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    The urgent need to rethink Africa's health financing

    The African continent has been aggressively shoved into a health financing crisis that it wasn’t prepared for.

    By Sara Jerving // 03 March 2025

    The Trump administration's abrupt and wholesale gutting of the U.S. Agency for International Development, cancellation of thousands of its contracts, and culling of its workforce is expected to have wide-ranging, devastating impacts on Africa’s health sector.

    This includes areas such as the delivery of antiretroviral treatment for people living with HIV, polio immunization, malaria and tuberculosis prevention and treatment, and disease surveillance, among many other types of programs. Last fiscal year, the U.S. spent some $12 billion on global health funding — most of which was disbursed in sub-Saharan Africa.

    But it's not just the U.S., the United Kingdom announced last week plans to slash aid spending to just 0.3% of gross national income — shifting billions of pounds from international development to support a larger military.

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    More reading:

    ► Critical global surveys fall casualty to US foreign aid gutting

    ► UN chief: US cuts make the world less healthy, safe, and prosperous

    ► 'God Bless America' and the death of 10,000 projects

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    • Global Health
    • Democracy, Human Rights & Governance
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    • Amref Health Africa
    • World Health Organization Regional Office for Africa (WHO Africa)
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    About the author

    • Sara Jerving

      Sara Jervingsarajerving

      Sara Jerving is a Senior Reporter at Devex, where she covers global health. Her work has appeared in The New York Times, the Los Angeles Times, The Wall Street Journal, VICE News, and Bloomberg News among others. Sara holds a master's degree from Columbia University Graduate School of Journalism where she was a Lorana Sullivan fellow. She was a finalist for One World Media's Digital Media Award in 2021; a finalist for the Livingston Award for Young Journalists in 2018; and she was part of a VICE News Tonight on HBO team that received an Emmy nomination in 2018. She received the Philip Greer Memorial Award from Columbia University Graduate School of Journalism in 2014.

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