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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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National Toxic Substance Incidents Program (NTSIP) Webinars

Agency for Toxic Substances and Disease Registry (2015)

On this homepage of the ATSDR you'll find learning material for webinars on chemical exposure assessment focused on the US, including: - Webinar on ATSDR Assessment of Chemical Exposures (ACE) Program -ATSDR National Toxic Substance Incidents Program (NTSIP) and the CDC Public Health Emergency Pre... more

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Infection Prevention and Control (IPC) Standard Operating Procedure (SOP) for Training/Meetings in the context of COVID-19
recommended

African Union; Africa CDC Centres for Disease Control and Prevention (2022) CC

1.0 PURPOSE To define the procedure for the conduct of in-person meetings in both healthcare and community settings in response to COVID-19 and with respect to Public Health and Social Measures (PHSMs) to reduce the risk of disease transmission. A general risk assessment must be conducted to inform... more

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Handbook for Public Health Emergency Operations Center Operations and Management

African Union; Africa CDC Centres for Disease Control and Prevention (2021) CC

A Public Health EOC (PHEOC) serves as a hub for coordinating the preparation for, response to, and recovery from public health emergencies. The preparation includes planning, such as risk and resource mapping, development of plans and procedures, and training and exercising. The response includes al... more

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Public Health Emergency Operations Center (PHEOC) Legal Framework Guide

African Union; Africa CDC Centres for Disease Control and Prevention (2021) CC

A public health emergency operation center (PHEOC) serves as a hub for better coordinating the preparation, response, and recovery for public health emergencies. A functional PHEOC is critical for the implementation of the International Health Regulations (IHR 2005). The Framework for a Public Healt... more

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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

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Africa CDC Event-based Surveillance Framework: interim version 2018

African Union; Africa CDC Centres for Disease Control and Prevention Africa CDC (2018) CC

Event-based surveillance (EBS) is defined as the organized collection, monitoring, assessment and interpretation of mainly unstructured ad hoc information regarding health events or risks, which may represent an acute risk to health. Both indicator-based and event-based surveillance components serve... more

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Guidance on Diagnosis and Management of People with Post-Acute COVID-19 Syndrome
recommended

African Union; Africa CDC Centres for Disease Control and Prevention (2021) C_CDC

This guidance covers diagnosis and care of patients with long-term effects of COVID-19. It makes recommendations for the care of adults and children who have new or ongoing symptoms 4 weeks or more after the start of acute COVID-19. It is meant for health and care practitioners. This interim documen... more

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West Africa - Ebola Outbreak, Fact Sheet #39, Fiscal Year (FY) 2015 (as of July 14, 2015)

US Agency for International Development, Centers for Disease Control and Prevention (2015)

The Government of Liberia (GoL) reports three additional EVD cases linked to the Margibi County cluster, including one in Liberia’s Montserrado County; new confirmed case total reaches six Recently extended Operation Northern Push strengthens contact tracing and EVD prevention activities ... more

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Décontamination de l’environnement dans le cadre de la COVID-19

African Union; Africa CDC Centres for Disease Control and Prevention (2020) C1

Ces orientations vous proposent les principes et procédures de base en matière de décontamination de l'environnement physique dans le contexte de la pandémie du coronavirus 2019 (COVID-19). La contamination des surfaces et les risques de transmission des maladies diffèrent ... more

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Framework for Equitable Allocation of COVID-19 Vaccine

National Academies of Sciences, Engineering, and Medicine (2020) C1

In response to the coronavirus disease 2019 (COVID-19) pandemic and the societal disruption it has brought, national governments and the international community have invested billions of dollars and immense amounts of human resources to develop a safe and effective vaccine in an unprecedented time f... more

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Guidance Note: IPC in Schools during AWD/Cholera Outbreaks

UN Children's Fund UNICEF; WASH Cluster (2023) C_UNICEF

WASH in schools during a cholera response is important due to the strong correlation between WASH and IPC. Not only can it impact the health and well-being of students and staff but also facilitate the potential spread of the disease via the congregation of children and adults from multiple househol... more

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WHO AFRO Outbreaks and Other Emergencies, Week 13: 25 - 31 March 2019; Data as reported by 17:00; 31 March 2019

World Health Organization WHO (2019) C_WHO

Response to the tropical cyclone in southern Africa Ebola virus disease outbreak in the Democratic Republic of the Congo Meningitis outbreak in Togo Lassa fever outbreak in Liberia.

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Global Early Warning System (GLEWS)

World Health Organization WHO, FAO; et al. (2015) CC

GLEWS is a response system for the main animal diseases including zoonoses.

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Young people and COVID-19: Behavioural considerations for promoting safe behaviours

World Health Organization WHO (2021) C_WHO

In the context of the coronavirus disease (COVID-19) pandemic response, WHO identifies young people as a priority target audience with specific concerns, experiences and behaviours. This policy brief provides relevant insights from behavioural evidence and a set of behavioural considerations for tho... more

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Prise en charge clinique, prévention et maîtrise de l'orthopoxvirose simienne (‎variole du singe)‎ : orientations provisoires pour une intervention rapide, 10 juin 2022
recommended

World Health Organization WHO (2022) C_WHO

Interim rapid response guidance, 10 June 2022. It includes considerations for certain populations such as patients with mild disease with considerations for community care, patients with moderate to severe disease, sexually active persons, pregnant or breastfeeding women, children and young persons... more

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Clinical management and infection prevention and control for monkeypox
recommended

World Health Organization WHO (2022) C_WHO

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Zanzibar's victory against Cholera Epidemic

World Health Organization WHO (2023) C_WHO

Response to the Periodic EpidemicThe document "Zanzibar's Victory Against Cholera Epidemic" details the successful efforts taken by Zanzibar to control and eliminate cholera outbreaks. It highlights the strategies implemented, including improved water and sanitation infrastructure, public health cam... more

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Vector surveillance and control at ports, airports, and ground crossings
recommended

World Health Organization (WHO) (2016) C_WHO

The purpose of this handbook is to provide guidance to Member States on the practical aspects of maintaining sanitary standards at international borders at ports, airports, and ground crossings (points of entry) as set out in the International Health Regulations (2005). It provides technical advice ... more

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Doenças diarreicas agudas em emergências complexas
recommended

Organización Mundial de la Salud OMS (2010) C_WHO

The document provides comprehensive guidelines on cholera outbreak management, including prevention, diagnosis, and treatment. It emphasizes rapid response measures, the importance of rehydration therapy (oral and intravenous), and public health interventions such as water sanitation, hygiene promot... more

Infection Prevention and Control (IPC) Standard Operating Procedure (SOP) for Training/Meetings in the context of COVID-19 recommended

Guidance on Diagnosis and Management of People with Post-Acute COVID-19 Syndrome recommended

Prise en charge clinique, prévention et maîtrise de l'orthopoxvirose simienne (‎variole du singe)‎ : orientations provisoires pour une intervention rapide, 10 juin 2022 recommended

Clinical management and infection prevention and control for monkeypox recommended

Vector surveillance and control at ports, airports, and ground crossings recommended

Doenças diarreicas agudas em emergências complexas recommended

Infection Prevention and Control (IPC) Standard Operating Procedure (SOP) for Training/Meetings in the context of COVID-19
recommended

Guidance on Diagnosis and Management of People with Post-Acute COVID-19 Syndrome
recommended

Prise en charge clinique, prévention et maîtrise de l'orthopoxvirose simienne (‎variole du singe)‎ : orientations provisoires pour une intervention rapide, 10 juin 2022
recommended

Clinical management and infection prevention and control for monkeypox
recommended

Vector surveillance and control at ports, airports, and ground crossings
recommended

Doenças diarreicas agudas em emergências complexas
recommended