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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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Antenatal screening for HIV, hepatitis B, syphilis and rubella susceptibility in the EU/EEA – addressing the vulnerable populations

C. Savolainen-Kopra; M. Kontio; J. Lindeman; et al. European Centre for Disease Prevention and Control (2017) C2

Scientific Advice

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Nigeria: End-of-Term Desk Review Report of the 2010 -2015 National HIV/AIDS Strategic Plan

Independent Review Team; National Agency for the Control of AIDS (NACA); UNAIDS (2015) C1

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Situation analysis of programs to meet the HIV prevention, care, and treatment needs of persons with disabilities in Ghana, Uganda, and Zambia

TUN, Waimar, et al. USAID; PEPFAR; et al. (2013) C1

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Frameworks for Victim Assistance: Monitor key findings and observations

International Campaign to Ban Landmines (2013) C3

For close to 15 years, the Monitor has tracked the impact of victim assistance on the lives of victims of landmines, cluster munitions, and other explosive remnants of war (hereafter “mine/ERW victims”). Over this time, the international communi... more

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Clinical manifestations and diagnosis of Ebola virus disease

M. Bray, M.S.Hirsch, D.Mitty, et al. (2015)

Up-to-date Literature review current through: Jan 2015. | This topic last updated: Jan 29, 2015.

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Situational Brief: Covid-19 and associated risks for Central Asian temporary labour migrants in the Russian Federation

King E. J., N. Zotova Lancet Migration (2020) CC

The Russian Federation continues to be a major destination country for Central Asianlabour migrants. There were nearly million Central Asians living in the Russian Federation in 2019, mainly coming from Kyrgyzstan, Tajikistan, and Uzbekistan in order to seek employment opportunities. Men continue to... more

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Twice invisible: Accounting for internally displaced children

Internal Displacement Monitoring Centre (2019) C1

Internally displaced children are twice invisible in global and national data. First, because internally displaced people (IDPs) of all ages are often unaccounted for. Second, because age-disaggregation of any kind of data is limited, and even more so for IDPs. Planning adequate responses to meet... more

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UN Multi-Sector Response Plan to COVID-19 for Mozambique

UNCT Mozambique (2020) CC

Mozambique registered its first COVID-19 case on 22 March 2020 and since then numbers have steadily grown over the following three months with cases now reported in all provinces. In response, a level 3 State of emergency was enacted on 1 April 2020 and has been extended until 29 July 2020, with mea... more

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Situation Analysis of Children and Women in Kenya, 2017

United Nations Children’s Fund (UNICEF) (2017) C1

The report provides the much-needed evidence to design interventions for children in Kenya and as such we urge partners to use this report as a document for planning for children.

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Shadow Report - On the situation of women who use drugs, women living with HIV, sex workers, and lesbian, bisexual women and transgender people in Ukraine

Legalife-Ukraine; Insight; Positive Women; Svitanok; echo.net (2017) C2

Prepared by NGOs: “Legalife-Ukraine”, “Insight”, “Positive Women”, and “Svitanok” For the submission to the 66th CEDAW Session Geneva, Switzerland 13 February 2017 - 03 March 2017

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Situational Brief: Palestinian Refugees in the occupied Palestine Territories during Covid-19

Kaloti R., R. Kafri, H. Meghari (2020) CC

As of 12June 2020, there are 667confirmed COVID-19 casesin the OPT (565 of which are recovered cases), and 48% of which (320 cases) are in East Jerusalem and its suburbs. Additionally, there have been 5 reported COVID-19 deaths (1 in the West Bank, 1 in Gaza and 3 in East Jerusalem)

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2020 Global AIDS Update ⁠— Seizing the moment ⁠— Tackling entrenched inequalities to end epidemics. Executive summary

UNAIDS (2020) C_WHO

The UNAIDS 2020 global report is a call to action. It highlights the scale of the HIV epidemic and how it runs along the fault lines of inequalities.

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Tuberculosis control in prisons: current situation and research gaps

M. Dara, C. D. Acosta, M. V. S. Vinklers Melchers, et al. International Journal of Infectious Diseases (2015) C2

International Journal of Infectious Diseases 32 (2015) 111–117

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HIV prevention programmes overview

Avert (2019) C2

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Rwanda Evaluation of TB surveillance system using Standard and Benchmark Checklist

Klinkenberg, E. & Ochola, R. KNCV TUBERCULOSIS FOUNDATION (2013) C2

The National Tuberculosis Programme (NTP) of Rwanda (known as TB & ORD Division/IHDPC/RBC) is preparing to write their next National Strategic Plan and for this reason Rwanda was selected as a country to received technical assistance (TA) to conduct an assessment of their surveillance system using t... more

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From Norm to Practice: A Status Report on Implementation of the Rights of Persons with Disabilities in Kenya

Kenya National Commission on Human Rights (2014) C1

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National Essential Diagnostic List
recommended

Indian Council of Medical Research India (2019) CC

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CARE Rapid Gender Analysis of COVID-19 in Myanmar

CARE (2020) CC

7 June 2020 Version 1 Women in Myanmar have traditionally been underrepresented in public decision-making processes, a trend which is continuing in structures established to respond to COVID-19. This means that even as women are disproportionately affected by the crisis, they have less say in how t... more

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Legal and policy trends impacting people living with HIV and key populations in Asia and the Pacific 2014–2019

UNAIDS (2021) CC

The report highlights key trends and developments in laws affecting people living with HIV and key populations in Asia and the Pacific over the five-year period 2014–2019. It updates the legal and policy review conducted in 2016 for UNAIDS, UNDP and the United Nations Economic and Social Commissio... more

National Essential Diagnostic List recommended

National Essential Diagnostic List
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