1 < 5%
2 5%-9.9%
3 10%-14.9%
4 > 15%
5 No data
0 Less than 25
1 25 to 49
2 50 to 74
3 75 to 99
4 100 to 149
5 150 and over
6 No Data

Government Expenditure on Health in Africa

What does it mean ?

This indicator shows the level of government health expenditure relative to other government expenditures in a country. Government expenditure on health includes recurrent and capital spending by the government to improve the health status of the population and health services through public budgets, external borrowing, grants/donations and social or compulsory health insurance funds.

Why does it matter ?

Universal health coverage cannot be achieved without sufficient funds being allocated to the financing of health systems. This indicator informs us of the priority a government gives to funding health expenditures compared to other public expenditures in a country. How much a government should allocate to health expenditure depends on different factors and contexts. In 2001, Heads of State in African Union countries pledged to allocate at least 15% of their total government expenditure to health.

How is it collected ?

The preferred source of data for this indicator is a National Health Account, which is an internationally agreed method for collecting information about all financial flows related to health in a country. Where a recent National Health Account is not available, the WHO's health financing team collects similar information using technical contacts in-country and publicly available documents.

World Health Statistics 2014. http://apps.who.int/nha/database

A Mother Too Soon in 2015

For all too many girls around the world, pregnancy happens when they are themselves still children. However the repercussions of early motherhood can have a disastrous impact on a young woman's life. Women who give birth between the ages of 15-19 are twice as likely to die from pregnancy and birth related causes than women in their 20s, and for girls aged under 15 the risk is five times higher that women in their 20s.

Babies under one with adolescent mothers are 50% more likely to die than those with mothers in their 20s, and the younger the mother, the higher the risk.

Potential disadvantages are not just limited to health. When girls start having babies in their early teens, they miss out on school, which means they also miss opportunities to escape poverty.

As a result of unprotected sex, teenage girls are also at high risk of contracting sexually transmitted diseases including HIV. Young girls may feel unable to ask to use condoms – and in many cases they may be forced into sex. In both Malawi and Ghana around a third of girls reported that they were "not willing at all" during their first sexual experience.

Mothers under 16

In many countries girls are often married and bear their first child before the age of 16. This is particularly prevalent in Sub-Saharan Africa, but also in parts of Asia and Latin America. These very young pregnancies, which carry the greatest risks for both mother and baby, are concentrated in those countries where services are poorest.

No attribution