the aid library

LIST OPTIONS

Filter

3978

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 (135)

View PDF (99)

Conditioned Domestic “Co-financing” Policies in Global Health

Sparkes S., Yungrattanachai M., Fan V., et al. Center for Global Development (2024) CC

Conditioned domestic financing policy, referring to the domestic financing of health projects, programs, and national responses conditioned by global health funding agencies and recipient country governments, is one mechanism to promote sustainability and country ownership. We aim to understand how ... more

Download (126)

View PDF (101)

Financing the Pandemic Cycle: Prevention, Preparedness, Response, and Recovery and Reconstruction

Fan V. Y., Kim S., Pineda D., et al. Center for Global Development (2024) CC

The COVID-19 pandemic exposed critical gaps in the global response to health crises, particularly in the financing of pandemic prevention, preparedness, response, recovery, and reconstruction. This chapter presents a comprehensive framework for pandemic financing that spans the entire pandemic cycle... more

Download (29)

View PDF (24)

ECSA report. Eastern, Central and Southern African Region - Education and Labor Markets for Nurses

World Bank Group; International Council of Nurses (2021) CC2

Challenges and Opportunities. This report presents a comprehensive assessment of the education and labor markets for nurses in the ECSA region. It documents the main challenges to train and deploy nurses and discusses opportunities for government and private sector employers to overcome these chall... more

Download (20)

View PDF (16)

Evaluatin of the Namibian Community Health Workers Programme

UNICEF; USAID; Maternal and Child Survival Program (2017) C_UNICEF

In 2008 the Ministry of Health and Social Services (MOHSS) commissioned a national health and social service system review which found that although some progress has been made in primary health care, provision of health services did not go beyond the health facilities, irrespective of the fast dist... more

Download (28)

View PDF (22)

Theory of Change

Nutrition and Food Security Alliance of Namibia; UNFPA; UNICEF; et al. (2020) CC2

Early Identification and Early Intervention Services for Young Children with Developmental Delays and Disabilities in Namibia Republic of Namibia Namibia Regional Consultations Report

Download (28)

View PDF (19)

Namibia Country Operational Plan 2022 Strategic Direction Summary April 21 2022

U.S. President's Emergency Plan for AIDS Relief (2022) CC2

Namibia is estimated to be at 94-97-93 as defined by the UNAIDS 95-95-95 treatment cascade, one of the first high burden countries to approach epidemic control. COP22 is about sustaining the impact of years of investment and partnership with the Namibian government and other stakeholders by employin... more

Download (40)

View PDF (27)

Basic malaria microscopy. Part II: Tutor's Guide

World Health Organization WHO (2020) C_WHO

This second edition of the Basic Malaria Microscopy package is a stand-alone product, providing all that is needed to conduct a complete training course

Download (312)

View PDF (371)

Global Policy Opportunities for Planetary Health

Panorma Perspectives (2017) C2

A Review of Existing Policy Frameworks. Report III Conversations on Planetary Health

Download (1099)

View PDF (1440)

Safe Male Circumcision Community Mobilization Training. A Guide for facilitators in Uganda

Safe Male Circumcision; Ministry of Health Uganda (2011) C1

Download (283)

View PDF (319)

Managing Drug Interactions in the Treatment of HIV-Related Tuberculosis (CDC)

Centers for Diseases Control and Prevention (2019) C_CDC

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Tuberculosis Elimination Accessed: 08.10.2019

Download (294)

View PDF (274)

Situation Analysis and Recommendations: Antibiotic Use and Resistance in Nepal

Nepal Public Health Foundation (2015) C2

Antibiotic resistance is no longer a concern for the distant future but is a pressing issue, both globally and in Nepal. As part of global effort to preserve the effectiveness of antibiotics, the Global Antibiotic Resistance Partnership (GARP)-Nepal was established to doc... more

Download (228)

View PDF (252)

Guideline for the Prevention of Mother to Child Transmission of Communicable Infections

Department of Health, Republic of South Africa (2019) CC

Download (996)

View PDF (2665)

Gender-based violence and child protection among Syrian refugees in Jordan, with a focus on early marriage

UNWomen (2013)

Findings from this report reveal that, rates of early marriage are high, a significant percentage of children contribute to the household’s income or are its main source of income, and restrictions on the mobility of women and girls constrain their participation in social and economic activities a... more

Download (360)

View PDF (359)

Manual for male circumcision under local anaesthesia and HIV prevention services for adolescent boys and men
recommended

World Health Organization WHO (2018) C_WHO

External Link

Comprehensive Guidelines for Prevention and Control of Dengue and Dengue Haemorrhagic Fever -Revised and expanded edition

World Health Organization WHO Regional Office for South-East Asia WHO Regional Office for South-East Asia (2011) CC

Revised and expanded version of the Guidelines

Download (664)

View PDF (913)

Supervision County-Level Policy and Procedure Manual: National Decentralized Management Support Systems Implementation Strategy & Plan

Ministry of Health and Social Welfare, Liberia; USAIDS BASICS Project (2009) C1

Download (3229)

View PDF (2479)

Fertilizing Crops to Improve Human Health: A Scientific Review

IPNI, IFA International Plant Nutrition Institute, International Fertilizer Industry Association (2012) C1

- The Role of Plant Nutrition in Supporting Food Security - Micronutrient Malnutrition: Causes, Prevalence, Consequences and Interventions - Fertilizer Application and Nutraceutical Content in Health-Functional Foods - Plant Nutrition and Health Risks Associated with Plant Diseases - Human Heal... more

Download (2472)

View PDF (1415)

Food Security Program Lifecycle Toolkit

Food for the Hungry (2006) CC

It is our hope and prayer that the guidance and multiple tools provided herein to manage the entire lifecycle of a food security program are useful to our food security staff, our local partners, and our fellow international Cooperating Sponsors throughout the world.

Download (234)

View PDF (238)

Snapshot report: The state of communication, community engagement and accountability across the Ukraine response (30 September 2022)

CDAC Network Reliefweb OCHA Services (2022) C2

Since the first edition of the CDAC snapshot of communication, community engagement and accountability (CCEA) across the Ukraine response was published in May 2022, a conscious effort has been made by international, national and local responders to ramp up CCEA action. Progress has been made in esta... more

Manual for male circumcision under local anaesthesia and HIV prevention services for adolescent boys and men recommended

Manual for male circumcision under local anaesthesia and HIV prevention services for adolescent boys and men
recommended