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Review of Bank Group Assistance Effectiveness in the Health Sector (1987-2005)
Africa faces major health challenges, which are adversely impacting economic development, human development, and poverty reduction efforts. In addition to a high disease burden resulting from persistence of such infectious diseases as HIV/AIDS, malaria and TB, ongoing demographic and epidemiological transitions have led to a substantial rise in prevalence of noncommunicable diseases, accidents and injuries. Poor health care delivery systems in most of Africa, the migration of health professionals to urban areas and to other countries and continents, weak infrastructure with lack of clean water, poor roads and communications, and poorly maintained health facilities, have compounded the problems.