African Governments Must Wake Up To Today's Reality about Financing Healthcare: DIY

10 May, 2025

The article ‘Malaria is poised for a devastating comeback in Africa’s “worst moment in 25 years” in the latest weekly BMJ is of particularimportance to Africa, because as the author writes, ‘In 2000 malaria killed nearly a million people world wide, with 90% of cases and deaths occurring in Africa. In the decades that followed, an unprecedented global effort—fuelled by billions of dollars in US and other international donor funding—slashed malaria deaths,saving millions of lives. The World Health Organization estimates that 2.2 billion malaria cases and 12.7 million deaths have been averted since 2000. Now, however, that progress is unravelling.’

But the full Text of the article is behind Paywall – * Subscribefrom £184 * * For online subscription: Access this article for 1 day for: £50 /$60/ €56 (excludes VAT),which most health workers in Africa managing Malaria cannot afford!

Situations like this, highlights why African countries must prioritise measures to take care of the lives of citizens refocusing on domestic financing,cutting waste and unnecessary expenses on items that can be done without.

READ below:

Feature Malaria

'Malaria is poised for a devastating comeback in Africa’s“worst moment in 25 years”

BMJ 2025; 389 doi: https://doi.org/10.1136/bmj.r783 (Published25 April 2025)

Cite this as: BMJ 2025;389:r783

US cuts to international aid are coming at the worst possibletime in the fight against malaria, in which Africa faces its worst challenge in a quarter century. Frank Burkybile reports on a community infear

In 2000 malaria killed nearly a million people worldwide,with 90% of cases and deaths occurring in Africa. In the decades that followed,an unprecedented global effort—fuelled by billions of dollars in US and otherinternational donor funding—slashed malaria deaths, saving millions of lives.The World Health Organization estimates that 2.2 billion malaria cases and 12.7million deaths have been averted since 2000. Now, however, that progress isunravelling.

East Africa is facing a triple threat that could undo decadesof malaria control efforts: rising drug resistance, the spread of insecticide resistant mosquitoes, and the arrival of a new invasive species, Anopheles stephensi. These threats, emerging against a back drop of the US government’s abrupt withdrawal of funding for malaria programmes, it could lead to a deadly resurgence of the disease. Without urgent intervention,experts warn that malaria cases will skyrocket in 2025.

“The thing about malaria is that it resurges quickly,” says Melanie Renshaw, principal director of the African Leaders Malaria Alliance.“When you stop doing malaria prevention, you can quickly see it back to higherlevels than before prevention started—even within one malaria season.”

US is key

Malaria is one of humanity’s oldest foes, and history is littered with waves of progress followed by devastating setbacks. From the mosquito infested swamps of ancient Rome to the fever ridden plantations of the Americas, the disease has shaped societies, wars, and economies.

By the early 2000s, the world was seeing a breakthrough. Funding surged as organisations such …'

Joseph Ana

CHIFA Profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Joseph is a member of the HIFA Steering Group. Website: www.hriwestafrica.com

jneana AT yahoo.co.uk