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Home - Medicine - Building self-reliance in Africa’s health systems

Medicine

Building self-reliance in Africa’s health systems

Last updated: January 23, 2026 9:23 pm
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Contents
  • Building self-reliance in Africa’s health systems
  • Mapping the legal fight against wage theft in US cities

A commentary in JAMA Health Forum warns that upcoming Supreme Court decisions in 2026 could significantly damage public health infrastructure. The analysis suggests potential rollbacks in areas critical to population health, including vaccination mandates, firearms control legislation, and the legal rights of sexual minority individuals. This judicial shift poses a direct challenge to evidence-based public health policy and its legal foundations.

Why it might matter to you:
The legal landscape directly shapes the policy environment in which nutrition and public health interventions are implemented. A contraction of public health authority could constrain the tools available for addressing diet-related diseases and food insecurity at a population level. For an economist in this space, it signals increased importance in building resilient, evidence-based arguments for interventions that may face heightened judicial scrutiny.


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Building self-reliance in Africa’s health systems

An editorial in Nature Health argues that African nations must prioritize developing homegrown health intervention programmes to achieve sustainable healthcare. The core thesis is that reliance on external funding creates vulnerability to economic and political shocks. Investing in locally developed and managed programmes is presented as a strategic imperative for long-term health security and equity across the continent.

Why it might matter to you:
This macro-level perspective on health system financing and governance has clear parallels for nutrition policy. It underscores the importance of designing food and nutrition programmes that are financially and politically sustainable within local contexts, rather than dependent on volatile external aid. For a public health nutritionist, it reinforces the need to integrate economic resilience into the planning of large-scale nutritional interventions.


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Mapping the legal fight against wage theft in US cities

Research published in the American Journal of Public Health provides a systematic mapping of wage theft laws in the 40 largest US cities. Wage theft—the illegal underpayment or non-payment of earned wages—disproportionately affects low-income workers. This study catalogues the existing legal frameworks designed to protect this vulnerable population, offering a baseline analysis of policy tools aimed at curbing economic exploitation.

Why it might matter to you:
Economic security is a fundamental social determinant of health and nutrition. Policies affecting income, like those against wage theft, directly influence a household’s ability to afford nutritious food. This research provides a methodological example of policy surveillance that could be adapted to map city-level food policies, such as sugary drink taxes or healthy food financing initiatives, which are often implemented at the municipal level.


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