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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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Promover el seguimiento de los sistemas de salud para prestar mejores servicios a la población de personas mayores

World Health Organisation (WHO) (2023) C_WHO

Promover el seguimiento de los sistemas de salud para prestar mejores servicios a la población de personas mayores forma parte de la serie titulada La Década del envejecimiento saludable en las Américas: situación y desafíos. El propósito de la serie es favorecer la priorización de medidas ef... more

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Logistics

R.S. Stephenson WHO; UNDP (1993)

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IASC operational guidelines on human rights and natural disaster

Brookings-Bern Project on Internal Displacement (2008)

Operational Guidelines and Field Manual on Human Rights Protection in Situations of Natural Disaster

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The Cost of Security Risk Management for NGOs

Finucane, C.; European Interagency Security Forum (EISF) (2013) C2

The Cost of Security Risk Management for NGOs explores the costs related to safety and security management for aid programmes. It aims to assist all aid practitioners to determine their risk management expenditure more accurately, and demonstrate an evidence-based approach when presenting this infor... more

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Disaster Management Strategic Framework 2010-2015

Nepal Red Cross Society (2014) C1

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Security Management and Capacity Development: International agencies working with local partners

Singh, Iesha; European Interagency Security Forum (EISF) (2012) C2

This EISF report provides an analysis of the issues surrounding the relationship between NGO’s and their local partners. It includes a section on the topic and its background, responsabilities towards the partner organisation and particularly in terms of security, how to enable and help the partne... more

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Haiti - Response Overview July 2021

Food and Agriculture Organization of the United Nations FAO (2021) CC

Haiti is one of the worst food crises in the world with 46 percent of the population projected to be in high acute food security, mainly due to reduced agricultural production caused by a long period of drought, storms and increased prices of basic foodstuffs, which are compounded by the effects of ... more

The Good Enough Guide
recommended

Emergency Capacity Building Project Oxfam (2007) C1

A set of basic guidelines on how to be accountable to local people and measure program impact in emergency situations. The "good enough" approach emphasizes simple and practical solutions and encourages the user to choose tools that are safe, quick, and easy to implement

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A Decade of Destruction: Attacks on Health Care in Syria

Sider, R. , Buswell, M. , Al Salman, M. et al. International Rescue Committee, et al. (2021) CC

March 2021. “A Decade of Destruction: Attacks on health care in Syria,” highlights with chilling detail how this 10-year war strategy has turned hospitals from safe havens into no-go zones where Syrian civilians now fear for their lives.

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Zambia: Drought (Food Insecurity) Emergency Appeal n° MDRZM012

International Federation of Red Cross And Red Crescent Societies IFRC (2019) C1

A “catastrophic” combination of drought and communities’ declining resilience has left an estimated 2.3 million people facing severe acute food insecurity – up from an estimate of 1.7 million people a month ago. Communities across southern Africa have been affected by drought since late 2... more

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View PDF (2017)

Guidelines to Referral Health Care in Lebanon

UNHCR (2014)

The standard operating procedures (SOP) for referral care cover all the refugee populations living in Lebanon. These SOPs outline the policies and procedures for referral care in Lebanon, including the limits in health assistance that can be provided.

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Pregnant women flee lack of maternal health care in Venezuela

UN High Commissioner for Refugees UNHCR (2019) C1

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Addressing Forced Displacement through Development Planning and Co-operation: Guidance for Donor Policy Makers and Practitioners

Mwangi, Annabel; Gamez, Laura et al. Organisation for Economic Co-operation and Development (OECD) (2017) C1

OECD Development Policy Tools
Recognising that donor policies and responses constantly evolve, this guidance recommends that donors operating in situations of forced displacement prioritise three broad areas of work, where they can best contribute to existing capacities at the national, regiona... more

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Building back better: Lessons learned from the response to the Indian Ocean Tsunami in terms of long - term development, disaster risk reduction and resilience building in Aceh , Indonesi

UNICEF Indonesia (2014)

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Disability Inclusion: Disaster Management

Christoffel-Blindenmission (CBM) (2012)

Part B

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Response analysis and response choice in food security crises: a roadmap

Daniel Maxwell, Heather Stobaugh, John Parker and Megan McGlinchy ODI (2013)

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Taita Taveta County: 2017 Long Rains Food Security Assessment Report (July 2017)

Government of Kenya (2017) C1

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The world's most neglected displacement crisis

Norwegian Refugee Council (2018) C1

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Child Protection in Emergencies: Coordination Handbook

Global Protection Cluster (2016) CC

The Handbook is primarily addressed to child protection coordination teams, which may include coordinators, co-leads and information managers, the guidance is equally valid for all members of the child protection coordination group, including national and international nongovernmental organizations ... more

The Good Enough Guide recommended

The Good Enough Guide
recommended