Beyond Aid: A Reflection on Africa’s Health Financing Readiness

This policy reflection examines Africa’s readiness to transition from donor-dependent health financing to sovereign, domestically anchored systems. With global health aid projected to decline between 14 percent and 29 percent by 2025, African governments face mounting fiscal pressure amid rising debt servicing, inflation, and competing development priorities. In more than 25 countries, debt servicing now exceeds health spending, underscoring the urgency of reforming debt sustainability in Africa to protect essential services.