Question to the Department for International Development:

To ask Her Majesty’s Government what assessment they have made of the role of investment through local revenue raising in the development of sustainable health systems capable of detecting and responding to disease outbreaks in Sub-Saharan Africa.

Domestic financing has a central role to play in all countries to strengthen health systems and improve accountability. In April 2001, African Union Heads of State agreed the Abuja Declaration which set a target of allocating at least 15% of budgets to improve the health sector. Subsequently, the share of budgets allocated to health increased from 8.1% in 2000 to 9.6% in 2010. However, even at 15% of government expenditure, many African countries would still lack the funding necessary to improve their health systems significantly. The international community therefore plays an important supporting role in strengthening health systems to contain disease outbreaks and to ensure global health security.