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<p>Brain health is central to Africa’s development, but current financing and policy frameworks remain poorly matched to the scale and distribution of need. Upstream economic risks, such as poverty, inequality, food insecurity, unemployment and fiscal constraints, shape neurodevelopment and later-life vulnerability through linked pathways, including prenatal stress, undernutrition, disrupted schooling, chronic psychosocial stress and reduced access to prevention and care. A lifecourse policy package can build brain capital through cash transfers, school feeding programmes, unemployment grants, social pensions and sovereign debt relief. These levers can improve brain health by stabilizing household resources, enabling investments in education and healthcare, lowering stress exposure and supporting cognitive reserve and resilience. Drawing on comparative lessons from Latin America, we propose an integrated, culturally responsive and intergenerational agenda that embeds social welfare policies into brain health promotion strategies to interrupt the transmission of economic risk across generations.</p>

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Economic interventions for lifecourse brain health in Africa

  • 期刊论文

  • 发表日期：

    2026年7月27日

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  • Cyprian M. Mostert,
  • Chinedu Udeh-Momoh,
  • Eoin Cotter,
  • Zul Merali,
  • Connor McLaughlin,
  • Drew Holzapfel,
  • George Vradenburg,
  • Harris Eyre,
  • Mohamed Salama,
  • Graham Fieggen,
  • Shehzad Ali,
  • Najat EL Mekkaoui,
  • Kelly Atkins,
  • Kimberley Benjamin,
  • Sam Nightingale,
  • Loretta Norton,
  • Rachel Maina,
  • Will Dean,
  • Grant Longwe,
  • Chukwudi Okoye,
  • Alfred K. Njamnshi,
  • Sigal Maya,
  • James G. Kahn,
  • Angela E. Apeagyei,
  • Adesola Ogunniyi,
  • Maria Lina Kambongi,
  • Mary Bitta,
  • Tholene Sodi,
  • Rym Ayadi,
  • Temitope Farombi,
  • John-Paul Omuojine,
  • Tuan Anh Nguyen,
  • Damián Dellavale,
  • Manasi Kumar,
  • Tiago Azzi,
  • David Andai,
  • Joaquin Migeot,
  • Dominic Trepel,
  • John E. Ataguba,
  • Agustin Ibanez

摘要

Brain health is central to Africa’s development, but current financing and policy frameworks remain poorly matched to the scale and distribution of need. Upstream economic risks, such as poverty, inequality, food insecurity, unemployment and fiscal constraints, shape neurodevelopment and later-life vulnerability through linked pathways, including prenatal stress, undernutrition, disrupted schooling, chronic psychosocial stress and reduced access to prevention and care. A lifecourse policy package can build brain capital through cash transfers, school feeding programmes, unemployment grants, social pensions and sovereign debt relief. These levers can improve brain health by stabilizing household resources, enabling investments in education and healthcare, lowering stress exposure and supporting cognitive reserve and resilience. Drawing on comparative lessons from Latin America, we propose an integrated, culturally responsive and intergenerational agenda that embeds social welfare policies into brain health promotion strategies to interrupt the transmission of economic risk across generations.