We, Parliamentarians from Cameroon, Côte d’Ivoire, DRC, Ghana, Kenya, Niger, Rwanda, Senegal,

Zambia and Zimbabwe, gathered in Nairobi on 11th & 12th July 2023 at the sidelines of the

African Union Summit, to reflect and discuss health financing in Africa.

Cognizant of the need to formalize genuine collaboration between parliamentarians and Civil

Society, we propose for an effective advocacy program on sustainable domestic resource

mobilization for health in Africa, through a platform for exchanging information, sharing best

practices, strengthening political and synergies.

Our recommendations, resulted in the creation of the Parliamentarian Task Force on Domestic

Resource Mobilization for Health in Africa, with the objectives of engaging parliamentarians in

their respective countries on issues such as the mobilization of national resources for health;

strengthening of community health; universal health coverage; and addressing gaps in funding

for the fight against HIV, Tuberculosis and Malaria. We, therefore, unite our voices in support of

this declaration:


The African Union member states have subscribed to a solid normative legal framework on the

right to health; they have committed to its Agenda 2063, whose aim is to transform the potential

threat posed by the expected doubling of its young population by 2050, into a «demographic

dividend», bringing economic growth and higher living standards, and they also subscribed

to the Sustainable Development Goals (SDGs), which aim to significantly increase the health

budget to ensure that everyone benefits from universal health coverage (UHC).

Heads of state and government have also made declarations and commitments on health

financing, notably at the 32nd Ordinary Conference of the African Union in Addis Ababa in

February 2019, during which they endorsed the deliberations of the African Leaders’ Meeting

(ALM) and adopted declarations in favor of mobilizing domestic resources for health financing

in Africa.

Notably, many African states are struggling to meet their commitments to mobilize domestic

resources, yet investing in health is investing in human capital, creating stable jobs, stimulating

economic growth and reducing inequalities.

While investments in community health programs are cost-effective, we note with concern the

lack of prioritisation and adequate budgets for the same. These investments contribute to the

reduction of health inequalities, ensuring access to basic services for vulnerable and marginalized

populations; they deliver high quality services and improve overall health outcomes and hence

need to be prioritised.

We acknowledge the support and collaboration of these partners.COMMITMENTS

We are committed to advocate for :

  • Domestic resource mobilization for health including push for the move from commitment

to action, co-financing of Global Fund and other development partners programs for HIV,

TB and Malaria, to build equitable and resilient health systems, focused on people centered

approach and integrated health services (addressing HIV, TB and Malaria and other health

issues based on people’s needs and disease burden);

  • Community Health system strengthening, including ensuring a recognized status for

Community Health Workers, financing of Community Health Strategy, support for community

led responses, and incorporation of community, rights and gender considerations in HIV, TB

and malaria programming;

  • Incorporating universal health coverage as a goal in national health policy frameworks,

strategically connected to broader inter-ministerial priorities such as emergency

preparedness, social stability, climate, economy and finance;

  • Bridging financial and implementation gaps of HIV, TB, Malaria, Health Systems Strengthening,

Pandemic Prevention Preparedness and Response and Community Health Systems in the

National Strategic Plans for the countries;

  • Establish a space for exchange and sharing of good practices among parliamentarians from

different regions of Africa;

  • Create synergies with civil society on Domestic Resource Mobilization for Health in Africa.


That African governments, in a multi-sectoral approach, work in concert with parliamentarians,

civil society and the private sector to implement sustainable strategies for mobilizing domestic

resources and for a significant increase in health budgets, given that a healthy nation is

indispensable to Africa’s socio-economic transformation, as envisaged in Agenda 2063.

African governments, with the aim of achieving universal health coverage by 2030, accelerate

the institutionalization of community health agents to ensure the sustainability of their actions.

This means formalizing their integration into health systems, professionalizing their training and

mobilizing the resources needed to pay them.DECLARATION_MP_Nairobi_ENG

Nairobi, July 12, 2023