the aid library

LIST OPTIONS

Filter

6325

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

External Link

L'alimentation en eau et les installations sanitaires pour les personnes handicapees et autres groupes vulnerables

Jones, H., B. Reed WEDC (2005) C2

La conception des services permettant d'ameliorer l'accessibilite. les fichiers pdf sont disponibles par chapitre ou pour la version complète.

Download (233)

View PDF (268)

Addressing violence against children, women and older people during the covid-19 pandemic: Key actions

World Health Organization WHO (2020) C_WHO

Several countries affected by COVID-19, have seen increases in levels of violence occurring in the home, including violence against children, intimate partner violence and violence against older people. Countries also face increasing challenges in maintaining support and care for survivors of violen... more

Download (240)

View PDF (408)

COVID-19 in the Americas: Listening to the most vulnerable - Community perceptions from migrants, refugees, host communities and indigenous populations

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

This research report offers community perceptions of COVID-19 from migrants, refugees, host communities and indigenous populations in nine countries in the Americas: Argentina, Brazil, Bolivia, Colombia, Guatemala, Nicaragua, Jamaica, Panama and Trinidad and Tobago. It reveals the myriad impacts ... more

Download (324)

View PDF (450)

The urgent need to identify and evaluate patient safety interventions in fragile, conflict- affected and vulnerable settings

Shaw, A.; N. O'Brien, K. Flott, et al. (2021) CC

J Glob Health 2021;11:03082.

Download (505)

View PDF (1011)

Lost in Transitions: current Issues faced by Adolescents living with HIV in Asia Pacific

UNICEF, UNESCO, Asia Pacific Network of People living with HIVAIDS (APN PLUS) (2013)

Download (210)

View PDF (250)

Consideraciones relativas a lospueblos indígenas, afrodescendientes y otros grupos étnicos durante la pandemiade COVID-19

Pan American Health Organization PAHO (2020) C_WHO

La Región de las Américas se caracteriza por su riqueza multiétnica y multicultural. Sin embargo, los pueblos indígenas, los afrodescendientes y otros grupos étnicos se enfrentan en muchas ocasiones a la discriminación y la exclusión, lo que genera inequidades en el ámbito de la salud. Las c... more

Download (397)

View PDF (463)

Disability Inclusive Get Ready Guidebook

USAID Atullya Foundation (2021) CC

Due to Nepal’s difficult geographic structure, rapid urbanization, varied groundwater level, and increasing population the country is prone to earthquakes, floods, landslides, fires, lightning, hailstone, drought, epidemic, and other disasters. These disasters cause a huge loss of li... more

Download (560)

View PDF (640)

Guidance Note on Health Disaster Risk Management with Indigenous Peoples

Pan American Health Organization (PAHO) (2019) C_WHO

For centuries, indigenous peoples around the world have used their traditional knowledge to prepare for, cope with and survive disasters. Their methods and practices originated within their communities and have been maintained and passed down over generations. Until recently, policy makers have larg... more

Download (883)

View PDF (2355)

Hidden victims of the Syrian crisis: disabled, injured and older refugee

Handicap International and HelpAge International: (2014) C1

New research published today shows that older, disabled and injured Syrian refugees are paying a double toll as a result of the conflict. The report, released by Handicap International and HelpAge International, provides new data showing how much these vulnerable refugees are struggling to meet thei... more

Download (582)

View PDF (682)

WHO: 10 facts on disability

World Health Organization (WHO) (2017) C_WHO

People with disabilities are among the most marginalized groups in the world. People with disabilities have poorer health outcomes, lower education achievements, less economic participation and higher rates of poverty than people without disabilities.

Download (462)

View PDF (972)

Disability in Humanitarian Context: A Case Study from Iraq

Handicap International (2018) CC

This brief presents and addresses some of the challenges that prevent internally displaced persons with disabilities and other vulnerable population groups (elderly, injured persons, pregnant women, etc.) in camp settings from accessing humanitarian services in Iraq and impede on the development of ... more

Download (317)

View PDF (329)

Os impactos sociais da Covid-19 no Brasil: populações vulnerabilizadas e respostas à pandemia

Gustavo Corrêa, G.; M.Sergio, R.E. Paiva Souto and J.Segata Série Informação para ação na Covid-19 | Fiocruz (2021) CC

The social impacts of Covid-19 in Brazil: vulnerable populations and responses to the pandemic Passados os primeiros meses da pandemia do novo coronavírus no Brasil, o Observatório Covid-19 Fiocruz, em parceria com a Editora Fiocruz e com o apoio da Rede SciELO Livros, traz para o público leitor... more

Download (192)

View PDF (241)

Assouplir le verrouillage

African Union; Africa CDC Centres for Disease Control and Prevention (2020) CC

Considérations pour l’assouplissement des mesures sociale et de sante publique (MSSP), y compris le verrouillage dans les États membres de l’Union Afrique En réponse aux premiers cas de maladie à coronavirus 2019 (COVID-19) signalés sur le continent, de nombreux États membres de l'Union a... more

Download (222)

View PDF (202)

Guidance on easing lockdown

Africa CDC Centers for Disease Control and Prevention (2020) CC

In response to the first cases of coronavirus disease 2019 (COVID-19) reported on the continent, many African Union Member States implemented large-scale public health and social measures (PHSM) rapidly. These measures were aimed at reducing transmission and the number of new cases being reported, p... more

Download (413)

View PDF (770)

Guidance on Disability Inclusion for GBV Partners in Lebanon: Case Management of Survivors & At-risk Women, Children and Youth with Disabilities

Women's Refugee Commission (WRC) and UNICEF Lebanon (2018) CC

Persons with disabilities are one of the most vulnerable and socially excluded groups in any crisis-affected community. They may be in hidden in homes, overlooked during needs assessments and not consulted in the design of programs.4 While gender-based violence (GBV) affects women, girls, men and bo... more

Download (236)

View PDF (350)

Practical guide to inclusive and rights-based responses to Covid-19 in the Americas

OAS (2020) CC

WHY THIS GUIDE? Because, in the face of crises and emergencies, it is vital to include a human rights perspective in responses. Vulnerable groups face major obstacles to accessing and benefiting from prevention, mitigation, and health care policies due to structural barriers of inequality. To offer... more

Download (477)

View PDF (514)

Countering Stigmatization in the Humanitarian Response to COVID-19

InterAction (2024) CC

In most contexts, the social stigma surrounding mental health issues exists because of cultural norms and a lack of understanding of mental health’s complexities and realities, resulting in isolation, increased vulnerability, and lack of support for people with mental health problems. This stig... more

Download (344)

View PDF (348)

UNAIDS calls on governments to strengthen HIV-sensitive social protection responses to the COVID-19 pandemic

UNAIDS (2020) C_WHO

UNAIDS calls on governments to live up to their commitment to develop nationally owned and led social protection systems for all, including floors; and scale up and progressively enhance coverage, adequacy and comprehensiveness, thereby improving the responsiveness and quality of interventions to ad... more

Download (326)

View PDF (320)

Namibia: “We don’t feel well treated”: Tuberculosis and the Indigenous San peoples of Namibia

Amnesty International (2021) C1

Tuberculosis (TB) is an infectious disease that usually affects the lungs, though it can affect any organ in the body. It can develop when bacteria spread through droplets in the air. TB can be fatal, but in many cases, TB is preventable and treatable. This report examines the human rights impact of... more