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Toolboxes
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5
1
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
The COVID-19 Law Lab initiative gathers and shares legal documents from over 190 countries across the world to help states establish and implement strong legal frameworks to manage the pandemic. The goal is to ensure that laws protect the health and wellbeing of individuals and communities and that
...
they adhere to international human rights standards.
The COVID-19 Law Lab is a database of laws that countries have implemented in response to the pandemic. It includes state of emergency declarations, quarantine measures, disease surveillance, legal measures relating to mask-wearing, social distancing, and access to medication and vaccines. The database will continue to grow as more countries and themes are added.
more
The ‘Toolkit’ is targeted at practitioners responsible for implementing recovery programmes, their objective to provide a ‘how to’ guide on development, implementing and managing complex post-disaster recovery programmes.
Disaster Recovery Toolkit
Regulation and Management of International Emergency Medical Teams
Ville de Goyet, Claude de; Perez Calderon, Luis Jorge; Saimiento, Juan Pablo et al.
International Federation of Red Cross and Red Crescent Societies (IFRC), World Health Organization (WHO)
(2017)
C_WHO
The purpose of this report is to provide an overview of the issues in regulating and managing international emergency in a selection of large and small-scale sudden onset disasters (SODs). In doing so, it aims to contribute to several key international commitments as well as its objective in disaste
...
rs and emergencies to “reduce the consequences the event may have on world health and its social and economic implications”.
more
more
This guide aims to provide an overview of successful practice from the field for the disaster risk reduction/management practitioner interested in EWS. It presents guiding principles that will build a strong foundation for the design or strengthening of EWS at any level. It is not an operational, bu
...
t a strategic, guide that insists on asking the right questions and exploring all perspectives prior even to deciding whether or not early warning is the appropriate tool for a given context.
more
Cette édition fournit des orientations détaillées sur des éléments essentiels tels que les infrastructures, les ressources humaines, les équipements, la logistique, la gouvernance, ainsi que le suivi et l'évaluation (S&E). Ces éléments sont essentiels à la mise en place réussie et au fonc
...
tionnement durable des NPHI, qui sont appelées à devenir des centres d'excellence en matière de santé publique en Afrique.
more
The document provides practical guidelines for conducting a national disaster risk assessment, developed by the United Nations Office for Disaster Risk Reduction. It emphasizes the importance of understanding disaster risk as a foundation for effective disaster risk management and sustainable develo
...
pment. The guidelines outline a structured process that includes preparing and scoping the assessment, conducting risk analysis, and using the results to inform policy and decision-making. They promote a comprehensive, multi-hazard approach that considers vulnerabilities, exposure, and capacities, while encouraging collaboration among governments, experts, and stakeholders. Overall, the document aims to help countries build stronger systems for assessing and managing risks, thereby enhancing resilience and reducing the impacts of disasters.
more
Al afrontar la amenaza común que supuso el coronavirus del síndrome respiratorio agudo severo de tipo 2 (SARS CoV 2), los países y las instituciones de todo el mundo se vieron rápidamente desbordados por la monumental tarea de responder a un problema que avanzaba rápidamente y que les obligó a
...
idear estructuras y alianzas ad hoc para ampliar las medidas de respuesta. En este sentido, el Grupo Independiente de Preparación y Respuesta frente a las Pandemias señaló:
more
O documento apresenta o quadro da Organização Mundial da Saúde para a gestão de riscos de emergências de saúde e desastres (Health EDRM). Explica que comunidades em todo o mundo enfrentam uma ampla variedade de perigos — como surtos de doenças infecciosas, desastres naturais e conflitos —
...
e enfatiza a necessidade de uma abordagem abrangente e baseada no risco para reduzir seus impactos. O quadro descreve princípios fundamentais como prevenção, preparação, resposta e recuperação, e destaca a importância de sistemas de saúde fortes, colaboração multissetorial e envolvimento da comunidade. Também apresenta componentes centrais como desenvolvimento de políticas, coordenação, força de trabalho, comunicação e infraestrutura. De modo geral, o texto tem como objetivo ajudar os países a fortalecer a resiliência, reduzir riscos à saúde e melhorar sua capacidade de lidar com emergências de forma eficaz.
more
World Health Organization (2018). A practical guide for developing and conducting simulation exercises to test and validate pandemic influenza preparedness plans. World Health Organization.
World Health Organization (2018). A practical guide for developing and conducting simulation exercises to test and validate pandemic influenza preparedness plans. World Health Organization.
Всемирная организация здравоохранения (2018). Практическое руководство по разработке и проведению имитационных учений в целях проверки и подтверждения планов обес
...
ечения готовности к пандемическому гриппу. Всемирная организация здравоохранения.
more
Le document présente un cadre stratégique de l’Organisation mondiale de la Santé pour la gestion des risques liés aux situations d’urgence et aux catastrophes dans le domaine de la santé. Il met en évidence que ces événements (comme les épidémies, les catastrophes naturelles ou les con
...
flits) ont des impacts majeurs sur la santé, les systèmes de soins et le développement des sociétés. Le cadre propose une approche globale et proactive fondée sur la prévention, la préparation, la réponse et le relèvement, tout en soulignant l’importance de la collaboration entre différents secteurs et acteurs. L’objectif principal est de réduire les risques sanitaires, de renforcer la résilience des communautés et des systèmes de santé, et d’améliorer la sécurité sanitaire à l’échelle mondiale.
more
El documento presenta un marco estratégico de la Organización Mundial de la Salud para la gestión de riesgos relacionados con emergencias y desastres en el sector de la salud. Destaca que estos eventos (como epidemias, desastres naturales o conflictos) tienen un impacto significativo en la salud,
...
los sistemas sanitarios y el desarrollo de la sociedad. El marco propone un enfoque integral y proactivo basado en la prevención, la preparación, la respuesta y la recuperación, al tiempo que subraya la importancia de la colaboración entre diferentes sectores y actores. Su objetivo principal es reducir los riesgos para la salud, fortalecer la resiliencia de las comunidades y los sistemas de salud, y mejorar la seguridad sanitaria a nivel mundial.
more
World Health Organization (2018). A practical guide for developing and conducting simulation exercises to test and validate pandemic influenza preparedness plans.
The text is a report from a WHO meeting that focuses on strengthening research in the field of health emergency and disaster risk management (Health EDRM). It describes how experts from different regions discussed current challenges, progress, and future priorities in improving research to better pr
...
epare for and respond to health emergencies and disasters. A central theme is the need for stronger collaboration between countries, institutions, and disciplines, as well as better use of evidence to support policies and decision-making. The report also outlines key actions, such as improving data sharing, developing practical guidance for policymakers, increasing research capacity—especially in low- and middle-income countries—and ensuring that research findings are effectively translated into real-world practice. Overall, the text emphasizes global cooperation and evidence-based strategies to enhance preparedness and resilience against health threats.
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Building true health security in a global age. Findings and recommendations of the Global Council. In landmark findings based on two years of research and convenings around the world, the new report shows that high levels of inequality are linked to outbreaks becoming pandemics and that inequality i
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s undermining national and global responses, making pandemics more disruptive, deadly, and longer in duration. The report also shows that pandemics increase inequality, fuelling a cycle that research shows is visible not just for COVID-19, but also for AIDS, Ebola, Influenza, Mpox and beyond.
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Training material
