Pandemic Preparedness and Health System Resilience in Africa: Cross-Country Evidence on the Role of Health Expenditure, Governance and Economic Context

May 1, 2026Open Access

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Key Points

The research investigates how health expenditure, governance, and economic context contribute to health system resilience and pandemic preparedness in African countries.
Cross-country analysis of health expenditures and governance indicators
Examination of economic contexts influencing health systems
Statistical assessments to correlate expenditures and outcomes
Higher health expenditure is positively associated with improved health system resilience
Effective governance correlates with better pandemic preparedness outcomes
Economic context significantly affects the ability of health systems to respond to crises

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Cross-country evidence reveals that health expenditure and governance impact pandemic resilience in Africa, suggesting policy improvements.

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Kellen et al. (2026) studied this question.

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