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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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UNICEF Annual Report 2024 Staying and delivering for children

UNICEF (2025) CC

It was a difficult time to be a child in 2024. With deepening violent conflict, climate shocks and poverty, children faced skyrocketing needs while the resources to respond continued to shrink. But as this year’s Annual Report shows, across more than 190 countries and territories, UNICEF was t... more

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Integrated Outbreak Analytics Toolkit

Global Outbreak Alerts Response Network GOARN (2025) CC

Integrated Outbreak Analytics (IOA) applies a multidisciplinary approach to understanding outbreak dynamics and to inform outbreak response. It aims to drive comprehensive, accountable, and effective public health and clinical strategies by enabling communities, and national and subnational health a... more

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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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Humanitarian responses by local actors: Lessons learned from managing the transit of migrants and refugees through Croatia

Larsen, M., Demir, E. and Horvat, M. (2016) C3

How do local authorities and humanitarian agencies collaborate when refugees are in transit? An IIED-supported research project is looking at the transit refugee response in Croatia.

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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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No time to retreat, First annual synthesis report on progress since the World Humanitarian Summit

David, K; Ridsdel, B; Yarlett, K et al. OCHA (2017) C1

At the World Humanitarian Summit in Istanbul in May 2016, leaders made over 3,700 commitments to advance the Agenda for Humanity. In their first self-reports against these commitments, 142 stakeholders described the efforts they made from June to December 2016 to realize this ambitious vision. The ... 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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The Development Impact of the War in Ukraine: Initial projections

UNDP (2022) C1

Early data estimates suggest that 90% of the Ukrainian population could be facing poverty and extreme economic vulnerability should the war deepen, setting the country – and the region – back decades and leaving deep social and economic scars for generations to come

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Lesotho Humanitarian Situation Report September 2017

United Nations Children's Fund (UNICEF) (2017)

Situation Overview & Humanitarian Needs | July – September 2017

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Interim Guiding Document to Support Countries for the Development of their national cholera plan

World Health Organization WHO Global Task Force on Cholera (2020) C_WHO

The Global Task Force on Cholera Control (GTFCC) launched Ending Cholera: A Global Roadmap to 2030 (Global Roadmap) (1), a strategy that aims to reduce global cholera deaths by 90% and eliminate the disease in at least 20 countries by 2030. It is organized according to three main axes: • E... more

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Regional Refugee and Resilience Plan (3RP) in Response to the Syria Crisis: Regional Strategic Overview 2020/2021

UN Development Programme UNDP; UN High Commissioner for Refugees UNHCR (2020) C1

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Yemen: Monthly Situation Report May 2020

Relief and Development Peer Foundation RDP (2020) C1

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Strategic Plan for Early Recovery 2015-2017

UN Development Programme, The Global Cluster for Early Recovery (2016) CC

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Guidance On Evaluating Conflict, Prevention and Peacebuilding Activities: Working draft for application period

DAC Network on Conflict, Peace and Development Co-operation and DAC Network on Development Evaluation OECD Publishing (2008)

This working draft develops guidance on conducting effective evaluations of conflict prevention and peacebuilding work. The current working draft will be used for a one year application phase through 2008. It is the result of an ongoing collaborative project by the OECD DAC Networks on Development E... more

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NAMIBIA Vulnerability Assessment Committee Results 2017

United Nations Office for the Coordination of Humanitarian Affairs (OCHA) (2017) C2

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Assessing the impact of War

UN Development Programme (2019) C1

Yemen has already lost 2 decades of Human Development The study warns of exponentially growing impacts of conflict on human development. It projects that if the war ends in 2022, development gains will have been set back by 26 years — almost a generation. If it continues through 2030, that setbac... more

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Gender in Emergencies: Useful Field Base Learning/Practice Gender Mainstreaming Tool

Environmentally Sustainable Development supported by World Bank (2007)

The toolkit comprises ready-to-use material designed expressly for World Bank task managers working in the water and sanitation sector. It presents a range of tools for gender analysis and practical “how-to” strategies collected from program and project experience around the world. It is one of ... more

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NAMIBIA Vulnerability Assessment Committee Results 2016

United Nations Office for the Coordination of Humanitarian Affairs (OCHA) (2016) C2

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Yemen - WASH Needs Assessment Report, February 2018

Relief and Development Peer Foundation (2018) C1

RDP conducted a water, sanitation, and hygiene (WASH) needs assessment in three areas (Bani Ahmed, Al-Aqiba, Al-Ahmol) located in Far Al Udayn district, Ibb Governorate (December 23th , 2017 to January 7th, 2018).