{
  "abstract": "Humanitarian needs are escalating globally, with around 300 million people requiring assistance—over half in Africa. These crises are increasingly driven by conflict, climate-related disasters and emergencies and economic instability, all severely impacting public health and disrupting health systems. A new approach is essential to address root causes of humanitarian crises and develop durable solutions. In response to this need, the WHO developed a framework for health in the humanitarian–development–peace nexus (HDPN) in Africa. This framework was informed by literature reviews and consultations with key stakeholders across UN and wider humanitarian sector (including the African Union bodies, WHO offices and relevant non-governmental organisations). The framework presents a structured method for countries to integrate health across the HDPN, emphasising policy alignment, the need for sustainable financing, strong monitoring systems and adaptable governance. It defines clear roles for WHO, the African Union Commission, regional economic communities and authorities in countries as applicable. Key areas for operationalising the framework include health sector development planning, budgeting, financing, intersectoral coordination, services delivery and monitoring and evaluation. It also recommends integrated strategic actions focusing on health across humanitarian, development and peacebuilding efforts, emphasising synergy and co-benefits from this nexus approach. With a growing number of countries facing humanitarian crises, fragility and conflict, urgent implementation of this framework is vital to build resilience and improve health outcomes across Africa and beyond.",
  "authors": [
    {
      "affiliations": [
        "WHO Liaison Office to the Africa Union and the United Nation Economic Commission for Africa, WHO Regional Office for Africa, Addis Ababa, Brazzaville, Ethiopia"
      ],
      "name": "Ambrose Talisuna"
    },
    {
      "affiliations": [
        "Health Systems Resilience and Essential Public Health Functions, Special Programme on Primary Health Care, UHL, WHO, Geneva, Switzerland"
      ],
      "name": "Sohel Saikat"
    },
    {
      "affiliations": [
        "Health Systems Resilience and Essential Public Health Functions, Special Programme on Primary Health Care, UHL, WHO, Geneva, Switzerland"
      ],
      "name": "Redda Seifeldin"
    },
    {
      "affiliations": [
        "Health Systems Resilience and Essential Public Health Functions, Special Programme on Primary Health Care, UHL, WHO, Geneva, Switzerland"
      ],
      "name": "Sam Tweed"
    },
    {
      "affiliations": [
        "Director, WHO Liaison Office to the African Union and the United Nations Economic Commision for Africa, WHO Regional Office for Africa, Addis Ababa, Brazzaville, Ethiopia"
      ],
      "name": "Francis Chisaka Kasolo"
    },
    {
      "affiliations": [
        "Health Systems Resilience and Essential Public Health Functions, Special Programme on Primary Health Care, UHL, WHO, Geneva, Switzerland"
      ],
      "name": "Yu Zhang"
    },
    {
      "affiliations": [
        "Special Programme on Primary Health Care, UHL, WHO, Geneva, Switzerland"
      ],
      "name": "Gerard Schmets"
    },
    {
      "affiliations": [
        "WHO Liaison Office to the Africa Union and the United Nation Economic Commission for Africa, WHO Regional Office for Africa, Addis Ababa, Brazzaville, Ethiopia"
      ],
      "name": "Agnes Wenu Midi"
    },
    {
      "affiliations": [
        "Commission for Health Humanitarian and Social Affairs, African Union, Addis Ababa, Ethiopia"
      ],
      "name": "Hiba Boujnah"
    },
    {
      "affiliations": [
        "WHO Iraq Country Office, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt"
      ],
      "name": "Georges Alfred Kizerbo"
    },
    {
      "affiliations": [
        "Director Office of the Regional Director, WHO Regional Office for Africa, Brazzaville, Congo"
      ],
      "name": "Alex Ntale Gasasira"
    },
    {
      "affiliations": [
        "Director Programme Management, WHO Regional Office for Africa, Brazzaville, Congo"
      ],
      "name": "Joseph Waogodo Cabore"
    },
    {
      "affiliations": [
        "Health Systems in Emergencies, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt"
      ],
      "name": "Ali Ardalan"
    },
    {
      "affiliations": [
        "Universal Health Coverage/Health Systems, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt"
      ],
      "name": "Awad Mataria"
    },
    {
      "affiliations": [
        "Emergency Preparedness and Response, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt"
      ],
      "name": "Ahmed Zouiten"
    },
    {
      "affiliations": [
        "Assistant Director-General, Universal Health Coverage, Life-course, WHO, Geneve, Switzerland"
      ],
      "name": "Bruce Aylward"
    },
    {
      "affiliations": [
        "Regional Director, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt"
      ],
      "name": "Hanan H Balkhy"
    },
    {
      "affiliations": [
        "Regional Director (EMERITUS), WHO Regional Office for Africa, Brazzaville, Congo"
      ],
      "name": "Matshidiso R Moeti"
    }
  ],
  "title": "Operationalising health in the humanitarian–development–peace nexus (HDPN) in Africa: a new framework for building resilience in countries with fragile, conflict and violence-affected settings",
  "uid": "8cad48a9-8bc8-5678-a518-bd3f62e14ba4"
}