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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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Living conditions among people with disability in Nepal

Arne H. Eide, Shailes Neupane, Karl-Gerhard Hem SINTEF Technology and Society (2016) C1

This report is from the National study on living conditions among people with disabilities carried out in Nepal in 2014-2015. The study was carried out as a household survey with two-stage stratified sampling, including a screening/listing procedure using the Washington Group on Disability Statis... more

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National Guidelines for Health Care Waste Management in Ghana

Ministry of Health and Ministry of Environment Ghana (2019) CC

Ghana's attempt to regulate health care waste management started in 2002 with the development of guidelines on health care waste manage-ment by the Environmental Protection Agency (EPA). In 2006, the Ghana Health Service (GHS) also developed the Health Care Waste Management Policy and Guidelines as ... more

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Skills Lab Operational Guidelines

Maternal Health Division Ministry of Health and Family Welfare Government of India (2013) C1

Strengthening competency based training of health care providers for Reproductive Maternal Newborn Child & Adolescenct Health (RMNCH + A) services

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Myanmar National Health Plan 2017-2021

The Republic of the Union of Myanmar, Ministry of Health and Sports (2016) C1

The National Health Plan (NHP) aims to strengthen the country’s health system and pave the way towards Universal Health Coverage (UHC),choosing a path that is explicitly pro-poor. The main goal of NHP 2017-2021 is to extend access to a Basic Essential Package of Health Services (EPHS) to the entir... more

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THE ASSISTED REPRODUCTIVE TECHNOLOGIES (REGULATION) BILL - 2010

Ministry of Health and Family Welfare & Indian Council for Medical Research (2010) C1

The bill details procedures for accreditation and supervision of infertility clinics (and related organizations such as semen banks) handling spermatozoa or oocytes outside of the body, or dealing with gamete donors and surrogacy, ensuring that the legitimate rights of all concerned are protected, w... more

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Comprehensive Evaluation of the Community Health Program in Rwanda (FINAL REPORT)

Centre for Maternal and Newborn Health (CMNH), from the Liverpool School of Tropical Medicine (LSTM) (2016) C2

The objective of the evaluation is to understand whether the CHW program has achieved its intended objectives, thus contributing to the overarching objectives defined in the HSSP III of improving the health status of the population by “Ensuring universal accessibility of quality health services fo... more

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National Policy on Disability

Ministry of Labour, Youth Development and Sports, Tanzania (2004) C1

Since independence (1961) the Government through the Department of Social welfare has been providing services to people with disabilities without a comprehensive policy. The adoption of the National Policy on Disability (NPD) is the outcome of many years of consultations among disability stakeholder... more

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Standard Operating Procedures (SOPs) for (JDW/NRH)

Quality Assurance and Standardization Division (QASD) Ministry of Health Bhutan (2011) CC

This standard Operating procedure (SOP) for JDWNRH is intended to describe and address various important areas like admission procedure, on call process of the doctors, interdepartmental consultation, patient discharge process and verity of other areas which was so far solely based on verbal i... more

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Training of Trainer Manual for Package Essential Non-communicable Disease Intervention (PEN)

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

Together we can Prevent and Control the World's Most Common Diseases
Objectives of the training manual
(1) To improve knowledge of NCD trends, burdens, as well as systems for management and monitoring of NCD services for Township Medical Officers (TMOs), Township Public Health Officers (TP... more

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Environmental Health Management After Natural Disaster
recommended

Ruth Newman, Richard Hansen, John Quigley and Don Schramm Pan American Health Organization (2003) C_WHO

Natural disasters often increase morbidity and mortality rates. Taking appropriate measures to maintain environmental health helps to reduce or eliminate the risks of preventable disease and death. Such measures contribute not only to the health of individuals in and near disaster-stricken areas, bu... more

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UNHAS COVID19 Standard Operating Procedures (SOP)

Reliefweb; OCHA Services; United Nations Humanitarian Air Service (UNHAS); Republic of South Sudan; et al. (2020) CC

Covid19 - Standard Operating Procedures – UNHAS ROSS This SOP defines WFP Aviation/UNHAS procedures to be followed when operating in areas affected by the current outbreak of the coronavirus disease (COVID-19). This SOP will be communicated to UNHAS staff, Operators, and user organisations. Acco... more

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Africa CDC Reproductive Health | Strategic Priorities 2022-2026

Centers for Disease Control and Prevention (CDC) (2023) CC

In 2006, the Special Session of African Union Health Ministers adopted the Maputo Plan of Action for implementing the Continental Policy Framework on sexual and reproductive health and rights (SRHR), which expired at the end of 2015. The goal was for all stakeholders and partners to join forces and ... more

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Guidelines for: Adaptation of dignity kits & revision of distribution standards for risk mitigation during COVID-19 pandemic

Reliefweb; OCHA Services; UNFPA Asia-Pacific Regional Office (2020) C2

Many countries are taking strict measures to prevent the spread of COVID-19 with lockdowns, curfews, and closure of public spaces and services. As a result of stress and uncertainty caused by these strict measures, women and girls are at even greater risk of violence at a time when their access to s... more

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Practice Parameter on Disaster Preparedness

Pfefferbaum, B., Shaw, J.A. & American Academy of Child and Adolescent Psychiatry (AACAP) Committee on Quality Issues (CQI) American Academy of Child and Adolescent Psychiatry (AACAP) (2013) CC

AACAP OFFICIAL ACTION | This Practice Parameter identifies best approaches to the assessment and management of children and adolescents across all phases of a disaster. Delivered within a disaster system of care, many interventions are appropriate for implementation in the weeks and months after a d... more

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Rwanda: FAMILY PLANNING POLICY

Government of Rwanda: Ministry of Health, Maternal and Child Health (2012) C2

This policy will serve as a cornerstone from which to address the accessibility of Family Planning services and to encourage its integration with services for HIV/AIDS, maternal health, child health, and other development initiatives. This policy is timely, as Rwanda is embarking on the introduction... more

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Primary Protection: Enhancing Health Care Resilience for a Changing Climate

Robin G. and J. Balbus (2014) CC

Best Practices Report.PART 1 Primary Protection: Enhancing Health Care Resilience for a Changing Climatei Primary Protection: EnhancingU.S. Department of Health and Human Services

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The Guide for Training Community Health Workers

Ministry of Health, Community Development, Gender, Elderly and Children, Government City - Mtumba (2021) CC2

For many years, Community Health Care Workers (CHWs) in Tanzania and Africa in general have played significant role in community health promotion. Their specific roles have been changing from time to time. However, their key roles have over time included giving health education and dissemination of ... more

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A Field Guide to Antibiotic Stewardship in Outpatient Settings

Telligen, Quality Innovation Network National Coordinating Center, Centers for Medicare & Medicaid Services (CMS) (2018) C2

Antibiotic Stewardship (AS) is a coordinated program that promotes the appropriate use of antimicrobials to improve patient outcomes, reduce microbial resistance, and decrease the spread of multi-drug resistant organisms. In clinical settings, stewardship activities focus on measuring and improving ... more

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Online Training of Trainers in Psychological First Aid

The International Federation of Red Cross and Red Crescent Societies IFRC (2022) C1

The COVID-19 pandemic has impacted the world and consequently increased MHPSS needs across various contexts. While National Societies respond to the rising mental health and psychosocial support needs, they are also adapting to and implementing remote support, such as telephone hotlines or other onl... more

Environmental Health Management After Natural Disaster recommended

Environmental Health Management After Natural Disaster
recommended