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African Leadership Meeting (ALM) Declaration

Prioritising Health Financing in Africa

Africa is home to 16% of the world’s population

AND

accounts for 26% of the world’s disease burden

BUT

receives just 1% of global health spending

As a result, 11 million Africans are falling into poverty every year due to high out-of-pocket health spending.

THIS HAS TO CHANGE. THE FUTURE OF AFRICA DEPENDS ON ITS PEOPLE.

In February 2019, African Heads of States and Government endorsed the Africa Leadership Meeting – Investing in Health (ALM) Declaration to spur increase in domestic investments in health and a reorientation of Africa’s health systems and health spending in Africa.

To ensure the progressive and effective implementation of the Declaration, the African Union Commission is spearheading establishment of:

  • Regional health financing hubs to support country efforts reorient health systems and public & donor spending to increase impact;
  • Domestic health financing tracker that will enable AU Member States to track step-by-step progress of resource allocation and key reforms towards increased domestic financing;
  • Digitization of the Africa Scorecard on Domestic Financing for Health and the Tracker to avail data widely, monitor health financing and improve learning and accountability;
  • An Accountability Framework defining roles and responsibilities of different stakeholders to enhance collaborative implementation to fast track the outcome of the Africa Leadership Meeting-Investing in Health;
  • ALM-Technical Working Group to encourage diverse solutions from a vast pool of technical experts across both public and private sectors to make sure no health financing dimension is left uncovered.
  • Biennial consultative meeting with Ministers of Health and Finance to enhance collaboration for increased domestic resources for health and improved health expenditure efficiency.

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