Global public health is increasingly pitting ambition
against limited resources. Africa finds itself faced with two extremes: great
expectations for the future, and very little financing for the health sector to
count on.
The African health sector remains underfunded. Governments
currently invest $4.5 billion[1] in public health capital expenditure versus
the estimated $26 billion of annual investment needed to meet evolving health
needs over the next decade.
Government health expenditures also represent only 1.9% of
GDP in Sub-Saharan Africa, far below the target of 5% suggested by the United
Nations Economic Commission for Africa.
But it is not only about money: countries could do
significantly better with the resources they have by doing away with inefficiencies,
which have a variety of causes, ranging from weaknesses in evidence-based
policymaking to insufficient high-impact investments.
The Covid-19 pandemic has highlighted these major
inefficiencies in national health systems and related health infrastructure
across the continent.
The central theme of the guide is seeking greater value for
money, or making the most of scarce resources. The guide presents the most
common policy initiatives that focus on value for money and emphasizes those
that have the greatest likelihood of success.
This guide will support health policymakers to further
develop, adopt, and sustain innovative solutions to maximize the benefits of
investments in health – and, in the process, attract more funding for the
sector in Africa.
To enhance value for money in the health sector, the Bank
will support its regional member countries through a combination of technical
support, knowledge work and policy dialogue.
This data is sourced from the WHO Global Health Observatory;
the Bank’s Strategy for Quality Health Infrastructure in Africa 2022-2030
This is an estimate calculated by the African Development
Bank; the Bank’s Strategy for Quality Health Infrastructure in Africa 2022-2030
The Bank’s Strategy for Quality Health Infrastructure in
Africa 2022-2030.
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