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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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Environmental Determinants of Cardiovascular Disease

Bhatnagar, A. Circulation Research (2018) CC

Many features of the environment have been found to exert an important influence on cardiovascular disease (CVD) risk, progression, and severity. Changes in the environment due to migration to different geographic locations, modifications in lifestyle choices, and shifts in social policies and cultu... more

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Living conditions among people with disability in Nepal

Arne H. Eide, Shailes Neupane, Karl-Gerhard Hem SINTEF Technology and Society (2016) C1

This report is from the National study on living conditions among people with disabilities carried out in Nepal in 2014-2015. The study was carried out as a household survey with two-stage stratified sampling, including a screening/listing procedure using the Washington Group on Disability Statis... more

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Financing Global Health 2013: Transition in an Age of Austerity

Institute for Health Metrics and Evaluation (2014) CC

Financing Global Health 2013: Transition in an Age of Austerity, IHME’s fifth annual report on global health expenditure, depicts financing trends that underline the resilience of development assistance for health. This year’s updated estimates show that despite lackluster economic growth and fi... more

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The prevention and elimination of disrespect and abuse during facility-based childbirth

World Health Organization WHO (2022) C_WHO

very woman has the right to the highest attainable standard of health, which includes the right to dignified, respectful health care. Many women experience disrespectful and abusive treatment during childbirth in facilities worldwide. Such treatment not only violates the rights of women to respectf... more

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Mental Health and Psychosocial Well-Being among Children in Severe Food Shortage Situations

Jodi Morris, Geetika Chopra, Leah Hathaway et al. WHO (2006) C_WHO

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National Baseline Study on Violence against Children: Philippines. Executive Summary

UNICEF (2016)

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Tips for parents and caregivers: Keeping children safe online during the COVID-19 pandemic

UN Children's Fund UNICEF (2020) C1

The COVID-19 pandemic has impacted all aspects of our lives. With schools closed and lockdowns imposed, many children and young people are spending all their time at home. Much of that time may be spent online, often for much longer than is usual. Being able to connect online provides valuable op... more

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Standard operating procedure for care and protection of children in street situations

Save the Children (2017) C1

India | The ‘Standard Operating Procedures for Care, Protection and Rehabilitation of Children in Street Situations’, is a unique endeavour to streamline the processes and interventions regarding Children in Street Situations, based on the prevailing legal and policy framework.

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Psychosocial Support in Emergencies: Critical for Syrian Children

Save the Children (2013) C2

This report aims to provide Syrian children with a platform to make their voices heard. Their stories highlight the urgent need to address the psychosocial well-being of children affected by the Syrian civil war, and in all emergencies

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Inter-agency Guiding Principles on unaccompanied and separated children

ICRC, UNHCR, Wolrd Vision Save the Children UK, IRC, Unicef (2004) C1

Action on behalf of unaccompanied and separated children should be guided by principles enshrined in international standards. The validity of these principles has been confirmed by experience and lessons learnt from conflicts and natural disasters in recent years. The objective of the present public... more

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Guidance for COVID-19 Prevention and Control in Schools. E: Protection of Children in and out of school in the context of COVID-19 pandemic

UN Children's Fund UNICEF (2020) C1

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We Keep It in Our Hearts: Sexual Violence Against Men and Boys in the Syria Crisis

UN High Commissioner for Refugees (2017) C1

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The Importance of Contextual Factors in Carrying Out Childhood Violence Surveys: a Case Study from Indonesia

L. Rumble, A. A. Ramly, M. Nuryana, et al. (2017) C1

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National Baseline Study on Violence against Children: Philippines. Recommendations

UNICEF (2016)

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Acceptable medical reasons for use of breast-milk substitutes

World Health Organization (2009)

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Time to Act. Pragmatic and concrete actions for prevention of non-medical use of controlled substances, treatment of drug use disorders, social protection and health care for people affected

United Nations Office on Drug and Crime UNODC (2019) CC

UNGASS 2016 OUTCOME IMPLEMENTATION

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Children and armed conflict - Report of the Secretary-General (A/73/907–S/2019/509)

UN Security Council, UN General Assembly (2019) C1

The present report, which covers the period from January to December 2018, is submitted pursuant to Security Council resolution 2427 (2018). The preparation of the report involved broad consultations within the United Nations, in the field and at Headquarters, and with relevant Member States. It hig... more

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Cartographie des enfants en mouvement en Afrique

Comité Africain d’Experts sur les Droits et le Bien-être de l’Enfant CAEDBE GIZ; Save the Children; EU (2018) CC

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Nepal Multiple Indicator Cluster Survey 2010, Mid- and Far Western Regions, Final Report

Central Bureau of Statistics (CBS) and UNICEF Nepal (2012)