AFIDEP at a Glance

AFIDEP works towards systemic actions that drive a cultural shift from low evidence use to a setting where evidence is actively sought and used routinely in decision-making so that the right investments are made towards the transformation of people’s lives for the better.

18 June 2024 / Research Briefs

Zambia has made some progress in improving its health system and expanding access to health services, especially for the poor and vulnerable groups (Masiye et al., 2016). However, it still relies on external funding, high out-of-pocket (OOP) payments, and low coverage of health insurance (Chansa et al., 2020). To address these challenges, Zambia has adopted and implemented various innovative health financing mechanisms. This evidence brief unpacks the health financing mechanisms in Zambia.

Our Focus Areas

We focus on clarifying the implications of population change –including population growth, age structure changes, migration and urbanisation– on Africa’s development prospects.
This is an area of our work that aims to promote and nurture strong health systems in African countries in order to make significant progress on persistent health challenges as well as emerging epidemics such as non-communicable diseases, antimicrobial resistance, neglected tropical diseases and many others.
Our work on this theme focuses on synthesising and translating evidence and promoting its use in order to enhance the prioritisation of education and skill development and guide operationalisation of education reforms to turn Africa’s youthful population into a driving force for socioeconomic transformation and development.
Our work on this theme focuses on support African governments to apply systems thinking and planning in their efforts to address the challenges posed by the combined effect of rapid population growth and climate change on the continent.
Our work on this theme focuses on strengthening capacity for evidence-informed decision-making as a mechanism for enhancing better governance and accountability in service delivery and use of public resources. We also look at the intersection of governance with gender equality.
We place great emphasis on understanding how to accelerate gender equality, how to address barriers to female participation in all spheres of life, and how to improve health and economic outcomes for girls, boys, men and women.

Our Objectives

In order for Africa to achieve sustained, equitable development, the decision-making practices— especially in the public sector —should be underpinned by evidence. This requires a culture of consistent evidence use, especially in the public sector.
While supporting African governments in policy formulation, we have identified gaps in the use of evidence for priority-setting, programme implementation and performance management. Policymakers’ requests for evidence to help them move from policy formulation to prioritisation of interventions further confirms the existence of these gaps.

Leadership Team

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Recent Publications

20 June 2024 / Research Briefs

Despite successes, challenges remain in extending coverage to informal sector workers and addressing disparities in service accessibility across regions. The review of Indonesia’s health financing approaches provides valuable insights for other countries, particularly in leveraging private sector participation, enhancing revenue and risk pooling, and decentralising health spending to improve service delivery.

20 June 2024 / Research Reports

This landscape analysis highlights various challenges hindering the scaling of gendered approaches and interventions in Kenya, Malawi, Uganda, Nigeria and the broader context of Africa and the global perspective. Rectifying the identified challenges would require a comprehensive and well-coordinated multi-sectoral and multi-level approach. Read full report here:

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