Hire consultants to develop an investment case for NPHIs to advocate for political support and more resources for NPHIs

Background National Public Health Institutes (NPHIs) are critical to ensuring national health security, particularly during public health emergencies. They provide essential coordination and are instrumental in fulfilling obligations under the International Health Regulations (IHR). In Africa, the lack of robust NPHIs in several countries undermines the continent’s ability to manage public health threats effectively. The absence of these institutions limits preparedness and response capabilities, exacerbating the risks posed by both infectious diseases and emerging health challenges such as non-communicable diseases (NCDs) and mental health concerns. Since 2017, the Africa Centres for Disease Control and Prevention (Africa CDC) has played a key role in supporting the establishment and strengthening of NPHIs across the continent. In 2018, only 25% of African Union (AU) member states had functioning NPHIs; by 2024, this number increased to 45%, with an additional 35% in the process of establishing them. Despite this progress, 20% of AU member states still lack NPHIs, with the greatest gaps observed in Central Africa, where only three NPHIs exist. The Africa CDC Strategic Plan for 2023-2027, prioritizes strengthening public health institutions and systems to enhance the continent’s ability to prevent, detect, and respond to public health threats. The plan recognizes the ongoing burden of infectious diseases and the rising impact of NCDs, injuries, and mental health issues, underscoring the importance of a robust, integrated public health system. The African Union’s Agenda 2063 further underscores health as a central pillar for achieving a prosperous and sustainable Africa, with specific goals to eradicate communicable diseases, reduce the burden of NCDs, and improve overall health outcomes. In this context, NPHIs are not only vital for immediate health security but also for achieving long-term health objectives, including those outlined in the Sustainable Development G