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Health

Health challenges in Sub-Saharan Africa include HIV/AIDS in Africa, malaria, neglected tropical diseases, tuberculosis, onchocerciasis, maternal mortality and infant mortality.

In 1987, the Bamako Initiative conference organized by the World Health Organization was held in Bamako, the capital of Mali, and helped reshape the health policy of sub-Saharan Africa. The new strategy dramatically increased accessibility through community-based healthcare reform, resulting in more efficient and equitable provision of services. A comprehensive approach strategy was extended to all areas of health care, with subsequent improvement in the health care indicators and improvement in health care efficiency and cost.

In 2011, sub-Saharan Africa was home to 69% of all people living with HIV/AIDS worldwide. In response, a number of initiatives have been launched to educate the public on HIV/AIDS. Among these are combination prevention programmes, considered to be the most effective initiative, the abstinence, be faithful, use a condom campaign, and the Desmond Tutu HIV Foundation 's outreach programs. According to a 2013 special report issued by the Joint United Nations Programme on HIV/AIDS (UNAIDS), the number of HIV positive people in Africa receiving anti-retro viral treatment in 2012 was over seven times the number receiving treatment in 2005, with an almost 1 million added in the last year alone. The number of AIDS-related deaths in sub-Saharan Africa in 2011 was 33 per cent less than the number in 2005. The number of new HIV infections in sub-Saharan Africa in 2011 was 25 per cent less than the number in 2001.

Life expectancy at birth in sub-Saharan Africa increased from 40 years in 1960 to 61 years in 2017.

Malaria is an endemic illness in sub-Saharan Africa, where the majority of malaria cases and deaths worldwide occur. Routine immunization has been introduced in order to prevent measles. Onchocerciasis ("river blindness"), a common cause of blindness, is also endemic to parts of the region. More than 99% of people affected by the illness worldwide live in 31 countries therein. In response, the African Programme for Onchocerciasis Control (APOC) was launched in 1995 with the aim of controlling the disease. Maternal mortality is another challenge, with more than half of maternal deaths in the world occurring in sub-Saharan Africa. However, there has generally been progress here as well, as a number of countries in the region have halved their levels of maternal mortality since 1990. Additionally, the African Union in July 2003 ratified the Maputo Protocol, which pledges to prohibit female genital mutilation (FGM). Somalia, Guinea, Djibouti, Sierra Leone and Mali have the highest prevalence of FGM in the world. Infibulation, the most extreme form of FGM, is concentrated primarily in Northeast Africa.

National health systems vary between countries. In Ghana, most health care is provided by the government and largely administered by the Ministry of Health and Ghana Health Services. The healthcare system has five levels of providers: health posts which are first-level primary care for rural areas, health centers and clinics, district hospitals, regional hospitals, and tertiary hospitals. These programs are funded by the government of Ghana, financial credits, Internally Generated Fund (IGF), and Donors-pooled Health Fund.

Ebola virus disease, which was first identified in 1976, occasionally occurs in outbreaks in tropical regions of Sub-Saharan Africa. The 2013–2016 Western African Ebola virus epidemic originated in Guinea, later spreading to neighboring Liberia and Sierra Leone.