the aid library

LIST OPTIONS

Filter

4064

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 (10)

View PDF (9)

The cost of austerity: The toll of IMF conditionalities on access to health in Zambia

Make Way, Wemos (2024) CC

Zambia is facing a severe economic crisis marked by high inflation, increasing poverty and a heavy debt burden that is straining both its fiscal stability and progress in health outcomes. By 2020, the country's external debt reached United States dollars (USD) 12.7 billion, representing 108% of the ... more

Download (15)

View PDF (12)

Health Financing Progress Matrix assessment, Kenya 2023: summary of findings and recommendations

Kenya Ministry of Health, World Health Organization (WHO) (2024) CC

This comprehensive HPFM report thoroughly explores Kenya’s health financing landscape. It provides an in-depth analysis of the current state of affairs and sheds light on required strategic changes in health financing. The report points out the need to improve public financial management within th... more

Download (341)

View PDF (399)

Knowledge guide to support the operationalization of the Refugee and migrant health: Global Competency Standards for health workers

World Health Organization WHO (2021) C_WHO

The Knowledge Guide provides guidance on how health workers can apply the Standards to their own practice. For each of the nine competencies and their specific behaviours in the Standards, the Knowledge Guide examines in detail how a health worker's knowledge, skills and attitudes can reach the stat... more

Download (177)

View PDF (303)

La profession infirmière, une voix faite pour diriger

Conseil international des Infirmières (CII) (2022) C1

Ces deux dernières années, les infirmières et les autres professionnels de santé ont été fortement exposés à la COVID-19, le manque de protection, de vaccination en temps opportun et de soutien requis pour travailler dans un cadre sûr et sain étant des facteurs aggravants. En outre, les i... more

Download (323)

View PDF (343)

Rwanda 2014-15 Demographic and Health Survey - Key Findings

National Institute of Statistics of Rwanda (NISR) [Rwanda], Ministry of Health (MOH) [Rwanda], and ICF International (2016) C2

This report provides an overview of the Key findings of the Rwanda 2014-2015 Demographic and Health Survey (RDHS). The 2014-15 Rwanda Demographic and Health Survey (RDHS) was designed to provide data for monitoring the population and health situation in Rwanda. The 2014-15 RDHS is the fifth Demogra... more

Download (260)

View PDF (349)

Public–private mix for TB prevention and care: a roadmap

World Health Organization WHO (2018) C_WHO

In 2017, 3.6 million of the estimated 10 million people with TB worldwide were “missed” by national TB programmes (NTPs). Two thirds of them are thought to access TB treatment of questionable quality from public and private providers who are not engaged by the NTP. The quality of care provided i... more

Download (11)

View PDF (8)

Global Health Financing in Turbulent Times: A Detailed Analysis of The Global Fund's Resource Mobilization and Recovery Efforts

Kiai G.N. Aidspan (2024) CC

This article provides an in-depth analysis of the Global Fund's strategic initiatives in resource mobilization and recovery amid global economic fluctuations and geopolitical challenges. It highlights the Fund's successful conversion of pledges and innovative financing models that ensure sustainable... more

Download (145)

View PDF (222)

National Training on Antimalarial Pharmaceuticals Management Participants Manual

Federal Democratic Republic of Ethiopia -Ministry of Health Federal Democratic Republic of Ethiopia -Ministry of Health (2018) C1

Download (867)

View PDF (1375)

Antimalarial drug policy for Ghana

Ministry of Health Ghana (2009) C1

Revised Edition

Download (485)

View PDF (283)

Stratégie technique mondiale de lutte contre le paludisme 2016-2030, édition 2021

Pedro Alonso, Kevin Baird, David Brandling-Bennett et al. World Health Organization (WHO) (2022) C_WHO

Download (296)

View PDF (226)

Terminologie OMS du paludisme, mise à jour 2021

Organisation Mondiale de la Santé OMS (2021) C_WHO

Ce glossaire actualisé sur le paludisme vise à améliorer la communication et la compréhension mutuelle au sein de la communauté scientifique, ainsi qu'avec les organismes de financement, les responsables de la santé publique chargés des programmes de lutte contre le paludisme et les décideur... more

Download (361)

View PDF (345)

Cadre pour l’élimination du paludisme

Organisation mondiale de la Santé (OMS) (2017) C_WHO

Le panorama du paludisme a profondement changé durant la dernière décénnie. Les financements ont augmenté, les outils permettant de sauver des vies ont été mis en œuvre à plus grande échelle, la charge du paludisme a diminué et un nombre grandissant de pays envisagent son élimination. C... more

Download (322)

View PDF (280)

Lignes directrices de l'OMS sur le paludisme
recommended

World Health Organization (WHO) (2022) C_WHO

Les Lignes directrices de l'OMS sur le paludisme rassemblent les recommandations les plus récentes de l'Organisation pour le paludisme dans une plateforme en ligne conviviale et facile à naviguer. Les Lignes directrices de l'OMS sur le paludisme remplacent 2 publications précédentes de l'OMS: l... more

Download (222)

View PDF (295)

Handbook for Integrated Vector Management in the Americas

Pan American Health Organization PAHO ; World Health Organization WHO (2019) C_WHO

This document compiles the recommendations made by the World Health Organization (WHO) and the Pan American Health Organization (PAHO) to help professionals in charge of vector control programs in Latin America and the Caribbean at the national, subnational, and local level update their knowledge in... more

Download (252)

View PDF (317)

Documento operacional para a execução do manejo integrado de vetores adaptado ao contexto das Américas

Pan American Health Organization PAHO ; World Health Organization WHO (2019) C_WHO

Este documento reúne um conjunto de recomendações formuladas pela OMS e pela OPAS para ajudar os profissionais responsáveis pelos programas de controle de vetores nas Américas em nível nacional, subnacional e local a se atualizarem e tomarem decisões baseadas em evidências sobre as medidas d... more

Download (278)

View PDF (288)

Documento operativo de aplicación del manejo integrado de vectores adaptado al contexto de las Américas

Pan American Health Organization PAHO ; World Health Organization WHO (2019) C_WHO

El presente documento reúne un conjunto de recomendaciones formuladas por la Organización Mundial de la Salud (OMS) y la Organización Panamericana de la Salud (OPS) para ayudar, a los profesionales encargados de los programas de control de vectores de Latinoamérica y el Caribe a nivel nacional, ... more