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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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Health Financing Progress Matrix assessment, Kenya 2023: summary of findings and recommendations

Kenya Ministry of Health, World Health Organization (WHO) (2024) CC

This comprehensive HPFM report thoroughly explores Kenya’s health financing landscape. It provides an in-depth analysis of the current state of affairs and sheds light on required strategic changes in health financing. The report points out the need to improve public financial management within th... more

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Social and Behaviour Change Communication Strategy for Prevention of Re-establishment of Malaria Transmission in Timor-Leste

Ministry of Health Democratic Republic of Timor-Leste; World Health Organization WHO (2025) C_WHO

The Social and Behaviour Change Communication (SBCC) Strategy for the Prevention of the Re-establishment of Malaria Transmission in Timor-Leste forms part of the National Strategic Plan (NSP) for 2021–2025. The strategy aims to support Timor-Leste's efforts to sustain malaria elimination by promot... more

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Rethinking communications for governance of malaria programs

Opigo, J.; Guyer A. L. (2023) CC

PLOS Glob Public Health 3(7): e0001132. https://doi.org/10.1371/journal. pgph.0001132 This paper proposes a framework for strategic communications for malaria governance that involves five key elements: knowing the audience, defining the message, designing a medium, identifying a messenger, and ... more

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Prevention of re-establishment of malaria transmission. Global guidance
recommended

World Health Organization WHO (2025) C_WHO

This global guidance was developed to support malaria-free countries and those that are close to malaria elimination to prevent re-establishment. The document outlines key concepts and principles for preventing re-establishment and provides guidance on strategies, interventions, planning and managem... more

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Continental Cholera Emergency Preparedness and Response Plan for Africa 1.0
recommended

Africa Center for Disease Control and Prevention CDC (2025) CC

This document outlines the plan for a continental cholera prevention and control with the implementation framework for the Cholera IMST, detailing its governance structure, strategic priorities, and operational modalities

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The cost of inaction on health equity and its social determinants

Yerramilli P., Chopra M., Rasanathan K. BMJ Global Health (2024) CC

Rising levels of inflation, debt and macrofiscal tightening are putting expenditures on the social sectors including health under immense scrutiny. Already, there are worrying signs of reductions in social sector investments. However, even before the pandemic, evidence showed the significant returns... more

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Social and Behavior Change Communication SBCC for Malaria in Pregnancy: Strategy Development Guidance

Health Communication Capacity Collaborative HC3; USAID (2017) CC

This Implementation Kit (I-Kit), developed by the Health Communication Capacity Collaborative (HC3), which is funded by USAID and based at the Johns Hopkins Center for Communication Programs, offers structured guidance for improving social and behavioural change communication (SBCC) strategies relat... more

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Global gendered impacts of the Ukraine crisis on energy access and food security and nutrition

Economic Empowerment Section of UN Women United Nations UN (2022) C1

The war in Ukraine has had devasting impact on women and girls worldwide, widening gender gaps and increasing rates of food insecurity, malnutrition and energy poverty. This brief reviews the available evidence of that impact, recommending urgent attention to its consequences for women and girls. I... more

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Cholera: Clinical features, diagnosis, treatment, and prevention

LaRocque, R.; S.B. Calderwood and A.Bloom UpToDate (2020) C1

The document provides a detailed overview of cholera, including its clinical features, diagnosis, treatment, and prevention. It explains the causes of cholera, its symptoms such as severe diarrhea and dehydration, and the importance of rehydration therapy (oral or intravenous) to reduce mortality. T... more

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fullscreen on view: An Exploratory Study on the Background and Psychosocial Consequences of Webcam Child Sex Tourism in the Philippines

Terre des Hommes Netherlands (2013) C2

In recent years Terre des Hommes Netherlands observed the steady rise of a new form of child sexual exploitation. One that is enabled and fuelled by rapid technological advances, increasing global connectivity, persisting poverty rates, and growing disparity in the global distribution of resources. ... more

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Mission Rabies Annual Report 2018

Mission Rabies (2018) CC

2018 has been one of the most successful years ever for Mission Rabies. We are on the cusp of having almost vaccinated one million dogs in global rabies hotspots, we’ve educated over two million children and we’re seeing a dramatic reduction in both human and canine rabies in all our flagship... more

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Guidelines on Mental Health and Psychosocial Support

Internationl Committee of the Red Cross ICRC (2018) C1

These ICRC guidelines outline the organization’s approach to mental health and psychosocial support (MHPSS) during and after armed conflict and other situations of violence. They provide a framework for harmonizing MHPSS programmes within the organization, and an insight into its strategic process... more

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A situational analysis of programmatic management of TB preventive treatment in the WHO South-East Asia Region

World Health Organization WHO (2020) C_WHO

Tuberculosis (TB) prevention is essential for reaching the End TB targets in the South-East Asia Region (SEAR) of World Health Organization (WHO)1. The targets of 80% reduction in TB incidence rate and 90% reduction in TB mortality by 2030 (compared to 2015 levels) can be achieved only with addition... more

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Orientierungsrahmen für den Lernbereich Globale Entwicklung

Engagement Global (2016)

Es handelt sich um ein gemeinsames Projekt der Kultusministerkonferenz (KMK) und des Bundesministeriums für wirtschaftliche Zusammenarbeit und Entwicklung (BMZ). Der Orientierungsrahmen für den Lernbereich Globale Entwicklung ist ein Beitrag zur natio-nalen Strategie „vom Projekt zur Struktu... more

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Comprehensive mental health action plan 2013–2020
recommended

World Health Organization WHO (2021) C_WHO

This updated Comprehensive Mental Health Action Plan 2013-2030 builds upon its predecessor and sets out clear actions for Member States, the WHO Secretariat and international, regional and national partners to promote mental health and well-being for all, to prevent mental health conditions for thos... more

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Rehabilitación basada en la comunidad: guías para la RBC - Folleto Introducción

Kamala Achu, Kathy Al Jubah, Svein Brodtkorb, et al. World Health Organization WHO (2012) C_WHO

Guía para la rehabilitación basada en la comunidad (RBC) En el 2003, una Consulta Internacional para Revisar a Rehabilitación Basada en la Comunidad, celebrada en Helsinki, hizo un número de recomendaciones. Seguidamente, la rehabilitación basada en la comunidad se volvió a posicionar con una... more

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Timor-Leste: Disaster Management Reference Handbook

Center for Excellence in Disaster Management and Humanitarian Assistance (2016) C1

Timor-Leste’s vulnerability to natural hazards means if particular care is not taken in the development of the country’s infrastructure, it will remain at risk to disruption.
Timor-Leste developed the 2008 National Disaster Risk Management Policy, which lays out the government’s vison of ... more

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CBR Training Manual
recommended

LIGHT FOR THE WORLD (2011) C1

LIGHT FOR THE WORLD is a European confederation of national development NGOs committed to saving eyesight, improving the quality of life and advocating for the rights of person with disabilities in the underprivileged regions of our world. The guidelines reflect both the ongoing developments within ... more

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Women’s Mental Health: Promoting a Gendered Approach to Policy and Service Provision

The Women´s Health Council The Women´s Health Council (2007) CC

The mission of the Women’s Health Council is to inform and influence the development of health policy to ensure the maximum health and social gain for women in Ireland. Its membership is representative of a wide range of expertise and interest in women’s health. The Women’s Health Council ... more

Prevention of re-establishment of malaria transmission. Global guidance recommended

Continental Cholera Emergency Preparedness and Response Plan for Africa 1.0 recommended

Comprehensive mental health action plan 2013–2020 recommended

CBR Training Manual recommended

Prevention of re-establishment of malaria transmission. Global guidance
recommended

Continental Cholera Emergency Preparedness and Response Plan for Africa 1.0
recommended

Comprehensive mental health action plan 2013–2020
recommended

CBR Training Manual
recommended