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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

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Surveillance and control of Anopheles stephensi: country experiences

World Health Organization WHO (2024) C_WHO

Anopheles stephensi is an invasive mosquito species which has been found spreading across Africa. While this species presents a new challenge for malaria control on the continent, its surveillance and management have been ongoing in Asia for many years. This document aims to summarize key lessons fr... more

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Live life : Guide pratique pour la prévention du suicide dans les pays

World Health Organisation (WHO) (2022) C_WHO

Plus de 700 000 personnes perdent la vie par suicide chaque année. La réduction d’un tiers du taux mondial de mortalité par suicide d’ici à 2030 est à la fois un indicateur et une cible (la seule pour la santé mentale) dans les objectifs de développement durable des Nations Unies et dans ... more

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Gestión del estrés en trabajadores humanitarios

Antares Foundation (2012) C1

Guía de buenas prácticas.Tercera edición Las directrices se organizan en torno a ocho principios clave que corresponden al curso del contrato de un funcionario. El diagrama adjunto representa los principios de forma visual. Cada principio cuenta con indicadores y comentarios de apoyo, así como ... more

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Regional Situation Report for Syria Crisis Issue No. 92 April 1-30 2020

United Nations Population Fund UNFPA (2020) C1

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Ara Bilgilendirme Notu - COVID-19 Salgininin ruh sağlığı ve psikososyal eltkenler acisindan ele alinmasi - Versiyon 1.5

IASC Reference Group on Mental Health and Psychosocial Support in Emergency Settings; OCHA Services (2020) C2

Kuruluşlararası Daimî Komite (IASC) Acil Durumlarda Ruh Sağlığı ve Psikososyal Destek Referans Grubu

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Community-based psychosocial support - Voluneer Manual

International Federation of Red Cross and Red Crescent Societies IFRC (2023) CC

The* Facilitator manual on community-based psychosocial support *and the* Volunteers manual on community-based psychosocial support* provides resources for trainers and participants in key aspects of psychosocial support, including understanding the impact of crisis events, supportive communication,... more

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Cameroon 2022 Humanitarian Response Plan

Office for the Coordination of Humanitarian Affairs OCHA (2022) CC

In 2021, the humanitarian community continued to support those in need, placing protection at the centre of its response. Learning from and building on past efforts, humanitarian actors will continue to respond and adapt their response to the various shocks impacting populations in Cameroon, such as... more

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Enhancing Mental Health and Psychosocial Support Capacity in Low Resource Settings

Wendy Ager, Yvonne Sliep and Reem Ibrahim Ahmed, et al. War Trauma Foundation, Ahfad University for Women; et al. (2015) C1

From Individual to Collective healing: A trainer’s manual

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Missed: Polio Communications Quarterly Update – October 2012

United Nations Children’s Fund (UNICEF) UNICEF (2012)

With a focus on Pakistan and Nigeria’s most vulnerable communities, this report provides insight about the role that community push-back is playing in the transmission of the polio virus and how the Global Polio Eradication Initiative (GPEI) can mitigate these social risks to reach every missed ch... more

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A Decade of Tracking Progress for Maternal, Newborn and Child Survival: The 2015 Report

United Nations Children’s Fund (UNICEF), World Health Organization (WHO) (2015)

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Vaccination and trust: how concerns arise and the role of communication in mitigating crises

World Health Organization WHO, Regional Office of Europe (2021) C_WHO

When situations occur in which unwanted events are rightly or wrongly connected with vaccination, they may erode confidence in vaccines and the authorities delivering them. This document presents the scientific evidence behind WHO’s recommendations on building and restoring confidence in vaccines ... more

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Listen and Learn: Participatory Assessment with Children and Adolescents

UNHCR (2012)

Participatory Assessment with Children and Adolescents. An UNHCR Tool for Operations

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Sexual and Reproductive Health for HIV-Positive Women and Adolescent Girls

Engender Health, ICW (2006)

Manual for Trainers and Programme Managers

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Aktualisierung der Meningokokken-Impfempfehlung: Anwendung des Meningokokken-B-Impfstoffs bei Personen mit erhöhtem Risiko für Meningokokken-Erkrankungen

Robert-Koch-Institut RKI (2015) C1

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Evaluation of WHO's contribution to maternal health in the South-East Asia Region

World Health Organization (WHO), Regional Office for South-East-Asia (2016) C_WHO

The Report describes the evaluation of WHO's contribution to the Maternal Health Program in South-East Asia Region. This was an independent evaluation conducted in 2015 by Amaltas, a Delhi based organization. The evaluation highlights the progress in five countries, namely Bangladesh, Indonesia, Mya... more

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CONTACT - A publication of the World Council of Churches: COMMUNITY BASED REHABILITATION

World Council of Churches (2001) C2

Contact No 175 - October December 2001

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WHO guideline on health policy and system support to optimize community health worker programmes
recommended

World Health Organization WHO (2018) C_WHO

The guideline uses state-of-the-art evidence to identify effective policy options to strengthen community health worker (CHW) programme performance through their proper integration in health systems and communities. Successful delivery of services through CHWs requires evidence-based models for edu... more

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Pesticides and their application for the control of vectors and pests of public health importance

World Health Organization WHO (2006) C_WHO

For the control of vectors and pests of public health importance. Sixth edition

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Water, Sanitation and Hygiene: The foundation for building resilience in climate‑vulnerable communities

Omasete J., Forster J., Geere J., et al. Water Aid (2022) CC

This report, which involved input from across WaterAid, in particular from the Programme Support Unit (PSU) of WaterAid UK, includes case studies from a variety of countries, including Bangladesh, Burkina Faso, Eswatini, Ethiopia, Ghana, India and Nepal, each demonstrating what must be done now to i... more

WHO guideline on health policy and system support to optimize community health worker programmes recommended

WHO guideline on health policy and system support to optimize community health worker programmes
recommended