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Africa: Reimagining Health Financing in Africa – Navigating the Aftermath of the U.S. WHO Withdrawal

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The United States’ withdrawal from the World Health Organization (WHO) and 90-day pause in foreign aid programmes following President Donald Trump’s re-election have sparked a global health debate. While critics warn that this decision threatens Universal Health Coverage (UHC), the commitment to ‘leave no one behind’ others see an opportunity for Africa to accelerate its vision of a new public health order focused on self-sufficiency.
Could this geopolitical development catalyse a paradigm shift, with African health systems moving from donor-dependency towards self-reliance, thereby strengthening the region’s health security and contribution to global health?
Progress toward achieving UHC, a guarantee that populations have access to quality health services without financial hardship, has been disturbingly off track. The “Tracking Universal Health Coverage: 2023 Global Monitoring Report” paints a bleak picture: 4.5 billion people globally cannot access affordable, quality care when they need it. Even worse, 2 billion people face financial hardship, with 1.3 billion of them being pushed into poverty by out-of-pocket health expenses.
For developing countries with poorly funded healthcare systems and high dependency on foreign aid for critical health programmes -such as Tuberculosis, Malaria, maternal and child health, and HIV/AIDS- the funding cut or reduction from the United States could pose an even more pressing global health issue.
However, while it exposes vulnerabilities in donor-dependent systems, it also presents a timely opportunity to reimagine and strengthen health sovereignty aligned with the new public health order. This will require a whole-of-society approach, driven by strong political commitment and civil society participation.
2025 and the global health financing landscape
The U.S., the WHO’s largest funder, has driven life-saving global health initiatives, including the President’s Emergency Plan for AIDS Relief (PEPFAR), which saved 26 million lives and enabled 5.5 million HIV-free births. With over $640 billion spent in foreign aid from 2012 to 2022, its withdrawal threatens global health diplomacy and sparks opposition. Legal experts have argued that President Trump cannot unilaterally exit the WHO without congressional approval, as the U.S. joined through a 1948 joint resolution. Congress is now pursuing measures to block the move, underscoring the WHO’s indispensable role in global health security.
Image credit: Nigeria Health Watch
In response to the U.S. pause on foreign aid and retreat from the Paris Agreement, the WHO plans to reassess costs, urging the international community to pursue innovative financing. While philanthropic groups are pledging to address the funding gap, with emerging economies like BRICS nations potentially stepping up, their efforts must extend beyond financial support to include technical collaboration and knowledge sharing.
Time to focus on the African response?
This recent geopolitical shift exposes the vulnerabilities of Africa’s heavy reliance on foreign aid to realise its commitment to UHC, underscoring the urgent need to “not let this crisis go to waste” by strengthening health sovereignty.
Africa’s proactive response to COVID-19 demonstrated its capacity for regional coordination and innovation. Initiatives such as the African Vaccine Acquisition Task Team (AVATT) and the Africa Medical Supplies Platform (AMSP) highlighted the continent’s commitment to self-reliance. However, the pandemic also exposed deep vulnerabilities, including the overdependence on external sources for critical medical supplies, with less than 1% of vaccines manufactured locally.
In response, countries including Egypt, Kenya, Morocco, Senegal, South Africa, Uganda, and Rwanda initiated steps to boost local vaccine production, with Nigeria more recently, initiating policy measures to unlock its healthcare value chain. Speaking at the 2025 World Economic Forum, Kashim Shettima, Nigeria’s Vice President reiterated the need for Africa to move beyond foreign aid and embrace partnerships rooted in equality and self-reliance. Similarly, Dr. Jean Kaseya, Africa CDC Director General, emphasised the need for domestic resource mobilisation, in the wake of the geopolitical shift. He stated that “I’m glad to announce that our Heads of State will meet on the 14th of February in Addis Ababa to discuss domestic resources for Africa and how to provide appropriate funding to Africa CDC and African Medicine Agency.”
Africa’s new public health order, introduced in 2021, provides a framework to consolidate these gains, by focusing on institutional strengthening, local manufacturing, and increase in domestic financing for health. However, achieving health sovereignty goes beyond financial independence — it demands the capacity to design, implement, and sustain programmes tailored to Africa’s unique contexts.
Collaborative path forward: Role of civil society organisations
Civil Society Organisations (CSOs) are indispensable allies in advancing UHC goals, serving as watchdogs and bridges between underserved communities and policymakers. U.S.-funded CSOs, whose work directly impacts vulnerable populations, were abruptly told to halt operations, disrupting essential health interventions. In response, swift, and strategic advocacy efforts led to a life-saving waiver on emergency services from the U.S States Department, demonstrating that decision-makers recognised the potential harm of an outright freeze.
Image credit: Nigeria Health Watch
In Nigeria, the Federal Executive Council approved ₦4.8 billion for HIV/AIDS treatment and formed a multi-ministerial committee to sustain health programs impacted by U.S. policy shifts. This signals a move toward domestic health financing, creating a pivotal moment for CSOs to advocate for sustainable funding, transparency, and efficiency. Seizing this opportunity, the Nigeria UHC Forum — a coalition of indigenous CSOs — is moving to explore resilient financing pathways amid donor uncertainty, by convening a health financing policy dialogue this month.
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CSOs in Nigeria have demonstrated their capacity to shape impactful health reforms. The Health Sector Reform Coalition, for instance, led the development of the Basic Health Care Provision Fund Accountability Framework, ensuring transparency in the allocation and use of ₦12.9 billion earmarked for the fund. Similarly, advocacy by CSOs like the Centre for Social Justice catalysed the 2022 passage of the National Health Insurance Act, marking a critical moment in expanding access to health insurance and reinforcing Nigeria’s commitment to leave no one behind.
In light of shifting global dynamics, CSOs must take on an even more transformative role to reimagine Africa’s health systems, holding leaders accountable for their pledge of allocating 15% of their total expenditure to health, while fostering accountability, driving innovation, and amplifying local voices.
Read the original article on Nigeria Health Watch.
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Africa: 'Paris Noir' Exhibition Showcases Work Made in French Capital By Black Artists

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The ‘Paris Noir’ exhibition at the Pompidou Centre brings together works by African, American, Caribbean and Afro-descendant artists who lived and worked in Paris between the 1950s and the end of the 1990s.
Wifredo Lam, Beauford Delaney, Ernest Breleur, Skunder Boghossian, Christian Lattier, Demas Nwoko, Edward Glissant, Frantz Fanon, Aimé Césaire, Grace Jones… These are just some of the artists whose paintings, film and audiovisual works have gone on display at the Pompidou Centre.
And then there are the American creators famed for their work produced in Paris, including Faith Ringgold, Josephine Baker and author James Balwin. Countries from Cuba, Haiti and Jamaica to Martinique, Côte d’Ivoire and Senegal are also among those represented.
An exhibition like ‘Paris Noir‘ has been long awaited at Paris’s flagship modern art museum, despite a strong black, African and Caribbean presence in the French capital, for centuries.
It includes displays on the creation of the seminal magazine Présence Africaine (now also a publishing house) and that of Revue noire, which chronicled the presence and influence of black artists in France between the 1950s and 2000s.
The Pompidou Centre has also included new works by contemporary artists from Transatlantic African American and European communities, such as Jon One, Valérie John, Nathalie Leroy Fiévee, Jay Ramier and Shuck One.
Black consciousness
Eva Barois De Caevel is one of the exhibition curators. “This in-depth work, a historiographical challenge, is now presenting more than 300 works and even more objects and artefacts,” she told RFI.
The event is the result of two years of work by the Pompidou Centre’s contemporary and prospective creation department, led by Alicia Knock.
Contemporary African culture centre to open in Paris after four-year delay
Knock was particularly insistent on including the works of artists who came to Paris in the 1950s, during the period of anti-colonial struggle which was “organised through alliances between the Americas and Africa”, thanks to methods of resistance born in the Caribbean since the Haitian revolution.
“We could have called the show ‘Paris, Dakar’, ‘Paris, Lagos’, ‘Paris, Johannesburg’, ‘Paris, Havana’, ‘Paris, Fort-de-France’, or ‘Paris, Port-au-Prince’… But this would have been a bias that didn’t interest us,” De Caevel added.
Instead, the museum sought to focus on the idea of a black consciousness, referencing The Black Atlantic, the seminal book by British sociologist and cultural studies academic Paul Gilroy, published in 1993, an exploration of the “double consciousness” of black people in the western world during the modern period.
The curators have included artistic representations of the experience of enslavement and the slave trade, which De Caevel called “unprecedented in the history of humanity, which gives us a common base”.
Equally vital to include was the experience of racism, including institutional racism. “This means that these artists were ignored,” added De Caevel, “and not considered by institutions – until very recently, or even until today.”
Political context
The show is an archive of an immensely rich part of Paris’s history, according to the British photographer Johny Pitts, who worked for more than a decade documenting “black Europe” in his book Afropeans.
“It reminds us that, as well as the art, it is important to show the conditions of production of the art, the politics behind the art, the intellectual movements that have helped to spearhead many black artistic traditions,” he told RFI. “And I’m really glad because sometimes I feel like that gets lost.”
Beyond appreciating the visuals, for him the exhibition helps to highlight the political context in which the art was made.
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Post-colonial artists reimagine the future in new Pompidou exhibition in Metz
“I think it’s a very important intervention,” he added. “I loved seeing the collection of Présence Africaine, the books all displayed, and also the work of photographers like Haitian Henri Roy, who’s one of my favourite photographers and has been going for a long time: here, finally, he gets his credit. There’s a lot of work in here that I have seen for the first time, and then artists whose work I actually didn’t know. It’s just so powerful.”
Pitt’s photographs were recently exhibited in the French capital by Little Africa, an art space in Paris’s Goutte d’or neighbourhood founded by a group of African cultural players.
Curated with Little Africa, numerous art, cultural and educational shows have been scheduled in venues across Paris and the Île-de-France region as parallel events reflecting “black Paris” to run intended with the Pompidou Centre’s exhibition.
‘Paris Noir’ is at the Pompidou Centre in Paris until 30 June, 2025.
Read or Listen to this story on the RFI website.
AllAfrica publishes around 400 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
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AllAfrica is a voice of, by and about Africa – aggregating, producing and distributing 400 news and information items daily from over 110 African news organizations and our own reporters to an African and global public. We operate from Cape Town, Dakar, Abuja, Johannesburg, Nairobi and Washington DC.
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UPND Urges Zambians to Ignore Opposition Claims

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By Mark Ziligone

The ruling United Party for National Development -UPND- has urged Zambians to disregard some opposition political parties who continue to politicize the Constitution amendment process.

UPND Media Director, MARK SIMUUWE says there is nothing secretive about the reforms and that the process will be transparent

Mr. SIMUUWE has expressed disappointment that some opposition parties are dragging President HAKAINDE HICHILEMA into the issue, despite the fact that he has no direct control over it.

During a press briefing in Lusaka today, Mr. SIMUUWE clarified that President HICHILEMA does not sit in parliament adding that accusations that he is trying to manipulate the constitution are baseless.

And opposition United National Independence Party -UNIP- has welcomed the proposed constitution reforms.

UNIP Coordinator, Reverend ALFRED BANDA said the party fully supports the process and will offer its full backing to the constitution reforms.

The post UPND Urges Zambians to Ignore Opposition Claims appeared first on ZNBC-Just for you.

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Africa: The Political Declaration's Vision Must Be Made Real – Change is There Now to be Grasped

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Closing remarks by Ms. Sima Bahous, UN Under-Secretary-General and UN Women Executive Director, at the 69th session of the Commission on the Status of Women, 21 March 2025, UN headquarters.
[As delivered.]
This Commission on the Status of Women has shown that, whatever the headwinds, the United Nations is still the place where consensus can be found on gender equality. As this 69th Commission on the Status of Women closes, we share a deep recognition of the challenges and opportunities of gender equality. They have been articulated frequently, eloquently, and effectively these last two weeks—in an exceptional year.
We have seen stakeholders—be they from within or outside of government, national, global, or grassroots—we have seen them come together in a shared agenda and determination to do more together than could be done alone.
I thank His Excellency Ambassador Abdulaziz Alwasil of Saudi Arabia as Chair of the Commission who, together with the very able Vice Chairs and co-facilitators of the Political Declaration, her Excellency, Ms. Maritza Chan Valverde of Costa Rica and Ms. Dúnia Eloisa Pires do Canto of Cabo Verde, so ably shepherded the Political Declaration to a consensual outcome.
I also thank the Vice Chairs, Ms. Robin Maria de Vogel of the Netherlands and Ms. Nataliia Mudrenko of Ukraine, for advancing the multi-year programme of work and serving as the rapporteur for the session, respectively.
I believe that I speak for all of us when I say that this Bureau, under Saudi Arabia’s leadership, managed immense challenges and, even in the face of strong headwinds, was able to stay the course for ALL women and girls.
I thank Saudi Arabia also for sharing your story of progress and women’s empowerment through your different side events, and through the special musical opening and various exhibitions on the margins of the Commission.
Allow me to congratulate and celebrate all the women who have assumed leadership positions this very week. In Namibia, the first woman President, who is inaugurated today. In Tunisia, the new woman Prime Minister, appointed yesterday. And at the International Olympics Committee, the first woman and the first African President.
This year we mark 30 years since the Beijing Declaration, 25 since Security Council resolution 1325, five years to go until 2030, and 15 years since the establishment of UN Women. We salute all women and girls around in the world, in different contexts and in different situations.
These anniversaries that we are talking about are more than moments in time: they are rallying cries, essential calls to action, powerful reminders that, as the Beijing Declaration affirms, women’s rights are human rights.
In a world under strain, the multilateral system is more essential than ever. And among the greatest rewards it offers these United Nations is its unique contribution to delivering on the promise of gender equality for ALL women and girls.
We share a deep sadness at the ceasefire in Gaza being shattered, at more civilians killed, more women and girls displaced and denied the necessities that dignity demands. We salute all women living in conflict for their courage and their resilience. And, also, we call for peace for all women and girls. We call for peace worldwide, and we stand in solidarity alongside all those women and girls enduring suffering in conflict zones around the world.
This CSW69 has sent a clear message in the Political Declaration. That message lies not only in its content but in the consensus and the commitment to progress it represents. We can all be proud to have been a part of this Political Declaration.
The Political Declaration “affirms that gender equality and the empowerment of all women and girls are essential for sustainable development and fulfilling our pledge to leave no one behind”. It recognizes that, “30 years after the Fourth World Conference on Women, no country has fully achieved gender equality and the empowerment of women and girls [and] that major gaps and obstacles remain”.
The Political Declaration is both commitment and challenge .  Let no one underestimate what was achieved here at this CSW and the impact it will have on the lives of women and girls.
The Political Declaration’s steps forward are substantial, demanding that we:
The Declaration also reaffirms our shared commitment to CSW revitalization, to the Pact for the Future, and the Secretary-General’s System-wide Gender Equality Acceleration Plan.
And it calls for the nomination of women for future UN leadership positions, for Secretary-General, and for President of the General Assembly.
This is indeed an impressive list. We have seen that these crucial commitments enjoy wide support at many levels.
This year’s CSW drew over 13,000 participants in total: 186 Member States were represented, among them one Vice President, three Deputy Prime Ministers, and 97 Ministers. We also had the participation of over 5,845 NGO representatives—a new record for CSW—and we had a total of 283 side events, many spearheaded by Member States.
Across CSW, we heard from young feminists, girl leaders, and civil society, including in a powerful Civil Society Townhall with the Secretary-General.
This year, we once again raised the bar for the energy in the corridors. Anyone working for the cause of gender equality who seeks to be inspired or energized could have done no better than to spend the last two weeks here with you all.
Allow me to extend a special thank you to the youth delegates and to civil society who were so indispensable throughout this CSW. I know for many the journey here was not easy. I salute you, your courage, and your unstoppable determination.
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Our job now, as it is every year, is to take our commitments, this energy, from these halls to the places where women and girls live their lives. Because our efforts are judged not here, but there.
To this end, and in light of the 30th anniversary of Beijing, I offer you two proposals:
First ,  we must continue to find consensus, even in difficult times. Not consensus at any price, nor consensus for its own sake, but consensus because we have shown that consensus on progress is not just possible, it is there to be achieved. And this year, you have achieved it.
Second ,  we must continue to examine every decision, every investment, every policy and more, to align it with the Beijing Declaration and Platform for Action and this Political Declaration. The Beijing+30 Action Agenda also serves as a practical guide to potential priorities in 2025 and beyond.
I will close by echoing, as I did at the opening of this august body, the words of the Beijing Declaration: “[to advance] the goals of equality, development and peace for all women everywhere in the interest of all humanity”.
We have everything to gain from gender equality. The Declaration’s vision must be made real. Change is long-overdue, we have been promised it too long, and it is there now to be grasped.
It has been an honour and a pleasure to work with all of you at this CSW69, and I look forward to working with you in the years ahead.
I thank you very much.
Read the original article on UN Women.
AllAfrica publishes around 400 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
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