We have been observing since 2018 a trend To leave development assistance for Africa. Donors re-set their priorities for their National and international agenda. Germany, France and NorwayFor example, in the last five years, all Africa reduced their help. And the United Kingdom Government in 2020 reduced Its social development is from 0.7% to 0.5% to 0.5% of total national income.
Many health services on the African continent depend on foreign aid to take the main care. International financing supports programs from HIV vaccination and maintenance.
The glasses in the aid, especially unilaterally, can lead to many results. For example, About 72 million people Due to the reduction of English assistance, it cannot be treated for neglected tropical diseases between 2021 and 2022.
This American Yardli Gel In January 2025, in Africa is the last example of this trend. There is already a significant and large demonstration on the whole African continent. For example, for vaccination campaigns Elimination of polio and the treatment HIV / AIDS (PEPFAR) with the Emergency Plan of the President to fight AIDS cut off. This puts millions of people in danger. In South Africa only, Reducing $ 400 million There is a one-year year of the HIV-Infight programs, the patient’s treatment, the ratios of infection and the increase in infection and increase deaths in a long run.
President Donald Trump stressed the dependence on foreign assistance to Africa’s health financing. I am a global medical specialist sitting in the board of funding and management leadership of the World Health Organization (Who), especially the World Health Organization (WHO) British government andGlobal Resource Mobilization Organizations. I know the competitive priorities of international donors and I Lonely In favor of local and sustainable financing mechanisms in the field of health.
Long strategies aimed at reducing dependence on assistance are important. Getting out of this situation requires agreed efforts based on best practices.
Read more:
Health in Africa: The results of the construction of the United States from whom
Leadership of countries and adoption
African countries are currently experiencing a unique problem to encounter high spread Transmitted DiseasesFor example, in malaria and HIV / AIDS and increased levels Inactive diseasesFor example, like cardiovascular disease and diabetes.
But there are not enough sources of African health systems. They cannot provide appropriate, accessible and affordable health services to respond to these difficulties.
African governments spend Less than 10% Investment expenditures from their GDP for health of $ 4.5 billion. This inadequate Compared to annual investment, the needs of 26 billion dollars are constantly developing.
It is used to help to fill in the lack of financial. For example, in 2021, half–to-side African countries used foreign funding such as subsidies and loans, Are more than third their health costs.
External help is useful. However, African countries are sensitive to variability in the political priorities of donors.
This also leads to the loss of sovereignty in terms of health priorities, because it is the end of the donor determining health priorities. This is one of the reasons why many programs in Africa have not to direct a single disease as HIV. This sewerage Poorly integrated health services. For example, employees or health services are aimed at managing a single disease.
New use of new
Current inclination to reduce African assistance are likely to continue. Global assistance is directed to other difficulties, for example conflict sake illegal immigration.
The continent cannot continue on the same path while hoping different results. Africa should develop internal financing options immediately using unused, especially. Most of them are not used and covers them:
1.) Diversification of the mobilization of national resources. This includes raw tax tax to finance health. For example, tobacco taxes with tobacco taxes It is currently not used in Africa.
Zimbabwe is a successful example. Filled Resource cuts Thanks to donors 3% Tax to AIDS (established in 1999). Funds national programs for the prevention of HIV / AIDS, care and treatment applicable to income of individuals and enterprises.
Nigeria is another country to take advantage of the national budget allocation. O Recently is determined to hire Earlier, 28,000 health workers were awarded by USAID. This shows that the national health funding is possible in Africa.
2.) to strengthen public-private partnership. Charity or local and international organizations can organize financing deficits.
The sample of success is partnership in 2015 in the provision of health services between the Kenyan government and Healthy. GE Healthcare provides equipment and radiography services to pay the government over time. This allows the government to budget and spend health over several years.
3.) Promotion of regional integration To stimulate local production. This will reduce the need for imported imported medical products.
For example, African drug agencyAiming to adapt drug registration procedures within the African Union, it creates a unified continental market for drugs. This market allows support Reduces local manufacturers and production and distribution costs that produce larger sized. Finally, Africa reduces dependence on drugs imported in the drug industry.
4.) Take advantage Development financing institutions. These are financial institutions specializing in the African Development Bank, African Import-Export Bank and the South African Development Bank. For traditional investors, we can give capital and experience to projects considered very risky. This includes support Private sector development for health financing, small and medium enterprises and regional integration for infrastructure development.
One Transformer Initiative is an investment platform Afrupt. With the support of developmental financing institutions in the United States and Europe, African Rose over $ 100 million For health investments in Africa. Have finance At least 45 dializ centers in Africa, more than 130,000 Dializ sessions per year, are mainly isolated and sick communities, all in favorable expenses.
The combination of these approaches to the national, regional and continental level will accelerate its exit from Africa’s assistance.
