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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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Namibia: National Guidelines for the Management of Tuberculosis , Fourth Edition 2019

Ministry of Health and Social Services; Republic of Namibia (2019) C1

Tuberculosis (TB) is among the top ten most common causes of death globally and as a single infectious disease it top among infectious diseases. Furthermore, it is noted as the top causes of death among people infected with the human immunodeficiency virus (HIV). Despite recent decreases in the numb... more

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Mass gathering practical guide for simulation exercises and after action reviews

World Health Organization WHO (2025) C_WHO

This guide provides strategic direction for host countries, event organizers, health authorities, and key stakeholders to effectively plan and conduct Simulation Exercises (SimEx) and After Action Reviews (AARs) for mass gathering events. Packed with practical tools, it empowers users to seamlessly ... more

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Country guidance for planning triple elimination of mother-to-child transmission of HIV, syphilis and hepatitis B virus programmes

World Health Organization WHO (2025) C_WHO

This publication provides guidance for planning country-specific programming to achieve the triple elimination of mother-to-child (or vertical) transmission of HIV, syphilis and hepatitis B virus. It is based on the WHO Triple Elimination Framework, which promotes an integrated, person-centred appro... 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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Routine health information system and health facility and community data for neglected tropical diseases: last-mile logistics information system for medicines and health products

World Health Organization WHO (2025) C_WHO

This document on logistics management information systems (LMIS) was developed to address the increasing need for harmonization and standardization of core indicators for managing medicines and health products for neglected tropical diseases (NTDs) at country level (i.e. for last-mile logistics). It... more

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Indonesia: Rapid Assessment of the Child Social Welfare Program (PKSA)

UNICEF (2015)

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Syrian Hospitals surveillance Study March 2017

A. Al-Kassem,F. Joria,H. Alnahhas, et al. Union of Medical Care and Relief Organizations (2017) CC

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Ebola Regional lesson learning

Health and Education Advice and Resource Team (2014)

This helpdesk report seeks to establish what lessons have been learnt from the current and previous Ebola outbreaks. It recommends good practice and makes suggestions based on the evidence for good practice and preparedness to reduce transmission and prevent further risk and exposure in affected cou... more

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Report of Assessment and Support Mission to 5 Regions in Southern Sector

N.Nortey Hanson-Nortey; Kwami Afutu (2012) C1

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Care for Mental Health Conditions in Jamaica: The Case for Investment. Evaluating the Return on Investment of Scaling Up Treatment for Depression, Anxiety, and Psychosis

Pan American Health Organisation PAHO (2020) C_WHO

Mental health is critical to personal well-being, interpersonal relationships, and successful contributions to society. Mental health conditions consequently impose a high burden not only on individuals, families and society, but also on economies. In Jamaica, mental health conditions are highly pre... more

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The Primary Care Innovator’s Handbook
recommended

The Center for Health Market Innovations. (2015) C1

Voices from Leaders in the Field

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Training manual for law enforcement officials on HIV service provision for people who inject drugs

D. Riley; N. Thomson; G. Monaghan; et al. United Nations Office for Drugs and Crime (UNODC) (2020) C2

Advance Copy Accessed: 08.03.2020

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Care for Mental Health Conditions in Jamaica

Pan American Health Organization (PAHO) (2020) C1

Evaluating the Return on Investment of Scaling Up Treatment for Depression, Anxiety, and Psychosis

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What Clinicians Need to Know About Gambling Disorders

National Center for Responsible Gaming (NCR) (2012) CC

Increasing the Odds: A Series to Understanding Gambling Disorders. Vol.7 All editions of Increasing the Odd sare available as a free download at https://www.icrg.org/resources/monographs

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Quality Assessment Guidebook: A guide to assessing health services for adolescent clients.

World Health Organization (WHO) (2009) C_WHO

Over the past few decades and throughout the world, the landscape of adolescent health has been altered dramatically. Currently, the total population of adolescents between the ages of 10 and 19 years is 1.2 billion – the largest generation of young people in history. The vast majority of adolesce... more

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Annual Pharmaceutical Sector Performance Report 2013-2014

Ministry of Health, Republic of Uganda (2015) C1

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Management of MDR-TB: A field guide

Partners in Health, World Health Organization (2009) C_WHO

Multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) increasingly occur in resource-constrained settings. In the context of a national response to MDR- and XDR-TB, health workers in TB clinics (in district hospitals and some accredited health centres) wil... more

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Community-Based Care for Drug-Resistant Tuberculosis: A Guide for Implementers

United States Agency for International Development (USAID) (2011)

This guide provides practical, step-by-step guidance on how to organize, implement, and monitor community-based care for DR TB. It is equally useful for program planning or supervision. The target audience for this guide is TB Program Managers, governments, policy makers, nongovernmental organizatio... more

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An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study

S. Chauwa Phiri, M.Lippitt Prust, C. Phiri Chibawe, et al. (2017) CC

Phiri et al. Human Resources for Health (2017) 15:40 DOI 10.1186/s12960-017-0214-3

The Primary Care Innovator’s Handbook recommended

The Primary Care Innovator’s Handbook
recommended