Nigeria and Mozambique Show How Health Systems Can Withstand Funding Cuts

For decades, many health programmes across sub-Saharan Africa have relied on a familiar model: donors fund disease-specific projects, parallel delivery structures are built around them, and services expand or contract with the funding cycle.

That model is now under pressure.

As bilateral aid shrinks, countries that have relied heavily on external financing are confronting the vulnerabilities created by fragmented systems. But experiences in Nigeria and Mozambique suggest that resilience may not…