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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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East and Horn of Africa COVID-19 Strategic Response and Recovery Plan 2021

International Organization for Migration IOM (2021) CC

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Troubles somatoformes

O. Fiertag; S. Taylor; A. Tareen; E. Garralda IACAPAP (2017) C2

Psychiatry de l'enfant et pediatrie Chapitre I.1 Edition en français Traduction : Virginie Stalin Sous la direction de : Priscille Gérardin Avec le soutien de la SFPEADA

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Preparing for the Regional Impacts of Climate Change in the United States

Center for Disease Control (CDC), Climate and Health Program (2020) C1

A summary of health effects, resources, and adaptation examples from health departments funded by CDC’s Climate and Health Program

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2018 South Sudan Humanitarian Needs Overview
recommended

UN Office for the Coordination of Humanitarian Affairs (2017) C1

This document provides the Humanitarian Country Team’s shared understanding of the crisis, including the most pressing humanitarian needs and the estimated number of people who need assistance. It represents a consolidated evidence base and helps inform joint strategic response planning. As ... more

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Soins de santé, activités de sensibilisation et campagnes communautaires dans le contexte de la pandémie de COVID-19
recommended

Organisation Mondiale de la Santé OMS, IFRC; UNICEF (2020) C_WHO

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Guidelines on International Protection No. 12

UN High Commissioner for Refugees (2016) CC

Claims for refugee status related to situations of armed conflict and violence under Article 1A(2) of the 1951 Convention and/or 1967 Protocol relating to the Status of Refugees and the regional refugee definitions UNHCR issues these Guidelines on International Protection pursuant to its mandate,... more

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Trouble de la personnalité borderline chez l'adolescent

L. Cailhol; L. GicqueL; J. - P. Raynaud IACAPAP (2012) C2

Autres troubles Chapitre H.4

External Link

Apercu des Besoins humanitaires 2016

l’Equipe Humanitaire Pays (2015) C2

le Sénégal continue d’être confronté à une crise alimentaire et nutritionnelle qui touche particulièrement le nord et l’est du pays. Selon les estimations faites en novembre 20151, plus de 2,4 millions de personnes sont en insécurité alimentaire (soit 17% de la population), dont 220 461 ... more

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Act 2015 - Advocacy strategy toolkit

UNAIDS; IPPF (International Planned Parenthood Federation); Youth Rise (for reducing drug related harm); et al. (2014) C2

A practical toolkit for young people who are passionate about advancing HIV and sexual and reproductive health and rights through national advocacy in the post-2015 agenda.

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L'eau, l'assainissement et l'hygiène pour accélérer et pérenniser les progrès dans la lutte contre les maladies tropicales négligées: Stratégie mondiale 2015-2020

Organisation mondiale de la Santé (OMS) (2016) C_WHO

L'eau potable et les services d'assainissement et d'hygiène (WASH) sont essentiels à la prévention des 17 maladies tropicales négligées (MTN) pour lesquelles une intensification de la lutte ou l'élimination sont prévues à l'horizon 2020.
La fourniture d’eau potable et de services d’... more

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Résumé analytique, conclusions et incidences stratégique

Office des Nations Unies contre la drogue et le crime (2018) C2

Rapport mondial sur les drogues 2018

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Réadaptation à base communautaire Guide de RBC - Module Introduction

World Health Organization (WHO) (2011) C_WHO

Guide de réadaptation à base communautaire (RBC) En 2003, une Consultation internationale consacrée à l’examen de la réadaptation à base communautaire organisée à Helsinki a émis un certain nombre de recommandations essentielles. Par la suite, la RBC a été redéfinie, dans un document ... more

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National strategy and plan of action for pharmaceutical manufacturing development in Ethiopia (2015–2025)

Ministry of Health and Ministry of Industry, Federal Democratic Republic of Ethiopia (2015) C1

Strategy plan

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Réaptatation à base communitaire. Guide de RBC

Kamala Achu, Kathy Al Jubah, Svein Brodtkorb, et al. WHO (2011)

Recommendations to develop guidelines on community-based rehabilitation (CBR) were made during the International Consultation to Review Community-based Rehabilitation which was held in Helsinki, Finland in 2003. WHO; the International Labour Organization; the United Nations Educational, Scientific ... more

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Accelerating WHO FCTC Implementation in the WHO South-East Asia Region: A Practical Approach

World Health Organization (WHO), Regional Office for South-East-Asia (2017) C_WHO

The WHO Framework Convention on Tobacco Control (‎WHO FCTC)‎ is an evidence-based treaty that reaffirms the right of all people to the highest standard of health and was developed in response to the globalization of the tobacco epidemic. Member States of the WHO South-East Asia Region have made... more

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Ethiopian National Health Care Quality Strategy 2016-2020

Ministry of Health Ethiopia (2015) CC

Transforming the Quality of Health Care in Ethiopia

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The epidemiology of adolescents living with perinatally acquired HIV: A cross-region global cohort analysis

The Collaborative Initiative for Paediatric HIV Education and Research (CIPHER) Global Cohort Collaboration; A. L. Slogrove; M. Schomaker; M.-A. Davies; et al. PLOS Medicine (2018) CC

PLOS Medicine | https://doi.org/10.1371/journal.pmed.1002514 March 1, 2018