the aid library

LIST OPTIONS

Filter

7740

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 (146)

View PDF (123)

National Tuberculosis And Leprosy Programme: Annual Report 2021

Ministry of Health Zambia (2021) CC

Zambia has completed the implementation of the National TB Strategic Plan (2017-2021) that set in motion the TB elimination agenda in Zambia through coordinated and accelerated TB response. During this period, the National TB and Leprosy Programme (NTLP) registered tremendous success. The NTLP is ... more

Download (92)

View PDF (75)

Rwanda Malaria Strategic Plan 2020–2024

Ministry of Health, Rwanda; Rwanda Biomedical Centre (RBC) Ministry of Health, Republic of Rwanda (2020) C2

The Rwanda Malaria Strategic Plan 2020–2024 outlines Rwanda’s national strategy to reduce malaria morbidity and mortality by at least 50% compared to 2019 levels. The vision is a malaria-free Rwanda contributing to socioeconomic development. The plan includes strengthening prevention through lo... more

Download (95)

View PDF (90)

Access to safe, effective and quality-assured health products and technologies

World Health Organization WHO (2025) C_WHO

Access to safe, effective and quality-assured health products and technologies is crucial for achieving universal health coverage and primary health care goals. The continued growth of the aging population; increasing burden of noncommunicable diseases; growing burden of mental health issues; climat... more

Download (195)

View PDF (51)

Issue Brief: Update on TB 2025

The MEDBOX Team (2025) CC

Tuberculosis (TB) remains a significant global health challenge, with an estimated annual death rate of approximately one per 100,000 people in countries with low TB prevalence. Rapid reductions in TB cases and deaths worldwide depend on research breakthroughs, including the development of new vac... more

Download (338)

View PDF (559)

Children’s Mental Health Research: Quarterly - Helping Children Overcome Trauma

Children’s Health Policy Centre (2011) C2

Vol. 5, No. 3 - 2011 | The Quarterly provides summaries of the best available research evidence on a variety of children’s mental health topics, prepared using systematic review and synthesis methods adapted from the Cochrane Collaboration and Evidence-Based Mental Health. Our goal is to improve ... more

Download (303)

View PDF (418)

IOM Continental Strategy for Africa 2020–2024

International Organization for Migration IOM (2020) C1

Intra-African migration remains a dominant trend in contemporary African migration. The Strategy frames the Organization’s new orientation with Africa at policy and strategic levels. It is consistent with the goals and objectives of the Global Compact for Safe, Orderly and Regular Migration (GCM) ... more

External Link

Antimicrobial Resistance: Challenges and Perspectives

Doyle, M.P.; G. H. Loneragan, H. M. Scott et al. (2006) C2

Comprehensive Reviews in Food Science and Food Safety, Vol.12 (2013) pp.234-248 In 2006, the Institute of Food Technologists (IFT) published an Expert Report entitled “Antimicrobial Resistance: Implications for the Food System” (IFT 2006). That report summarized current scientiﬁc knowledge pe... more

ACT-Accelerator Investment Case

World Health Organization (WHO) World Health Organization (WHO) (2020) CC

This document is intended for countries, foundations, and civil society. It provides a consolidated overview of the Access to COVID-19 Tools (ACT) Accelerator, its goals, and the investments that partners have calculated are required to carry out its mission. Emergency responses are dynamic by natur... more

Download (355)

View PDF (586)

Progress on household drinking water, sanitation and hygiene 2000-2020: Five years into the SDGs

World Health Organization WHO; UNICEF (2021) C_WHO

The Joint Monitoring Programme (JMP) report – Progress on household drinking water, sanitation and hygiene 2000 - 2020 – presents estimates on household access to safely managed drinking water, sanitation and hygiene services over the past five years, and assesses progress toward achieving the s... more

Download (322)

View PDF (292)

Strengthening genocide prevention through education in Africa: policy brief

UN Educational, Scientific and Cultural Organization UNESCO (2023) CC

African countries, like many regions of the world, are affected by the legacy of atrocity crimes. Genocide, the transatlantic slave trade and slavery, colonialism and post-independence violence committed during dictatorships, not to mention civil war and violent extremism, have severely violated hum... more

Download (1410)

View PDF (2738)

Potential Ebola Therapies and Vaccines

World Health Organization (2014)

This document builds on the Background document prepared for the September 4-5, 2014 Consultation. It includes proposed elements to consider during the development of a framework to assist decision-making at global and national level. The aim of the document is to assist Member States and releva... more

Download (240)

View PDF (331)

Implementation roadmap 2023–2030 for the Global action plan for the prevention and control of NCDs 2013–2030

World Health Organization (WHO) World Health Organization (WHO) (2024) C_WHO

The World Health Organization (WHO) has developed the "Implementation Roadmap 2023–2030" to advance the Global Action Plan for the Prevention and Control of Noncommunicable Diseases (NCDs) 2013–2030. This roadmap addresses the recommendations from the mid-term evaluation of the original action p... more

Download (245)

View PDF (247)

Global Hunger Crisis: Guatemala, Honduras, and Ecuador

Care (2022) CC

Climate change, conflict, COVID-19, and gender inequality impacts food security globally. Together with the Ukraine conflict, the food crisis across the world is worsening. UN Women’s Zero Hunger Sustainable Development Goal Map shows that 49.7% of people are facing moderate or severe food insecur... more

Download (489)

View PDF (853)

Social Impact Assessment of Livelihood Promotion Programmes in Coastal Kenya - Advocacy Brief

Yvonne Kuhnke, Sellah Lusweti, Prof. Halimu Shauri & Elisabeth Wacker Technical University of Munich & CBM (2016) C1

This exploratory study carried out in Coastal Kenya by TUM - funded and supported by CBM – draws attention to monetisable social factors in the measurement of impacts of livelihood promotion. When NGOs in development cooperation try to capture the effects of livelihood promotion programmes for the... more

Download (441)

View PDF (618)

Namibia (Equity Profile)

Maternal and Child Survival Program (MCSP) (2017) C2

This profile presents an overview of the current equity in the coverage of key reproductive, maternal, and child health interventions in Namibia. | The United States Agency for International Development’s (USAID) Bureau for Global Health’s flagship Maternal and Child Survival Program (MCSP) focu... more

External Link

Biorisk reduction

World Health Organization WHO (2025) C_WHO

Biorisk reduction combines expertise and advice on high consequence pathogens with guidance and training on safe handling and control of disease agents that pose significant health risks, with potential for adverse economic impact and public concern. Biorisk management includes analysis of ways a... more

Download (768)

View PDF (1240)

2018 Global reference list of 100 core health indicators (‎plus health-related SDGs)‎

World Health Organization WHO (2018) C_WHO

The Global Reference List of 100 Core Health Indicators is a standard set of core indicators prioritized by the global community to provide concise information on the health situation and trends, including responses at national and global levels. This second (2018) edition builds on the previous ... more

Download (397)

View PDF (442)

Circular Economy and Health: Opportunities and Risks

World Health Organisation WHO (2018) C_WHO

The extensive use of natural resources threatens to exceed the carrying capacity of the Earth. The concept of a circular economy offers an avenue to sustainable growth, good health and decent jobs, while saving the environment and its natural resources. Further, the change from a linear economy (t... more

Download (393)

View PDF (606)

Global report on health equity for persons with disabilities

World Health Organization WHO (2022) C_WHO

An estimated 1.3 billion people – or 16% of global population worldwide – experience a significant disability today. Persons with disabilities have the right to the highest attainable standard of health as those without disabilities. However, the WHO Global report on health equity for persons w... more