Uncertain production prospects for 2026 Gu main season crops due to erratic rains and pests The 2026 main Gu season crops, normally accounting for about 60 percent of the country's total annual cereal output, were harvested in July. The April‐June Gu rainy season was characterized by below‐average rainfall amounts and by an erratic temporal and spatial distribution. The resulting moisture deficits adversely affected crop germination and development, and caused widespread wilting and stunted growth. According to FAO’s Agricultural Stress Index (ASI) , between 25 and 70 percent of the cropland was affected by severe drought in mid‐June in Lower and Middle Shabelle regions, the main maize producing areas, as well as in the sorghum belt in Bay Region. Subsequently, improved late‐season Gu rains and adequate Xagaa rains in July supported a partial crop recovery in several southern cropping areas, and as a result overall crop performance was mixed. In addition, crop production was affected by attacks of Quelea quelea (QQU) birds. The off‐season harvest recently started in the riverine areas along the Juba and Shabelle rivers and is expected to conclude by end‐September. Cereal production prospects are overall favourable following the adequate Xagaa rains, despite residual soil moisture deficits fromthe poor Gu rains, low river levels and high costs of pump irrigation due to high fuel prices. Pending the release of production estimates by the Food Security and Nutrition Analysis Unit (FSNAU), prospects for the aggregate cereal output of the 2026 Gu and off‐season crops remain uncertain, as the adverse impact of poor Gu rains was partly offset by improved late‐season rains and favourable off‐season production prospects. Land preparation for the secondary 2026 Deyr season crops, for harvest in January 2027, is underway. According to the Greater Horn of Africa Climate Outlook Forum (GHACOF) , there is high likelihood of well above‐average rainfall amounts between October and December 2026, likely benefiting yields of Deyr secondary season crops, but also heightening the risk of floods. Livestock severely affected by water and pasture shortages The April to June Gu rainy season had a poor performance also in central and northern pastoral areas. Significant rainfall deficits curtailed the regeneration of pasture and water resources, leaving rangeland conditions well below‐average at the onset of the ongoing July‐September Hagaa dry season. The resulting deterioration in livestock body conditions and the decline of milk production have negatively affected the diets and incomes of pastoralist households. Prices of cereals at high levels due to reduced market supplies and high fuel prices Prices of sorghum in Baidoa Market, located in the sorghum belt in Bay Region, and prices of maize in Qorioley Market, located in Lower Shabelle Region, the main maize producing area, increased between January and June 2026 by 25 and 70 percent, respectively, declining by 10 and 30 percent, respectively, in July with the Gu harvest. Prices of sorghum and maize in these markets in July 2026 were around twice their year‐earlier levels. Similarly, in the capital, Mogadishu, prices of sorghum and maize increased by 15‐20 percent between January and June 2026 and decreased by 5‐10 percent in July. Despite this recent easing, they remained 25‐45 percent higher year‐on‐year. The exceptionally high cereal prices mainly reflect reduced market supplies following consecutive poor harvests and conflict‐related trade disruptions. More recently, the surge in fuel prices associated with supply chain disruptions linked to the Middle East crisis has raised transport costs, further supporting cereal prices. In the capital, Mogadishu, diesel prices increased by 65 percent between January and April 2026. Although they declined by about 25 percent between April and July 2026, they remained approximately 25 percent higher than one year earlier. High levels and prevalence of food insecurity mainly due to climatic shocks According to an update of the latest Integrated Food Security Phase Classification (IPC) analysis , about 6 million people (over 30 percent of the population) were estimated to face IPC Phase 3 (Crisis) or worse levels of acute food insecurity between April and June 2026. This figure includes about 1.9 million people in IPC Phase 4 (Emergency) and represents an increase of about 30 percent compared to the corresponding period in 2025. A risk of Famine was identified in Burhakaba District in Bay Region under a plausible worst‐case scenario in which the failure of the Gu rains, combined with soaring food prices and inadequate humanitarian assistance, would have severely constrained food access and availability. The high levels of food insecurity reflect the cumulative impact of consecutive poor rainy seasons on crop and livestock production, compounded by high food prices and widespread insecurity.
2026-09-16 00:54:39

Afghanistan: Monthly Market Report Issue 75: August 2026
Country: Afghanistan Source: World Food Programme Please refer to the attached file. KEY HIGHLIGHTS Major Economic Developments Economic Growth & Household Welfare: Afghanistan’s economy continues to show modest growth, supported by domestic demand and the return of large numbers of Afghans, with agriculture, industry, and services contributing to economic activity. However, the pace of recovery remains insufficient to keep up with population growth, limiting improvements in per capita income and household purchasing power. Limited income opportunities, widespread poverty and subsistence insecurity, and gaps in access to basic services continue to constrain household resilience and reduce the ability to absorb food-price, employment, and other market shocks. Trade & External Vulnerability: Domestic markets in Afghanistan are highly vulnerable to regional trade disruptions and global price fluctuations, given the country's reliance on imports for major food and non-food items. Rising global commodity prices and geopolitical uncertainty, alongside continued disruptions to regional trade routes and reliance on alternative corridors, remain key risks to price stability. These cost pressures disproportionately affect low-income households, which spend a large share of their income on essential goods and have limited capacity to absorb price shocks. Exchange Rate: The Afghani appreciated modestly against the US dollar in August, with the monthly average reaching AFN 65.4/USD. The currency was 4.5 percent stronger than a year earlier and 12 percent stronger than its three-year average, supporting relative exchange-rate stability, providing some protection against imported inflation; however, the benefit was partly offset by higher transportation costs, market instability and elevated international commodity prices. Inflation Rate: Inflationary pressures remained elevated, with July 2026 headline inflation at 7.5 percent year-on-year and food inflation at 7.0 percent. Non-food inflation remained higher at 7.9 percent, driven by persistent increases in health, housing and transportation costs. Continued import and transport cost pressures, alongside elevated housing and healthcare expenses, point to sustained pressure on household living costs. Key Market Pressures: Diesel prices increased 3.3 percent in August to AFN 76.7 per litre, standing 15 percent above last year. Fertilizer prices remained substantially above last year, with Urea 35 percent higher and DAP 15 percent higher, maintaining pressure on agricultural production costs.
2026-09-16 00:47:45

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