Publications

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.

Tuberculosis (TB) remains a public health concern in Kenya despite the massive global efforts towards ending TB. Notably, TB cases are much higher in men than women. This political economy analysis (PEA) study provides in-depth contexts and understanding of the gender gaps to access and successful treatment for TB infection. The impediments to TB prevention and care efforts include poor health systems, resource limitations and other sociopolitical contexts that inform policy and implementation. Broad contextual factors identified from the PEA widen the disparity in targeted gender efforts toward men. Following the development of effective TB policies and strategies, it is […]

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.

Female sterilisation is the most common contraceptive method used globally. The use of female sterilisation is disproportionately low in sub-Sahara Africa (SSA) at just 1%. Nonetheless, the prevalence of sterilisation among married women in Malawi is quite high at about 11%. While a few recent studies in SSA have examined the relationship between women’s decision-making autonomy and use of long-acting contraceptives, very few have investigated whether different dimensions of decision-making autonomy predict the use of female sterilisation differently. The objective of this study was therefore to examine the relationship between health care and contraceptive decision-making autonomy and the use of […]

Investing in healthcare is not just a matter of well-being; it’s a strategic move for economic prosperity. Kenya, like many other nations, grapples with a complex web of health challenges, from infectious diseases to non-communicable ailments, all intertwined with broader socio-economic dynamics. By prioritising health, Kenya can unlock its economic potential and foster inclusive growth. Read our evidence brief on macroeconomic importance of health in support of more money for health: A case for Kenya:

The April 2024 issue of African Development Perspectives, published by the African Institute for Development Policy (AFIDEP), dives deep into some of the key governance issues affecting the continent, including public procurements and public finance management, good governance, human rights, accountability and elections, and autocratic renewal. The issue uses data from AFIDEP’s Africa Integrity Indicators (AII) to interrogate these issues related to governance on the continent, as well as the opportunities for reform.

Tuberculosis (TB) is a major public health problem and the fourth leading cause of death in Kenya. Based on WHO End TB Strategy targets set in 2015, Kenya was among seven high TB countries that had achieved their first milestone of a 20% reduction in the TB incidence rate by 2021. An effective supply chain management system ensures a consistent and uninterrupted supply of TB medications and commodities. It ensures timely and accurate distribution of TB commodities while preventing stock-outs or shortages. Read more from the policy brief here:

?Now out! AFIDEP Newsletter, July  – December  2023 AFIDEP News is the African Institution for Development Policy’s newsletter. It is published bi-annually to update stakeholders on our programmes. It highlights emerging policy issues in population dynamics, demographic dividend, health and well-being; transformative education and skills development; environment and climate change; gender equality, governance and accountability. This newsletter covers some of our work and impact in institutionalising use of evidence for the period running between June – December, 2023. To read the newsletter: 

Multiple factors have been reported to drive the burden of TB among men globally, including behavioural factors such as tobacco smoking and alcohol consumption, social mixing, risky occupational exposures such as mining, and poor access to health services.  These existing disparities pose a challenge to achieving broader progress towards global TB elimination, necessitating the identification of high-risk groups as the first step toward developing equitable policies and targeted interventions. Cross-sectoral collaboration among government agencies is essential to ensure synergy and complementarity in policies and strategies that are aimed at engaging men in TB programming. Read more from this evidence brief […]

AFIDEP work on governance and accountability has primarily been with African parliaments to institutionalise strategies that enable them to improve their oversight, representative and legislative functions. We now seek to step up this work by strengthening capacity for evidence-informed decision-making as a mechanism for enhancing better governance and accountability in service delivery and use of public resources. Our governance and accountability programme acknowledges the importance of the intersecting gender equality issues in governance. Read more about our impact in the brochure here:

Most African governments are not spending enough on health care. As a result, the Sustainable Development Goal 3 targets of universal health coverage and financial risk protection by 2030 are unlikely to be achieved. Without strong health systems, African countries are unlikely to make significant progress on persistent health challenges as well as emerging epidemics such as non-communicable diseases, antimicrobial resistance and neglected tropical diseases. Our health and wellbeing priority focus area seeks to provide capacity strengthening and technical assistance for evidence-informed decision-making. Find more details in the brochure here: