Navigating Namibia’s healthcare future amid US withdrawal from WHO
The recent decision by president Donald Trump to withdraw the United States from the World Health Organisation (WHO) has significant implications for global health, particularly for countries like Namibia that rely on WHO support.The US, as WHO's largest funder, contributes approximately 18% of its overall funding. The withdrawal process, initiated in January 2025, is set to be completed in one year, during which the US is expected to disengage from WHO activities.
Namibia has benefited from WHO's technical support, funding and coordination in combating diseases such as HIV/AIDS, tuberculosis, and malaria. The US withdrawal could lead to significant funding shortfalls, jeopardising these critical health programmes. Additionally, WHO's role in disease surveillance and response is vital for Namibia's ability to monitor and manage health threats.
Reduced support may compromise the country's capacity to effectively address emerging health challenges.
The Covid-19 pandemic highlighted the importance of global health coordination. Without adequate support from WHO, Namibia's pandemic preparedness and access to emergency resources could be significantly weakened. Furthermore, WHO's involvement in training and capacity-building initiatives has been crucial in strengthening Namibia's healthcare workforce. A decline in WHO's operational capacity could adversely affect these efforts.
What now?
In response to these challenges, Namibia must proactively strengthen collaborations within the Southern African Development Community (SADC) and the African Union to develop regional healthcare solutions. Encouraging public-private partnerships can help diversify healthcare funding, and investing in domestic research and innovation will reduce reliance on international support.
The US withdrawal from WHO serves as a stark reminder of the fragility of international health diplomacy. For Namibia, it is a call to action to reinforce healthcare systems, build self-sufficiency, and seek sustainable solutions. The nation's healthcare future should not rest solely on the decisions of global powers but on its ability to chart a resilient and inclusive path forward.
* Dr Nelson Makemba is a public health specialist dedicated to strengthening Namibia’s healthcare systems through strategic policy and investment initiatives. He serves as the head doctor of Nesha Medical Practice in Windhoek.
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