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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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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

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Health Taxes: A Compelling Policy for the Crises of Today

The Task Force on Fiscal Policy for Health Report 2024 Bloomberg (2024) CC

For this report, the Task Force commissioned additional background papers on health taxes to update the evidence, assess short-term revenue potential, and understand the role of health taxes in the current era of multiple crises. We find that health taxes continue to be underutilized despite th... more

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China’s hidden role in malaria control and elimination in Africa

Odhiambo J.N., Dolan C., Malik A.A., et al. BMJ Global Health (2023) CC

Insufficient funding is hindering the achievement of malaria elimination targets in Africa, despite the pressing need for increased investment in malaria control. While Western donors attribute their inaction to financial constraints, the global health community has limited knowledge of China’s ex... more

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Medical Record Documentation Standards and Performance Measures

Care First (2018) CC

Compliance with the standards is monitored as part of our Quality Improvement Program. Practitioner refers to physicians or other health professionals who provide health care services.

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Key Messages for Social Mobilization and Community Engagement in Intense Transmission Area. Themne

World Health Organization; UNCEF Translators without Borders (2014)

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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

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Is enough attention given to climate change in health service planning? An Australian perspective

Burton, A.; Bambrick, H.; Friel, S. (2014) CC

Within an Australian context, the medium to long-term health impacts of climate change are likely to be wide, varied and amplify many existing disorders and health inequities. How the health system responds to these challenges will be best considered in the context of existing health facilities and ... more

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LINEAMIENTOS PARA LA DETECCIÓN Y ATENCIÓN CLÍNICA INTEGRAL DEL SÍNDROME DE GUILLAIN - BARRÉ Y SÍNDROMES NEUROLÓGICOS ASOCIADOS CON ZIKA EN COLOMBIA

Colombia. Ministerio de Salud y Protección Social (2016) C1

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Principios de uso de medicación psicotrópica en niños y adolescentes

B. Vitiello IACAPAP (2016) C2

Introducción Capítulo A.7 Edición en español Editor: Juan José García-Orozco Traducción: Juan José García-Orozco y Carlos González Vivas Revisor de traducción: Laura Borredá Belda

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In all our Diversity 2015 Highlights

J. Bushee; R. Gustav; J.Hows; et al. GNP+ (Global Network of people living with HIV) (2016) C2

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Esquizofrenia y otros trastornos psicóticos de inicio temprano

Starling; J.; and I. Feijo IACAPAP (2018) C2

Otros trastornos Capítulo H.5 Edición: Matías Irarrázaval & Andres Martin Traducción: María Fernanda Prieto

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Considerações sobre a implementação e o ajuste de medidas de saúde pública e sociais no contexto da COVID-19 Orientação provisória 14 de junho de 2021

Organização Mundial da Saúde (OMS) OPAS (2021) CC

Considerations on the implementation and adjustment of public health and social measures in the context of COVID-19 Interim guidance 14 June 2021

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Sarampión: una enfermedad re emergente en Venezuela

Ana Carvajal, José Félix Oletta López, Alejandro Rísquez Sociedad Venezolana de Salud Pública (2017) C1

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Modelling interventions to control COVID-19 outbreaks in a refugee camp

Gilman, R.T.; S. Mahroof-Shaffi, C. Harkensee, A.T Chamberlain (2020) CC

BMJ Global Health, Vol.5 No. 12Spatial subdivision of the camp (‘sectoring’) was able to ‘flatten the curve’, reducing peak infection by up to 70% and delaying peak infection by up to several months. The use of face masks coupled with the efficient isolation of infected individuals reduced t... more

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Analiza comuna a programului national de profilaxie si combratere a Tuberculozei din Republica Moldova

Dr. M. Kavtaradze; Dr. S. Ciobanu World Health Organization Europe (2012) C_WHO

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Zika, Dengue and Chikungunya Toolkit: Adaptation for Latin America and the Caribbean. Community Module

International Federation of Red Cross And Red Crescent Societies (2017) C1

The school and a community teaching modules are aimed at preventing vector-borne diseases through community participation. Meanwhile, the interactive toolkit is meant to be help raise awareness on health, sanitation and vector control. These materials will help volunteers and practitioners foster di... more