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The social determinants of health in Africa from a political economy perspective: an exploratory contribution

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  • Bruno Boidin

    (CLERSÉ - Centre Lillois d’Études et de Recherches Sociologiques et Économiques - UMR 8019 - Université de Lille - CNRS - Centre National de la Recherche Scientifique)

Abstract

This article investigates the shortcomings in the implementation of an approach based on the social determinants of health in sub-Saharan Africa. This approach is extended by looking at health and development from a political economy perspective. This perspective acknowledges the non-linear nature of the political decision-making process and the absence of any institutional ideal type. The notion of institutional complementarities is used to investigate the deficiencies in this area in sub-Saharan Africa. It will be shown that the health programmes are based on a rationalist postulate and vertical concept of the problems. They are reflected in low levels of institutional complementarity. The article's contribution to the literature rests on its use of an expanded political economy perspective to help bridge the gap between public health and analyses of public policy.

Suggested Citation

  • Bruno Boidin, 2020. "The social determinants of health in Africa from a political economy perspective: an exploratory contribution," Working Papers hal-02555436, HAL.
    • Handle: RePEc:hal:wpaper:hal-02555436
    Note: View the original document on HAL open archive server: https://hal.univ-lille.fr/hal-02555436
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    References listed on IDEAS

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    1. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7097, eSocialSciences.
    2. Juliette Alenda-Demoutiez & Bruno Boidin, 2019. "Community-based mutual health organisations in Senegal: a specific form of social and solidarity economy?," Review of Social Economy, Taylor & Francis Journals, vol. 77(4), pages 417-441, October.
    3. Oliver E. Williamson, 2000. "The New Institutional Economics: Taking Stock, Looking Ahead," Journal of Economic Literature, American Economic Association, vol. 38(3), pages 595-613, September.
    4. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
    5. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7222, eSocialSciences.
    6. Philip Kinghorn, 2015. "Exploring Different Interpretations of the Capability Approach in a Health Care Context: Where Next?," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 16(4), pages 600-616, November.
    7. Ramiah, Ilavenil & Reich, Michael R., 2006. "Building effective public-private partnerships: Experiences and lessons from the African Comprehensive HIV/AIDS Partnerships (ACHAP)," Social Science & Medicine, Elsevier, vol. 63(2), pages 397-408, July.
    8. Shigeru Otsubo, 2002. "Working Paper 61 - Linking Africa to a Changing World," Working Paper Series 195, African Development Bank.
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