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Africa: Rethinking Sustainable Health Financing in Africa – From Dependence to Partnership

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Even though Africa’s Health Agenda is closely aligned with the global health agenda, it faces distinct challenges that set it apart, including the ongoing burden of infectious diseases and rising Non-Communicable Diseases. Dr Githinji Gitahi, Group CEO of Amref Health Africa, made these strong submissions during the recent Africa Health Agenda International Conference (AHAIC) 2025 held in Kigali, Rwanda.
The conference’s theme, “Connected for change: Addressing Socio-Ecological Dynamics of Health,” is a strong call to action for African countries to collaboratively tackle the environmental threats and shifts in global health funding priorities impacting Africa’s health. The need for action has never been more urgent as the continent grapples with emerging health threats, and financial constraints. This year’s theme underscored the urgency of reimagining Africa’s health systems — moving from reactive to proactive approaches, from fragmented to integrated financing models, and from national silos to multilateral collaboration.
While diagnosing the challenges is a good first step, the convening emphasised finding bold, sustainable, and Africa-led solutions. Across various sessions, one message remained clear: health is an investment, not an expense. If Africa is to build resilient, equitable, and future-proof health systems, we must rethink how we finance health, prioritise prevention, and strengthen our capacity to develop medical countermeasures.
Opportunity in a crisis
Health financing in Africa is at a crossroads. Over the past two decades, donor support has been a crucial lifeline, funding everything from HIV/AIDS programmes to vaccine rollouts. However, the tide is shifting. With global economic downturns, donor fatigue, and shifting geopolitical priorities, Africa is seeing a decline in external health financing. The COVID-19 pandemic exposed the vulnerabilities of health systems that depend heavily on external funding, emphasising the need for sustainable financing mechanisms that are led and owned by African countries.
As the impact of the recent US funding freeze evolves, Dr, Gitahi noted that it’s important to centre the conversation around the communities served. “If we shift our mindset from the money that is leaving but, on the communities, we will start asking the right questions,” he said.
He emphasised that while aid and foreign corporation helps communities and advances the interests of donor countries, it shouldn’t be an entitlement.
What does this mean for Nigeria and other African countries? It means there’s a window of opportunity to own our problems while still exploring opportunities for collaboration. The conversation about declining development assistance is not new, even though no one could have predicted the speed and manner it happened.
Dr Chikwe Ihekweazu, Assistant Director General at the World Health Organization (WHO) and Acting WHO Regional Director for Africa and other experts at the convening, expressed optimism that the challenge might push African leaders to invest more in health and trigger solidarity between and within countries. Nigeria’s government is already rising to the challenge. Even though “no country can afford to outsource its responsibility to other parties,” as Ihekweazu noted, the instinct to set up a global collaboration to manage certain issues 75 years ago has not changed.
To emerge stronger from this funding situation, Africa must own its health agenda, leveraging tools like national health insurance schemes, taxation on unhealthy commodities, and blended financing models that engage the private sector. However, in doing this, it’s important to keep in mind that “it’s not about how you spend, but where and how you spend it,” that matters, according to Dr Sabin Nsanzimana, Minister of Health of Rwanda.
A prevention-first approach
The health systems in Africa have been structured around treatment rather than prevention for far too long. The burden of non-communicable diseases (NCDs), mental health conditions, and infectious diseases continues to rise, yet investments in prevention remain disproportionately low. The question is no longer whether prevention works; the evidence is overwhelming. Investments in primary healthcare, immunisation, nutrition, and health education yield far greater returns than the cost of treating preventable diseases. Dr. Gitahi mentioned that investing in these, including clean water for everyone, is important when you have little money. “We must prioritise prevention because health is made at home, and hospitals are garages for repair,” he said.
AHAIC 2025 called for a paradigm shift where governments embed prevention at the heart of health policies, ensuring that public health interventions receive the same level of commitment as curative care. This means scaling up community health programmes, integrating digital health solutions for early disease detection, and adopting policies that promote healthier lifestyles. Prevention is not just a health issue, it is an economic strategy that reduces long-term healthcare costs and enhances productivity.
Three considerations for strengthening Africa’s health security
As countries in Africa navigates an era of increasing health threats, from pandemics to climate-driven disease outbreaks, three priorities emerged from the AHAIC 2025 for ensuring health security and resilience:

  1. Strengthening Medical Countermeasure R&D in the continent: Africa cannot afford to be a passive consumer of medical innovations. It must be a leader in research and development (R&D). The continent has witnessed significant progress, with countries like Kenya and Nigeria investing in medical countermeasure R&D. However, gaps remain in infrastructure, funding, and regulatory capacity. AHAIC 2025 highlighted the need to accelerate local production of vaccines, diagnostics, and therapeutics to reduce dependency on external markets.
  2. Innovative and Sustainable Health Financing: Financial sustainability remains a challenge. Traditional financing models are insufficient to meet Africa’s growing health demands. Governments must explore innovative solutions, such as social impact bonds, pooled regional funds, and strategic private sector partnerships. Leveraging innovative financing mechanisms will help Africa can build resilient health systems that withstand public health threats.
  3. Multilateral Partnerships: No Country Can Do It Alone: Health security is a collective responsibility. Borders must not be barriers, but bridges for collaboration. No single country can address pandemics, antimicrobial resistance (AMR), or emerging health threats in isolation. AHAIC 2025 reaffirmed the power of regional cooperation, emphasising that stronger multilateral partnerships across governments, private sector actors, and civil society are essential for shared health security. Rwanda’s success in addressing the Marburg virus outbreak is an important opportunity for regional organisations to connect the dots and learn from the science developed.

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Africa’s health future depends on bold, coordinated action. It is time to break down silos, rethink financing strategies, and prioritise prevention. The road ahead will require innovation, investment, and unwavering commitment from governments, private sector leaders, and communities. Now is the time to act. Now is the time to invest in Africa’s health sovereignty.
Read the original article on Nigeria Health Watch.
AllAfrica publishes around 500 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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Africa: Expanding Market Access – Unlocking New Opportunities for Entrepreneurs

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Sometimes, one opportunity is all it takes to change the trajectory of a business. For many women in the WCW Programme, 2024 has been a year of breakthroughs – where barriers gave way to bridges, and small businesses found space to grow.
Thanks to focused coaching and training, WCW entrepreneurs opened the door to over 10 new markets, generating opportunities valued at more than US$200,000. With tailored procurement support, they went even further – securing five supplier partnerships in Tanzania and seven in Zambia. These aren’t just numbers. They’re new deals signed, new shelves stocked, and new markets won.
Behind this progress is WCW’s strong belief in insight before action. Partnering with a leading service provider, the programme is helping entrepreneurs decode market trends, customer behaviours, and competitor landscapes. Through boot camps in six countries, women are now equipped with sharper strategies to position and promote their businesses like pros.
In the agriculture and agro-processing sectors, WCW is collecting critical data to pinpoint entry barriers, market concentrations, and competitive pressures. These insights are more than academic – they’re fuelling policy advocacy aimed at making it easier for small businesses to enter and thrive in high-potential sectors.
Support is also happening behind the scenes. WCW has brought in seasoned service providers to guide entrepreneurs in securing offtake agreements – particularly in agribusiness, where the potential to scale is massive. Plans to roll out a collective/aggregation model are also underway, giving smaller businesses the power to move together and tap into bigger supply chains.
Key Voices:
“The programme helped me focus on customer needs, allowing me to improve service delivery and expand my product range.”
— Participant from Tanzania
“The WCW-I programme has been helping me develop confidence, refine operations, and expand my market reach.”
— Participant from Zambia
With clearer pathways and stronger partnerships, WCW is showing what’s possible when entrepreneurs are given the tools – and the trust – to lead their own growth.
Read the original article on Graça Machel Trust.
AllAfrica publishes around 500 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.
Articles and commentaries that identify allAfrica.com as the publisher are produced or commissioned by AllAfrica. To address comments or complaints, please Contact us.
AllAfrica is a voice of, by and about Africa – aggregating, producing and distributing 500 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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US to ban artificial food dyes in cereals, snacks and beverages

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(BBC) US Health Secretary Robert F Kennedy Jr is set to announce a ban on certain artificial food dyes, according to a statement from the health agency.

Kennedy plans to announce the phasing out of petroleum-based synthetic dyes as a “major step forward in the Administration’s efforts to Make America Healthy Again” the US Department of Health and Human Services (HHS) said on Monday.

No exact dates for the changes were provided, but HHS said Kennedy would announce more details at a news conference on Tuesday.

The dyes – which are found in dozens of foods, including breakfast cereals, candy, snacks and beverages – have been linked to neurological problems in some children.

On the campaign trail alongside Donald Trump, Kennedy last year pledged to take on artificial food dyes as well as ultra-processed foods as a whole once confirmed to lead to top US health agency.

The move comes after the Food and Drug Administration (FDA) earlier this year banned one dye, Red Dye 3, from US food and pharmaceuticals starting in 2027, citing its link to cancer in animal studies. California banned the dye in 2023.

Most artificially coloured foods are made with synthetic petroleum-based chemicals, according to nutrition nonprofit Center for Science in the Public Interest (CSPI).

Some of the petroleum-based food dyes include Blue 1, used in candy and baked goods; Red 40, used in soda, candy, pastries and pet food; and Yellow 6, also used in baked goods and drinks. Synthetic food dyes are found in dozens of popular foods including M&M’s, Gatorade, Kool-Aid and Skittles.

The only purpose of the artificial food dyes is to “make food companies money”, said Dr Peter Lurie, a former FDA official and the president of CSPI.

“Food dyes help make ultra-processed foods more attractive, especially to children, often by masking the absence of a colorful ingredient, like fruit,” he said. “We don’t need synthetic dyes in the food supply, and no one will be harmed by their absence.”

Companies have found ways to eliminate many of the dyes in other countries, including Britain and New Zealand, said former New York University nutrition professor Marion Nestle.

For example, in Canada, Kellogg uses natural food dyes like carrot and watermelon juice to colour Froot Loops cereal, despite using artificial dyes in the US.

How harmful the synthetic dyes are is debatable, said Ms Nestle.

“They clearly cause behavioural problems for some – but by no means all – children, and are associated with cancer and other diseases in animal studies,” she said.

“Enough questions have been raised about their safety to justify getting rid of them, especially because it’s no big deal to do so,” she added. “Plenty of non-petroleum alternative dyes exist and are in use.”

In 2008, British health ministers agreed to phase out six artificial food colourings by 2009, while the European Union bans some colourings and requires warning labels on others.

In recent months, Kennedy’s food-dye ban has found momentum in several state legislatures. West Virginia banned synthetic dyes and preservatives in food last month, while similar bills have been introduced in other states.

The post US to ban artificial food dyes in cereals, snacks and beverages appeared first on ZNBC-Just for you.

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Africa: Captain Ibrahim Traoré – the Soldier Selling Africa False Hope

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Traoré’s anti-democratic posture is not a blueprint for development — it is a calculated strategy to entrench military rule under the guise of a populist revolution.
What Traoré is selling is not a radical reimagining of governance. It is an age-old authoritarian tactic: discredit democracy, invoke national pride, and suppress dissent — all while consolidating power… Since assuming power through a 2022 coup, Traoré has suspended political parties, cracked down on the press, and muzzled civil society organisations. He claims these actions defend national sovereignty and promote a “popular, progressive revolution.”
Clad in fatigues and fluent in fiery rhetoric, Captain Ibrahim Traoré of Burkina Faso has emerged as a poster child of a new wave of African populism. To his supporters, he is a revolutionary — bold, youthful, and principled.
To the disillusioned youth across the continent, he offers a seductive promise: progress without the inconveniences of democracy. But behind the revolutionary slogans and Sankara-inspired aesthetics lies a far less romantic reality.
Traoré’s anti-democratic posture is not a blueprint for development — it is a calculated strategy to entrench military rule under the guise of a populist revolution. Let us be clear, Africa has every right to interrogate the forms and functions of democracy on the continent.
For decades, many African states have endured dysfunctional governance, hollow elections, and endemic corruption — even under democratically elected leaders. But that frustration must not be manipulated into legitimising authoritarianism.
What Traoré is selling is not a radical reimagining of governance. It is an age-old authoritarian tactic: discredit democracy, invoke national pride, and suppress dissent — all while consolidating power.
Since assuming power through a 2022 coup, Traoré has suspended political parties, cracked down on the press, and muzzled civil society organisations. He claims these actions defend national sovereignty and promote a “popular, progressive revolution.”
But there is little “popular” about a regime that stifles dissent and sidelines citizen participation. Beneath the rhetoric, his governance follows a familiar authoritarian script: glorify the military, delegitimise the opposition, and centralise authority.
His framing of democracy as a Western construct is both lazy and intellectually dishonest. Democracy is not a Western invention — it is a universal aspiration. It is not perfect — no system is — but it provides tools for accountability, the protection of rights, and peaceful transitions of power.
Traoré’s assertion that no country has developed under democracy ignores glaring counterexamples: India, Indonesia, Botswana, Mauritius, and even South Africa — imperfect democracies that have made tangible developmental progress.
Democracy is not the enemy of progress; bad leadership is. Traoré frequently cites China and Rwanda as models of authoritarian success. But cherry-picking these exceptions while ignoring the graveyard of failed autocracies is deeply misleading.
For every China, there are countless Zimbabwes, Sudans, and Libyas — nations brought to their knees by unchecked power. Even China’s economic gains have come at great human cost: widespread censorship, suppression of dissent, and the erosion of personal freedoms — trade-offs many Africans are neither willing nor ready to accept.
In truth, Traoré’s appeal is more symbolic than substantive. His military garb, rejection of Western aid, and Pan-Africanist slogans serve a performative function — designed to project the image of a revolutionary, while masking the repressive nature of his regime.
It is political theatre, expertly staged for a generation hungry for change but jaded by the failures of democracy. And let us not be fooled by his youth or populist flair. Africa has seen this movie before.
From Mobutu in Zaire to Mengistu in Ethiopia, the continent’s post-independence history is littered with military strongmen who promised renewal but delivered repression. They all began with charismatic appeals and revolutionary fervour.
They all ended with censorship, violence, and economic ruin. Traoré’s growing popularity among young Africans — many of whom have no memory of the brutality of past military regimes — is understandable, but dangerous.
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Disillusionment with democracy should fuel reform, not nostalgia for dictatorship. Africa does not need another soldier-saviour. It needs strong institutions, functional systems, and an empowered citizenry — not one infantilised by authoritarian paternalism.
If Captain Traoré is genuinely committed to African sovereignty and development, let him invest in institution-building. Let him empower an independent judiciary, uphold press freedom, invest in civic education, and be accountable to the people — not just through speeches, but through action.
Anything less is not leadership — it is manipulation. The truth is, democracy does not fail because it is un-African. It fails when it is hijacked by corrupt elites, undermined by weak institutions, and eroded by poverty and exclusion.
The solution is not to discard democracy — but to fix it, to deepen it, to make it real. That is the only sustainable path to development, dignity, and self-determination.
Umar Farouk Bala writes from Abuja. He can be reached via: umarfaroukofficial@gmail.com.
Read the original article on Premium Times.
AllAfrica publishes around 500 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.
Articles and commentaries that identify allAfrica.com as the publisher are produced or commissioned by AllAfrica. To address comments or complaints, please Contact us.
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