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Nicolas Meda, Issiaka Sombié, Ibrahima Seck

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |May 22, 2025
    PubMed
    Summary
    This summary is machine-generated.

    Non-governmental organizations (NGOs) in Africa often undermine national health systems by controlling development assistance for health (DAH). A new partnership prioritizing trust and African-led health agendas is proposed for decolonizing public health.

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    Area of Science:

    • Global Health
    • Public Health Policy
    • International Development

    Background:

    • Examines the controversial role of Non-Governmental Organizations (NGOs) in Africa's health development.
    • Addresses criticisms of NGOs perpetuating colonial power structures by controlling development assistance for health (DAH) resources.
    • Highlights how NGOs can undermine national governments and impose their own health service agendas.

    Purpose of the Study:

    • To analyze the impact of current development aid practices on African health sectors.
    • To propose a new global public health partnership model tailored to Africa's specific needs.
    • To advocate for the decolonization of public health in Africa.

    Main Methods:

    • Literature review of development aid industry practices in Africa's health sector post-2014.

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  • Incorporation of authors' practical experiences in addressing challenges within the health development landscape.
  • Analysis of NGO intermediation strategies by Global North partners.

    • Main Results:

    • NGOs, often preferred by Global North partners, can weaken African health systems by undermining governance, financing, human resources, and service delivery.
    • The 'accompaniment approach,' where DAH resources are transferred to governments for them to select NGOs, is presented as a more beneficial model.
    • Prioritizing anti-corruption measures and strengthening African health capacity are crucial for a new, trust-based partnership.

    Conclusions:

    • The decolonization of public health in Africa is an ongoing process.
    • Africa seeks a new partnership with Third-Party Funders (TPFs) and NGOs based on mutual trust.
    • Africa should lead in defining its health agenda and selecting appropriate support models.