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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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Garantir la sécurité lors de la manipulation des dépouilles mortelles et la conduite des cérémonies funéraires dans les communautés touchées par le COVID-19

The International Federation of Red Cross and Red Crescent Societies IFRC (2020) CC

Guide de mise en œuvre à l’intention des Sociétés nationales de la Croix-Rouge et du Croissant-Rouge

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Handbook on using the ECDC preparedness checklist tool to strengthen preparedness against communication disease outbreaks at migrant reception/detention centres

European Centre for Disease Prevention and Control (2016) C1

The checklist tool described in this handbook is intended for EU/EEA public health authorities who need to assess the capacity for communicable disease prevention and control at migrant reception/detention centres hosting migrants for weeks/months (medium-term) in order to identify gaps and set prio... more

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India: Framework for developing health insurance programmes

National Rural Health Mission, Ministry of Health & Family Welfare, Government of India (2007) C1

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Human Resources for Health South Africa 2030

Strengthening South Africa's Response to HIV and Health (SARRAH) (2011) C2

HRH SA 2030 | Draft HR Strategy for the Health Sector: 2012/13 – 2016/17 Consultation Document

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Antimicrobial resistance

World Health Organization; Food and Agriculture Organization of the United Nations (2016) C_WHO

A manual for developing national action plans.This manual for developing national action plans to address antimicrobial resistance has been developed at the request of the World Health Assembly to assist countries in the initial phase of developing new, or refining existing national action plans in ... more

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Menstrual Hygiene Matters

House, S.; T. Mahon and S. Cavill Water Aid (2012) C2

A resource for improving menstraul hygiene around the world. Comprehensive guidance with examples of good practice, information for colleagues and pupils in class and tips on how to break the taboo

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Strategic Action Plan for Strengthening Health Information 2017-2021

The Republic of the Union of Myanmar, Ministry of Health and Sports (2017) C1

The vision of the new Strategic Action Plan for Strengthening HIS in Myanmar 2017- 2021 is “A strong health information system for a strong health system”. The mission statement of HIS in Myanmar also developed during the strategic planning exercise is “Generating and making accessible compreh... more

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Guidance for health sector assessment to support the post-disaster recovery process

United Nations agencies, the World Bank and the European Commission (2010)

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The National Integrated Early Childhood Development Policy Action Plan (2016-2021) of Uganda
recommended

Ministry of Gender, Labour and Social Development, Uganda (2016) C1

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Situational Analysis on Post-Rape Care of Children in Lesotho

Levy, Marcy, Veronica Magar, and Derrick Sialondwe Arlington, VA: USAID’s AIDS Support and Technical Assistance Resources, AIDSTAR-One, Task Order 1 (2013)

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A case study of the role of an Essential Health Benefit in the delivery of integrated health services in Zambia

Luwabelwa, M.; Banda, P; Palale M.; Chama-Chiliba, C. Regional Network for Equity in Health in east and southern Africa (EQUINET) (2017) C1

Regional Network for Equity in Health in east and southern Africa (EQUINET): Disussion Paper 111
The health services delivery system in Zambia is pyramid in structure, with primary healthcare (PHC) services at community level, at the base, followed by first and second level hospitals at distric... more

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MAKING IT HAPPEN: Examples of good practice in SPECIAL NEEDS EDUCATION & COMMUNITY-BASED PROGRAMMES

United Nations Educational, Scientific and Cultural Organization (UNESCO) (1993)

This monograph presents 12 reports of successful programs serving children with special needs in various nations. The program locations and the program report titles and authors are as follows: (1) Austria: "Integration Models for Elementary and Secondary Schools in Austria" (Volker Rutte)... more

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Kenya Health Sector Referral Implementation Guidelines

Ministry of Health, Division of Emergency and Disaster Risk Managemen (2014) C1

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Trachoma Control a Guide for Programme Managers

Solomon, A.W.; M. Zondervan, H. Kuper, et al. WHO, London School of Hygiene & Tropical Medicine, and the International Trachoma Initiative (2006) C_WHO

This guide has been written for managers of national and district trachoma control programmes. It sets out, step-by-step, what is needed to assess the magnitude and extent of the trachoma problem in the area and how to plan, implement, monitor and evaluate a programme to control, and ultimately elim... more

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Tanzania: The National Action Plan on AMR 2017-2022

The United Republic of Tanzania - Ministry of Health Community Development Gender Elderly and Children World Health Organization WHO (2017) C_WHO

This National Action Plan addresses actions needed to be taken in order to combat antimicrobial resistance (AMR) in the country. It is obligatory to raise awareness of antimicrobial resistance and promote behavioral change through public communication programmes that targets human, animal and plant... more

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Primary Care System Profiles & Performance (PEIMASYS)

World Health Organization WHO; Alliance for Health Policy and Systems Research; Bill & Melinda Gates Foundation (2016) C_WHO

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Integrating Clinical Research into Epidemic Response: The Ebola Experience

Gerald Keusch, Keith McAdam, Patricia Cuff, Michelle Mancher, and Emily R. Busta National Academies of Sciences, Engineering, and Medicine (2017) C1

The 2014–2015 Ebola epidemic in western Africa was the longest and most deadly Ebola epidemic in history, resulting in 28,616 cases and 11,310 deaths in Guinea, Liberia, and Sierra Leone. The Ebola virus has been known since 1976, when two separate outbreaks were identified in the Democratic Repub... more

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Social determinants approaches to public health: from concept to practice

Erik Blas, Johannes Sommerfeld and Anand Sivasankara Kurup World Health Organization WHO (2011) C_WHO

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Where the heart is: Meeting the psychosocial needs of young children in the context of HIV/AIDS

Richter, L., Foster, G. and Sherr, L. Bernard van Leer Foundation (2006) C2

An output of a series of workshops on psychosocial support held in 2004-2005 by the Bernard van Leer Foundation and the Coalition on Children Affected by AIDS. Authors Linda Richter, Geoff Foster and Lorraine Sherr discuss the issues surrounding psychosocial care and support for children made vulner... more

The National Integrated Early Childhood Development Policy Action Plan (2016-2021) of Uganda recommended

The National Integrated Early Childhood Development Policy Action Plan (2016-2021) of Uganda
recommended