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首页> 外文期刊>Frontiers in Public Health >Achieving Sustainable Development Goals (SDGs) in Sub-Saharan Africa (SSA): A Conceptual Review of Normative Economics Frameworks
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Achieving Sustainable Development Goals (SDGs) in Sub-Saharan Africa (SSA): A Conceptual Review of Normative Economics Frameworks

机译：在撒哈拉以南非洲（SSA）实现可持续发展目标（SDG）：对规范性经济框架的概念审查

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Background: The health status of the Sub-Saharan African (SSA) countries is well below that of the rest of the world. Coupled with low per capita income, these countries have agreed and committed themselves to raising their health status equitable standard by addressing United Nations (UN) Sustainability Development Goal number 3 (SDG3) by 2030. Addressing SDG3 requires increased and equitable funding for universal health coverage, healthcare infrastructure, efficient resource allocation, improved priority setting, reduction in corruption, and other strategies. However, what is urgently needed to improve priority setting processes or meaningful health system reform, among other things. There is therefore a need for the exploration of the economic and non-economic (which includes social justice) explicit criteria that ought to form the normative framework for Decision Making. These explicit criteria include efficiency, burden of disease, equality (strict egalitarianism), equity, and explicit criteria. Methods: The ultimate aim was to identify explicit values/principles/criteria that can be used to formulate an ideal normative framework to be used to guide decision Making so as to improve SDG3 in SSA. We synthesized selected literature on the normative frameworks for priority setting processes in health in SSA was undertaken, and the explicit criteria which, ought to guide these frameworks were identified. The form of the Social Welfare function and its principles was identified. Results and Conclusions: The framework and its explicit criteria for priority setting in the SSA countries that ought to be adopted in order to improve their SDG3 was identified—Non-Welfarist framework. This framework allows utility, health and other important social values/attributes/principles to enter the normative SWF. It is argued that such a framework ought to be specified empirically and concurrently by the decision-makers and members of the community representatives. Community representatives ought to be recognized as legitimate claimants of the resources determined, and should therefore be allowed to have a role in specifying the arguments in the SWF and what weights to be attached to the stated arguments. This implies that the selection of options in decision-making should focus on maximizing benefit and minimizing the opportunities forgone as stated in the framework.
机译：背景：撒哈拉以南非洲（SSA）国家的健康状况远低于世界其他地区的国家。随着人均收入低，这些国家已同意并致力于通过处理联合国（联合国）可持续发展目标3（SDG3）到2030年提高其健康状况公平标准。讨论SDG3需要增加和公平的普遍保健资金，医疗保健基础设施，高效资源分配，改进优先级设置，减少腐败以及其他策略。但是，迫切需要改善优先设定过程或有意义的健康制度改革，以及其他事情。因此，需要探索经济和非经济（包括社会正义）明确标准，该标准应该是决策制定的规范性框架。这些明确标准包括效率，疾病负担，平等（严格平等），公平和明确标准。方法：最终目标是识别可用于制定用于指导决策的理想规范性框架的明确价值/标准，以便改善SSA中的SDG3。我们对SSA中健康状况中的优先设定过程的规范性框架上的综合文献进行了综合，并确定了应该指导这些框架的明确标准。确定了社会福利功能及其原则的形式。结果与结论：框架及其明确标准，以便改进其SDG3的SSA国家的优先级地区的优先级规定，是非福尔马斯主义框架。此框架允许公用事业，健康和其他重要的社会价值/属性/属性输入规范性SWF。有人认为，这种框架应该由决策者和社区代表的成员统一地和同时指定。社区代表应该被认为是确定的资源的合法索赔人，因此应该被允许在指定SWF中的论据以及将其权重附加到所述论据中的权重。这意味着决策中的选项选项应该专注于最大化的利益，并尽量减少框架中所述的机会。

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