#africa-health-systems

#africa-health-systems

Most people leave doctor visits with prescriptions, but still feel unsure—instructions make sense, but no one asks about their life. In contrast, when a provider knows your name, remembers your story, and explains care in a way that fits you, the experience feels different—and that difference matters.

My mother tells me not to be afraid, that 'what [you] fear will come upon [you].' She is quoting from the book of Job, the Bible's most famous theodicy.

On that sunny March morning, in a small health center in Lobamba, a rural area of Eswatini, this 32-year-old sex worker has just become one of the first people in the world to receive lenacapavir, a drug that, administered twice a year, offers nearly 100% protection against HIV.

Martha carries her son Aaron, who is unable to walk or talk, while she works in the fields. She states, 'Aaron is so weak, so I have to carry him from the house and lay him somewhere so I can work.' This highlights the daily struggles she faces in balancing her responsibilities as a mother and a worker.

Kelly Chibale describes the drug discovery process as a fairy-tale quest, stating, 'It doesn't mean that there aren't surprises or miracles. They do happen, but you have to kiss many frogs before you meet the prince.' This metaphor illustrates the challenges and unpredictability in finding effective medicines.

Argentina will continue to promote international cooperation in health through bilateral agreements and regional forums, while fully preserving its sovereignty and its capacity to make decisions regarding health policies.

In late 2025, the United States shocked the world by suspending global health aid, leading experts to predict 700,000 additional deaths annually, primarily among children. This prompted the US to propose unusual bilateral health agreements with developing countries, which have drawn criticism for being exploitative.

Temperature and rainfall influence where malaria-carrying mosquitoes such as Anopheles species can survive and how well malaria parasites, such as Plasmodium falciparum, develop in them. Past predictions have been inconsistent and have often focused on where malaria might spread, rather than on how severely it could intensify where it already exists.

The directive goes even further, ordering any public health worker who owns or partly owns a private facility to divest within 30 days or face dismissal and possible legal action. The move follows the publication of an investigative report by the Nyasa Times newspaper that uncovered a coordinated system of corruption documented across multiple public hospitals, where patients were routinely forced to pay illegal 'fees' for services that should be free.

The 39th African Union (AU) summit is set to be dominated by pressing security concerns across Africa, as the continent continues to face escalating conflicts. However, there are mounting questions on whether the pan-African body can actually deliver on peace and security strategies: A study conducted by the Institute for Security Studies (ISS) in 2023 revealed that a staggering 90% of the decisions made by the AU's Peace and Security Council (PSC) have not been implemented since the inception of the PSC in 2004.

Born and raised in Texas, Dr Crowder left the state to attend Howard University. She earned her Bachelor of Science degree in 1982 and her Doctor of Medicine degree in 1986 from Howard University College of Medicine. She returned to Texas to begin practising and later became board-certified in Obstetrics and Gynaecology in 1994.

From reproductive rights to climate change to Big Tech, The Independent is on the ground when the story is developing. Whether it's investigating the financials of Elon Musk's pro-Trump PAC or producing our latest documentary, 'The A Word', which shines a light on the American women fighting for reproductive rights, we know how important it is to parse out the facts from the messaging. At such a critical moment in US history, we need reporters on the ground.

Risks of outbreaks with pandemic potential rise with increasing land-use change, biodiversity loss and climate change. The Pandemic Agreement adopted by the World Health Assembly in 2025 marks a historic shift that establishes the One Health approach as a legally binding obligation for pandemic prevention.

There is little doubt that this is what African countries need if they are serious about universal health coverage - ensuring that every member of their populations has access to this fundamental human right. But such an approach has never been implemented in Africa. Some of the reasons for this are outlined in a report on health financing by the Africa Centres for Disease Control and Prevention (Africa CDC), the continent's public-health agency based in Addis Ababa, published last week (see go.nature.com/3o9wxfc).

Shortages of medicine in Botswana forced me to declare a public health emergency last year. Patients went without treatment not because health workers failed them, but because the system did. For a nation committed to universal healthcare, free at the point of use, it was a moment of hard truth. Even outwardly strong public health systems can be fragile. As donor assistance bites across the continent, governments cannot afford to delay building resilience.

The effort in Malawi, one of the world's poorest countries and badly hit by the aid cuts, has seen an astonishing 1.3 million children already vaccinated against the disease in just four days after emergency supplies were airlifted in by the World Health Organization (WHO) just over a week ago. Malawi declared the outbreak after the virus was detected in two environmental samples taken from two sewage plants in Blantyre, the country's second-largest city and where the only known victim lives.

Asia's healthcare challenges include aging populations, rising disease, and strained infrastructure, but the crisis is better understood at the kitchen table, where families decide what conditions to treat, and what to ignore, according to their savings. While the APAC region makes up 60% of the world's population, the region accounts for a mere 22% of global healthcare spending. According to the World Health Organization, most developing Asian countries spend just 2-3% of GDP on health, and in many cases public

Black people account for almost 40% of people living with HIV in the U.S., despite only representing 12% of the population. To address this disparity, Emil Wilbekin - the founder of Native Son, a platform created to inspire and empower Black gay men - assembled a panel of Black HIV activists and health experts during the last World AIDS Day to discuss how the medical, media, and queer communities can engage the topic of HIV among Black people with greater effectiveness.