the aid library

LIST OPTIONS

Filter

2241

Development Finance at a Turning Point: Effects and Policy Recommendations

Berensmann K., Laudage Teles S., Sommer C., et al. German Institute of Development and Sustainability (IDOS) (2023) CC

Development finance is at a turning point, as the macroeconomic environment has changed profoundly and the financing gap for low- and middle-income countries has widened. The events that led to this new situation are the multiple crises that the global economy is facing, such as the climate crisis, ... more

Download (267)

View PDF (219)

Africa’s Health Financing in a New Era

Africa Centres for Disease Control and Prevention (Africa CDC) (2025) CC

Africa’s health sector is facing an unprecedented financing crisis, driven by a sharp decline of 70% in Official Development Assistance (ODA) from 2021 to 2025 and deep-rooted structural vulnerabilities. This collapse is placing immense pressure on Africa’s already fragile health systems as ODA ...is seen as the backbone of critical health programs: pandemic preparedness, maternal and child health services, disease control programs are all at risk, threatening Sustainable Development Goal 3 and Universal Health Coverage. Compounding this is Africa’s spiraling debt, with countries expected to service USD 81 billion by 2025—surpassing anticipated external financing inflows—further eroding fiscal space for health investments. Level of domestic resources is low. TThe Abuja Declaration of 2001, a pivotal commitment made by African Union (AU) member states, aimed to reverse this trend by pledging to allocate at least 15% of national budgets to the health sector. However, more than two decades later, only three countries—Rwanda, Botswana, and Cabo Verde—have consistently met or exceeded this target (WHO, 2023). In contrast, over 30 AU member states remain well below the 10% benchmark, with some allocating as little as 5–7% of their national budgets to health. In addition, only 16 (29%) of African countries currently have updated versions of National Health Development Plan (NHDP) supported by a National Health Financing Plan (NHFP). These two documents play a critical role in driving internal resource mobilisation. At the same time, public health emergencies are surging, rising 41%—from 152 in 2022 to 213 in 2024—exposing severe under-resourcing of health infrastructure and workforce. Recurring outbreaks (Mpox, Ebola, cholera, measles, Marburg…) alongside effects of climate change and humanitarian crises in Eastern DRC, the Sahel, and Sudan, are overwhelming systems stretched by chronic underfunding. The situation is worsened by Africa’s heavy dependency with over 90% of vaccines, medicines, and diagnostics being externally sourced—leaving countries vulnerable to global supply chain shocks. Health worker shortages persist, with only 2.3 professionals per 1,000 people (below the WHO’s recommended 4.45), and fewer than 30% of systems are digitized, undermining disease surveillance and early warning. Without decisive action, Africa CDC projects the continent could reverse two decades of health progress, face 2 to 4 million additional preventable deaths annually, and a heightened risk of a pandemic emerging from within. Furthermore, 39 million more Africans could be pushed into poverty by 2030 due to intertwined health and economic shocks. This is not just a sectoral crisis—it is an existential threat to Africa’s political, social, and economic resilience, and global stability. In response, African leaders, under Africa CDC’s stewardship, are advancing a comprehensive three-pillar strategy centered on domestic resource mobilization, innovative financing, and blended finance. more

Download (231)

View PDF (176)

Health for All – transforming economies to deliver what matters: Final report of the WHO Council on the Economics of Health for All

World Health Organization (WHO) (2023) CC

The Council was established in late 2020 by Dr Tedros Adhanom Ghebreyesus (Director-General, WHO) to provide new economic thinking – reassessing how health and wellbeing are valued, produced and distributed across the economy. An all-female group of 10 distinguished economists and area experts, t... more

Download (181)

View PDF (193)

Health Taxes in the Polycrisis Era

Klemperer K., Baker P. Center for Global Development (2024) CC

In 2019, the Task Force on Fiscal Policy for Health concluded that taxes on tobacco, alcohol, and sugar-sweetened beverages were a highly effective but greatly underused policy tool to reduce consumption, save lives, and raise domestic resources. The Task Force estimated that if all countries increa... more

Download (197)

View PDF (146)

Political economy analysis for health financing: A ‘how to’ guide

World Health Organization (WHO) (2024) CC

This Guide is part of WHO’s overall programme of work on Political Economy of Health Financing Reform: Analysis and Strategy to Support UHC. The impetus for this work came from demands for more concrete evidence, recognition and integration of political economy issues within health financing, and... more

Download (234)

View PDF (207)

Regional Child Protection Operational Note

International Organization for Migration (IOM) (2025) C2

The Regional Child Protection Operational Note has been developed by IOM and UNICEF’s Regional and Country Offices in North, West and Central Africa as a collaborative inter-agency and cross-regional endeavour within the framework of the sixth phase of the IOM Regional Development and Protection P... more

Download (244)

View PDF (106)

A toolkit for mass distribution campaigns to increase coverage and use of long-lasting insecticide-treated nets: Communication

The Alliance for Malaria Prevention AMP (2021) CC

This chapter of the AMP LLIN Mass Campaign Toolkit outlines the strategic communication approaches that are essential before, during and after long-lasting insecticide-treated net (LLIN) distribution campaigns. It emphasises the importance of setting up a national communications sub-committee under ... more

Download (204)

View PDF (187)

Sustaining priority services for HIV, viral hepatitis and sexually transmitted infections in a changing funding landscape - Operational guidance

World Health Organization WHO (2025) C_WHO

This operational guidance provides a structured approach to support countries in sustaining priority services for HIV, viral hepatitis and sexually transmitted infections in the context of reduced external funding. The guidance is intended for national governments, public health programmes, communit... more

Download (66)

View PDF (53)

Guidelines for Ensuring Patient Access to, and Safe Management of, Controlled Medicines

African Palliative Care Association APCA (2010) C2

These guidelines have been developed in simple, user-friendly language and they explain the procedures for patients’ access to and the safe management of Schedule I and II drugs that are necessary for the treatment and relief of moderate to severe pain. They provide both procedures for acquisition... more

Download (36)

View PDF (23)

United Nations Disaster Assessment and Coordination UNDAC Handbook- Full Version

United Nations UN (2024) C_UNICEF

Full Version

Download (62)

View PDF (48)

Catalyzing solutions for equitable global access and sustainable financing for novel tuberculosis vaccines for adults and adolescents

World Health Organization WHO (2025) C_WHO

This report was developed by the WHO TB Vaccine Accelerator Finance and Access working group, co-led by WHO, Gavi and the Government of South Africa. It sets out the working group’s shared vision for equitable access to novel TB vaccines and will advance a shared understanding of the current lands... more

Download (867)

View PDF (1211)

Rapport de l'enquête annuelle GPRHCS - edition 2015

Ministère de la Santé Publique et de la Population, UNFPA (2015) CC

Download (293)

View PDF (595)

Global leprosy (‎Hansen disease)‎ update, 2023: Elimination of leprosy disease is possible – Time to act!

World Health Organization World Health Organization WHO (2024) C_WHO

English and French. WEEKLY EPIDEMIOLOGICAL RECORD, NO 37, 13 SEPTEMBER 2024, 505-524

Download (1118)

View PDF (857)

La cartographie du Déploiement des Services de Planification Familiale en République Démocratique du Congo

Programme Intégré de Santé de Reproduction et Familiale (PISRF) (2013) C1

External Link

The African Union´s challenges - Central Africa Republic

International Crisis Group International Crisis Group (2019)

4. Central African Republic Clashes throughout 2018 in the capital Bangui and a number of major towns illustrate the deadly threat posed by armed groups – a mix of pro-government militias, ex-rebels, bandits and local “self-defence” units – that control much of the countr... more

Download (362)

View PDF (491)

Vers la Couverture Maladie Universelle au Bénin

Jean-Claude Agnila, Coffi Agossou, Julien Aissan et al. (2013) C1

Le gouvernement du Bénin a engagé le processus de mise en oeuvre du RAMU dans le but d’améliorer l’accessibilité fi nancière des populations à un paquet de base de soins de santé de qualité. Commencées en 2008, la réflexion, la préparation et la mise en oeuvre du RAMU au Bénin ont fa... more

Download (617)

View PDF (494)

Diagnostic Local Participatif sur les Personnes Handicapees ...

Handicap international (2012) C2

La présente étude a permis, non seulement de mieux connaître les différents acteurs de la ville de Cotonou sur la thématique du handicap, mais également de mettre en lumière les actions qu’ils mènent. La problématique du handicap est mal connue dans la ville de Cotonou : pas de statist... more

External Link

Problem and pro-social behavior among Nigerian children with intellectual disability: the implication for developing policy for school based mental health programs

Bakare, M.O., Ubochi, V.N., Ebigbo, P.O. and Orovwigho, A.O. Italian Journal of Pediatrics (2010) CC

Download (314)

View PDF (568)

Suivi de la Situation des Enfants et des Femmes - Rapport Final

Institut Centrrafricain des Statistiques et des Etudes Economiques et Sociales (ICASEES) (2009) C1

Résultats de l’enquête nationale à indicateurs multiples couplée avec la sérologie VIH et anémie en RCA 2006