Africa has made its case for greater health sovereignty. What comes next will determine whether Accra becomes a defining turning point or another well-intentioned moment without sustained follow-through. At the African Union’s Extraordinary Summit on Health in Accra, I found myself carrying two feelings at once.  The first was fatigue. Much of what was said was true, urgent, and painfully familiar. Africa must finance more of its own health systems. Primary health care must be stronger. Medicines and vaccines must be manufactured...
Out-of-pocket health payments in Africa have become one of the greatest barriers to equitable healthcare access. For millions of households, the cost of seeking treatment can mean the difference between recovery and financial hardship. In this article, William Menson, Director for Health Financing for Africa examines why these payments function as a hidden tax on the poorest families and what governments can do to reduce their impact. Names have been changed for confidentiality. Africa does not only have a health financing...
As Africa looks toward a future defined by youth, innovation, and economic transformation, one truth is becoming increasingly clear: the continent’s long-term trajectory will depend not only on the opportunities created for young people, but on whether children survive and thrive in the earliest years of life. Behind every conversation about demographic growth, workforce expansion, and human capital lies a more urgent question: are African children being given a fair chance to reach their fifth birthday? In this timely...
When health budgets shrink, the consequences are immediate and devastating for Africa’s youngest citizens. Drawing from frontline experience and broader fiscal realities, this piece makes a clear case: under-five survival is not just a health priority, but a defining economic and political choice—one that will shape the continent’s future.