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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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WHO guideline on preventing early pregnancy and poor reproductive outcomes among adolescents in low- and middle-income countries
recommended

World Health Organization WHO (2025) CC

The objectives of this guideline are the same as those of the 2011 edition, namely to provide evidence-based normative guidance on interventions to improve adolescent morbidity and mortality by reducing the chances of early pregnancy and its resulting poor health outcomes. The specific objectives of... more

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Factors associated with the unsuccessful TB treatment outcomes in the northern regions of Namibia: a mixed methods study

Amkongo, M.; Mitonga, H. K.; Alfeus, A.; et al. (2023) CC2

BMC Infectious Diseases volume 23, Article number: 342 (2023). Tuberculosis (TB) is among the leading causes of death globally. The disease has a huge burden in Namibia, with a case notification rate of at least 442 per 100,000. To date, Namibia is among the countries with the highest global TB bur... more

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A survey of users on the WHO insecticide susceptibility tube test kit

World Health Organization WHO (2024) C_WHO

The WHO susceptibility test kit has been extensively used for monitoring of insecticide resistance in disease vectors for many years. Over the years, users have reported issues with these kits and potential improvements to WHO in an ad-hoc manner. To systematically determine whether the reported iss... more

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WHO guideline for the prequalification assessment of insecticide-treated nets

World Health Organisation WHO (2024) C_WHO

The purpose of the guideline is to provide information to stakeholders on the necessary requirements for a complete prequalification dossier for insecticide-treated nets (ITNs). Its aim is to establish the baseline for dossier requirements which are necessary to assess ITN products for the purposes ... more

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National Strategic Plan for Malaria Elimination in Bangladesh: 2021-2025

National Malaria Elimination Programme - Directorate General of Health Services Ministry of Health & Family Welfare - Government of Bangladesh (2021) C2

The National Strategic Plan for Malaria Elimination 2021–2025 outlines Bangladesh’s roadmap to achieve zero indigenous malaria cases by 2030, with an interim goal to reduce transmission to near-zero levels by 2025. The strategy builds upon earlier successes in malaria control and shifts focus to... more

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2 millions d’agents de santé communautaires en Afrique

Inconnu (2020) C2

Accessed on 13.02.2020 Tirer pleinement profit du dividende démographique, mettre fin à l’épidémie de sida et assurer durablement la santé pour tous en Afrique. Ce rapport plaide pour une nouvelle initiative majeure : recruter, former et déployer rapidement 2 millions d’agents de s... more

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Repositionnement de la planification familiale au Burkina Faso: étude qualitative sur la délégation des tâches

Gandaho T., C. Striefel, M. Maiga et. al. Washington, DC : Futures Group, Health Policy Project (2014) C2

La présente analyse du projet HPP a pour objectifs spécifiques de documenter (1) les sources d’approvisionnement existantes des contraceptifs ; (2) l’implication des agents par catégorie dans la proposition de médicaments et de contraceptifs ; (3) les politiques et les directives actuelles d... more

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Les 10 mythes les plus populaires sur le Covid-19 et comment ils ont émergé

Gregory, J.; et K. McDonald (2020) CC

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RAPPORT MONDIAL SUR LE HANDICAP - RÉSUMÉ

World Health Organization (WHO) & The World Bank (WB) (2011) C_WHO

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COVID-19 y comunicacíon, una guía práctica para enfrentar la crisis

Ferraretto, L.A.; and F. Morgado Universidad de Federal de Rio Grande do Sul (2020) C1

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Enquête Nationale sur le Paludisme au Sénégal 2008-2009

Ndiaye, Salif, et Mohamed Ayad (2009) C2

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Counseling d’une cliente souffrant de la fistule traumatique. Supplément

EngenderHealthFistuale Care (2012)

Un supplément du curriculum de counseling sur la fi stule obstétricale

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Elargir la Pratique Pharmaceutique - Recentrer les soins sur les patients.

Wiedenmayer, K. et al. organisation mondiale de la Santé (OMS), Fédération internationale pharmaceutique (FIP) (2006) CC

French version of "Developing Pharmacy Practice" - WHO/FIP Joint handbook - Ce manuel expose un nouveau paradigme de pratique pharmaceutique. Il a pour but de guider les enseignants en pharmacie pour qu’ils intègrent cette nouvelle pratique pharmaceutique, de former les étudiants ... more

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Guide de prise en charge de l’infection à VIH chez l’enfant et l’adolescent

Sidaction, ID, agence francaise de Dévelopment (2013) CC

L’objectif de ce guide est de favoriser la prise en charge globale et de qualité des nourrissons exposés au VIH et des enfants infectés par le VIH par des équipes pluridisciplinaires, éventuellement non-spécialisées en pédiatrie.Le programme Grandir développe depuis huit ans des activité... more

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Inclusion du handicap dans les politiques et programmations relatives au VIH : Bonnes pratiques émanant de faits probants identifiés dans différents pays

Mac-Seing, Muriel (2014) CC

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Contrôle de l´infection en cas de fièvre hémorragique virale en milieu hospitalier africain

Organisation Mondiale de la Santé OMS; CDC (1998)

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Guía de práctica clínica: basada en la evidencia científica para la atención de la infección por VIH/Sida en adolescentes (con 13 años de edad o más) y adultos. (versión corta)

Ministerio de Salud y Protección Social, Colombia; Fondo de Poblaciones de las Naciones Unidas - UNFPA Asociación Colombiana de Infectiologiá ACIN (2014) C1

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La Situation des enfants dans le monde 2023

UN Children's Fund UNICEF (2024) CC

The article focuses on "The State of the World’s Children 2023" report published by UNICEF. It highlights the critical role of vaccines in saving lives and the challenges in global immunization efforts, especially for marginalized and underserved children. The report emphasizes the impact of COVID... more

WHO guideline on preventing early pregnancy and poor reproductive outcomes among adolescents in low- and middle-income countries recommended

WHO guideline on preventing early pregnancy and poor reproductive outcomes among adolescents in low- and middle-income countries
recommended