Young African health professionals outline reforms for stronger health systems

More than 80 young African health professionals, researchers, innovators, entrepreneurs and higher education representatives have developed nine recommendations aimed at strengthening the continent’s health systems. The proposals emerged from Ubuntu Rising 2026, convened by the Africa Health Collaborative and hosted by the University of Cape Town ahead of the World Congress on Public Health. The recommendations will feed into the Collaborative’s Youth Agenda.

The discussions focused on leadership, innovation and employment, with participants seeking a greater role for young people in deciding health priorities rather than simply being consulted. The event took place amid major employment and workforce challenges. Figures from the Mastercard Foundation’s Africa Youth Employment Outlook 2026, cited during the meeting, indicate that 90 per cent of employed young Africans work in the informal economy, while only 10 per cent hold formal jobs.

The forum also cited World Health Organization figures showing a shortage of 5.5 million health workers in Africa. At the same time, nearly one million trained health professionals are described as lacking meaningful work. University of Cape Town academic Brandon Collier-Reed said employment figures alone were not enough to measure progress.

He argued that attention should be paid to whether institutions were working for young Africans. Dr Nathina Pakade said meaningful participation required young people to influence decisions, not merely attend meetings. Africa Health Collaborative deputy dean Tracey Naledi said the initiative was increasingly being shaped and led by young people, with established institutions providing support.

The Collaborative works on primary healthcare systems through workforce development, education, innovation and entrepreneurship. Its work contributes to the Mastercard Foundation’s Young Africa Works strategy.