41. Pressure points: Africa’s health systems amid global aid contraction
- Author:
- Joseph Asunka, Boniface Dulani, and Kamal Yakubu
- Publication Date:
- 04-2026
- Content Type:
- Policy Brief
- Institution:
- Afrobarometer
- Abstract:
- Since the COVID-19 pandemic, African governments have been compelled to reassess how best to protect hard-won public health gains while ensuring equitable and reliable care. These reassessments are taking place against a background of shifting geopolitical alignments, tightening fiscal space, and growing public expectations of quality public services. This reckoning intensified in 2025 with the disbanding of the United States Agency for International Development (USAID) and the cancellation of major foreign-funded health programmes, effectively dismantling one of the pillars of Africa’s health-support architecture.
- Topic:
- Health, Foreign Aid, Social Services, Public Health, USAID, and COVID-19
- Political Geography:
- Africa, North America, and United States of America