Thirteen years ago, African Union member states gathered in Nigeria to make a groundbreaking commitment to allocate at least 15 percent of their national budgets to healthcare. This pledge, known as the Abuja Declaration, aimed to prioritize the health of Africa’s people. Dr. Githinji Gitahi, a prominent figure in Africa’s health sector, reflects on the progress made since then and the challenges that lie ahead.
The Abuja Declaration set a clear and measurable target for governments, emphasizing the importance of investing in healthcare. However, while the 15 percent benchmark is a crucial indicator of commitment, it primarily focuses on financing healthcare services, overlooking other key determinants of population health such as water, sanitation, and nutrition.
A closer look at the allocation of funds reveals that a significant portion goes towards medical care and goods, with limited investment in broader health determinants. When compared to regions like Europe, the disparity in healthcare expenditure per capita is stark, highlighting the inadequacy of the current approach to healthcare financing in Africa.
The fixation on meeting the 15 percent target risks overshadowing the broader issues at hand, including the need for investments in education, nutrition, clean water, and sanitation. These essential components of health receive minimal funding within the confines of the current healthcare financing model.
As Africa grapples with preventable diseases and rising healthcare costs, it is clear that a shift in focus is needed. Investing in the building blocks of health, such as disease prevention, community empowerment, and access to essential services, is crucial for improving health outcomes on the continent.
Dr. Gitahi emphasizes the importance of a holistic approach to healthcare, one that addresses the social and commercial determinants of health. By prioritizing health promotion, disease prevention, and universal access to essential services, Africa can pave the way for a healthier future for its people.
In conclusion, Dr. Gitahi calls for a new health order that prioritizes investments in health and well-being. By reimagining healthcare financing and focusing on the root causes of poor health, Africa can ensure that every individual has the right to good health. The theme of ‘My Health, My Right’ serves as a reminder of the importance of placing health at the forefront of development efforts in Africa.
