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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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A healthy return: Investment case for a sustainably financed WHO

World Health Organization (WHO) (2022) CC

There has never been a more critical moment to invest in WHO, and strengthen the unique role it plays in global health. Now is the time to sustainably finance WHO and invest in a healthy return for all.

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WHO guidelines on meningitis diagnosis, treatment and care. Web Annex B. Qualitative and economic evidence reports
recommended

World Health Organization WHO (2025) C_WHO

The guidelines are primarily intended for health-care professionals working in first- or second-level health-care facilities, including emergency, inpatient and outpatient services. They are also directed at policy-makers, health-care planners and programme managers, academic institutions, non-gover... more

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Implementing the WHO Safe Childbirth Checklist: lessons learnt on a quality improvement initiative to improve mother and newborn care at Gobabis District Hospital, Namibia

Kabongo, L.; Gass, J.; Kivondo, B.; et al. (2017) CC2

BMJ Open Quality 2017;6:e000145. doi:10.1136/ bmjoq-2017-000145Although there are many evidence-based practices that reduce the risk of maternal and neonatal mortality around the time of birth, there remains a gap between what is known and the care received. This knowdo gap is a source of preventab... more

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Regional Child Protection Operational Note

International Organization for Migration (IOM) (2025) C2

The Regional Child Protection Operational Note has been developed by IOM and UNICEF’s Regional and Country Offices in North, West and Central Africa as a collaborative inter-agency and cross-regional endeavour within the framework of the sixth phase of the IOM Regional Development and Protection P... more

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Denial of Humanitarian Access to Children: A Guidance Note for the Children and Armed Conflict Agenda

UNICEF; UN Office of the SRSG for Children and Armed Conflict Reliefweb OCHA (2025) C_UNICEF

ith a view to support the monitoring and reporting on the denial of humanitarian access against children, the Office of the Special Representative of the Secretary-General for Children and Armed Conflict and UNICEF publish today* a guidance note offering new tools to practitioners to better address ... more

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Framework for Artemisinin resistance prevention, containment, and elimination in South America

Pan American Health Organization PAHO; World Health Organization WHO; instituional Repository for Information Sharing iris (2016) C_WHO

The framework recommends expanded coverage of malaria diagnostic and treatment services, intensified vector control to drive down transmission, strengthened malaria surveillance, and increased transborder collaboration, especially in terms of efforts to control the sale and use of artemisinin monoth... more

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SuperBetter Children for Health

Children for Health (2022) C1

SuperBetter Children is a health and wellbeing curriculum designed to be integrated into school programmes or offered as an extracurricular activity.

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Community Early Warning Systems (CEWS) Training Toolkit – Field Guide

International Federation of Red Cross IFRC (2014) CC

The Training Toolkit for Community Early Warning Systems is an operational manual that aims to strengthen early warning systems in a developing country context. It accompanies and should put into practice the guiding strategic principles found in the Community Early Warning Systems: Guiding Principl... more

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Multi-hazard early warning systems: a checklist

UNDP; Caribbean Disaster Emergency Management Agency CDEMA; International Federation of the Red Cross and Red Crescent Societies IFRC; et al. (2022) C1

The Multi-Hazard Early Warning System (MHEWS) Checklist is a practical tool consisting of major components and actions that national governments, community organizations and partners within and across all sectors can refer when developing or evaluating early warning systems

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Malaria control in emergencies: field manual

World Health Organization WHO (2025) C_WHO

Growing emergencies and displacements across the world demand increasingly complex interventions and responses. The World Health Organization (WHO) has developed Malaria control in emergencies: a field manual to provide technical guidance to help partners respond effectively to malaria in emergency ... more

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Abortion care guideline, 2nd ed

World Health Organization WHO (2025) C_WHO

The objective of this guideline is to present the complete set of all WHO recommendations and best practice statements relating to abortion. While legal, regulatory, policy and service-delivery contexts may vary from country to country, the recommendations and best practices described in this docume... more

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Climate change and workplace heat stress: technical report and guidance

World Health Organization WHO (2025) C_WHO

This publication provides an overview of evidence and guidance on the growing challenge of workplace heat stress in the context of climate change. It highlights the health and productivity risks faced by billions of workers, especially in manual labor sectors. The report details the physiological, s... more

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Implementando Programas Exhaustivos de VIH y otras ITS para Hombres que Tienen Sexo con Hombres:

J. Bear; G. Ayala; J. Butler; et al. Fondo de Población de las Naciones Unidas; Organización Mundial de la Salud; UNFPA; UNAIDS; et al. (2015) C2

Guía práctica para intervenciones colaborativas

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Norma Tecnica para la Supervision de Salud de Ninos y Ninas de 0 a 9 anos en la APS

Ministerio de Salud Chile (2021) C2

Norma Técnica para la Supervisión de SALUD INTEGRAL DE NIÑOS Y NIÑAS DE 0 A 9 AÑOS en la Atención Primaria de Salud - Actualización 2021

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Politica Nacional de Salud Mental 2011-2020

Pan American Health Organization PAHO; Ministerio de Salud Pública y Bienestar Social (2011) C_WHO

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Tuberculoza la adult

Ministerul sănătăţii al republicii Moldova (2015) C2

Protocol clinic naţional PCN- 123

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Diretrizes para o fornecimento de Cadeiras de Rodas Manuais em locais com poucos recursos

World Health Organization (WHO) (2008) C_WHO

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Cameroon: Les enfants handicapés

UNICEF (2013) C1

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Cadre conceptuel d’un plan national de suivi et de gestion de la résistance aux insecticides chez les vecteurs du paludisme

Organisation mondiale de la Santé (OMS) (2017) C_WHO

L’ampleur de la résistance aux insecticides chez les vecteurs du paludisme met en péril l’efficacité des programmes de lutte anti-vectorielle. Si cette résistance n’est pas atténuée, le taux de morbidité palustre va s’accroître, entraînant une hausse significative des coûts liés �... more

WHO guidelines on meningitis diagnosis, treatment and care. Web Annex B. Qualitative and economic evidence reports recommended

WHO guidelines on meningitis diagnosis, treatment and care. Web Annex B. Qualitative and economic evidence reports
recommended