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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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Situation Report on Monkeypox Multi-Country Outbreak Response - Region of the Americas. N.7 -3 March 2023

World Health Organisation (WHO) (2023) C_WHO

In the Region of the Americas, as of 24 February 2023 (16:00 EST), there are a total of 58,578 confirmed cases of mpox (Table 1, Figure 2) were reported from 31 countries and territories, including 76 deaths in: United States of America (34), Brazil (15), Peru (15), Mexico (4), Chile (2), Ecuador (3... more

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Aqueduct Projected Water Stress Country Rankings

Andrew Maddocks, Robert Samuel Young and Paul Reig World Resources Institute (2015)

Using an ensemble of climate models and socioeconomic scenarios, WRI scored and ranked future water stress—a measure of competition and depletion of surface water—in 167 countries by 2020, 2030, and 2040. We found that 33 countries face extremely high water stress in 2040 (see the full list). We... more

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Lessons learned in developing community mental health care in Latin American and Caribbean countries

Denise Razzouk , Guilherme Gregório, Renato Antunes, Jair de Jesus Mari (World Psychiatry (2012) CC

This paper summarizes the findings for the Latin American and Caribbean countries of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Implementation of Community Mental Health Care. It presents an overview of the provision of mental health services in the region; describes key exp... more

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Auto-Visual AFP Detection and Reporting (AVADAR)

eHealth Africa Bill & Melinda Gates Foundation (2019) CC

AVADAR is a mobile sms-based software application designed to improve the quality and sensitivity of Acute Flaccid Paralysis (AFP) surveillance by health workers and key informants within hospital facilities and local communities. The idea is simple: Health workers visit remote villages to check if... more

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Financing Global Health 2013: Transition in an Age of Austerity

Institute for Health Metrics and Evaluation (2014) CC

Financing Global Health 2013: Transition in an Age of Austerity, IHME’s fifth annual report on global health expenditure, depicts financing trends that underline the resilience of development assistance for health. This year’s updated estimates show that despite lackluster economic growth and fi... more

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Nigeria: Demographic Health Survey 2018

The DHS Program ICF USAID (2019) C2

The 2018 NDHS is a national sample survey that provides up-to-date information on demographic and health indicators. The sample was selected using a stratified, two-stage cluster design, with enumeration areas (EAs) as the sampling units for the first stage. The second stage was a complete listing o... more

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Alcohol consumption and sustainable development: fact sheet on Sustainable Development Goals (‎SDGs)‎: health targets

World Health Organization WHO (2020) C_WHO

The Sustainable Development Goals (‎SDGs)‎ aim to transform our world. They are a call to action to end poverty and inequality, protect the planet, and ensure that all people enjoy health, justice and prosperity. It is critical that no one is left behind. In 2015, all the countries in the United... more

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Working Together to Fight Antimicrobial Resistance

Pan American Health Organisation PAHO; FAO and OIE (2022) C_WHO

Antimicrobial resistance (AMR) represents a major global threat across human, animal, plant food and environmental sectors, threatening the effective treatment of an ever-increasing range of infections caused by bacteria, parasites, viruses and fungi, resulting in prolonged illness and increased mor... more

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Caring for your baby at night

Unicef Co. UK (2013) C2

One of the biggest challenges for new parents is getting used to the changes that a baby will bring to their night-time routine. This leaflet, endorsed by the CPHVA, RCM and The Lullaby Trust, is designed to offer helpful, practical advice on coping at night. It covers getting some rest, night feedi... more

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Mental Health and Psychosocial Well-Being among Children in Severe Food Shortage Situations

Jodi Morris, Geetika Chopra, Leah Hathaway et al. WHO (2006) C_WHO

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WHO Informal Consultation on Fever Management in Peripheral Health Care Settings

World Health Organization (2013)

A global Review of evidence and practice

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Stratégie 2016-2030 en matière de santé

United Nations Children’s Fund (UNICEF) (2016)

En s’appuyant sur les ODD et sur la Stratégie mondiale, ainsi que sur la Convention relative aux droits de l’enfant (CRC) et sur la Convention sur l’élimination de toutes les formes de discrimination à l’égard des femmes (CEDAW ), l’UNICEF imagine un monde où aucun enfant ne décède ... more

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Perinatal HIV. A Learning Programme for Professionals

Perinatal Education Programme (2017) CC

What health professionals need to know. An online learning programme

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Caring for children and adolescents with mental disorders

World Health Organization WHO (2003) C_WHO

Setting WHO directions

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Manuel sur la PCIME
recommended

Organisation Mondiale de la Santé OMS; UNICEF (2001) C_WHO

La prise en chargeintégrée des maladiesde l’enfant

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Bambo ana kichocho - Bambo has Bilharzia (Swahili version)

World Health Organization WHO World Health Organization (WHO) (2015) C_WHO

Nini watoto wanapaswa kujua kuhusu kichocho?

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India Country Profile 2015

WHO, UNICEF, Countdown to 2015 (2016) C_WHO

Countdown to 2015

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Saving Mothers and Babies

Perinatal Education Programme EBW Healthcare (2008) CC

A Learning Programme for Professionals

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Baby-Friendly Hospital Initiative: revised, updated and expanded for Integrated Care - Section 2; Session 1: The national infant feeding situation

WHO, UNICEF (2009)

The revised package of BFHI materials includes five sections: 1. Background and Implementation, 2. Strengthening and Sustaining the BFHI: A course for decision-makers, 3. Breastfeeding Promotion and Support in a Baby-friendly Hospital: a 20-hour course for maternity staff, 4. Hospital Self-Appraisal... more

Manuel sur la PCIME recommended

Manuel sur la PCIME
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