When Mwanahamisi Abdallah’s mother announced plans to marry her off to a stranger, the 14-year-old Tanzanian girl burst into tears. She had no desire to marry—especially after learning the man already had three wives. Remembering advice from a teacher, she phoned authorities to intervene. They blocked the wedding and eventually delivered Mwanahamisi from her village in southeastern Lindi region to a girls’ shelter in Dar es Salaam.

“If there’s one message, it’s health systems need to be resilient, agile, and equitable,” said Uzma Alam, a researcher at the Africa Institute for Health Policy Foundation and Senior Program Officer of the Africa Academy of Sciences. “No one person, no one community, no one minority can be left behind. After all, your health system is as agile, as resilient as your weakest link.” She spoke at a recent Wilson Center event co-sponsored with the Population Institute, “Lessons from Africa: Building Resilience through Community-Based Health Systems.” The event focused on how locally led interventions improved the resilience and responsiveness of health systems in sub-Saharan Africa. 

The coronavirus pandemic has people throughout the world pondering how humankind should respond to a public health crisis. While individual countries are managing the crisis with varying degrees of success, we can all agree that the Covid-19 pandemic is commanding the international community’s attention. By contrast, it is much harder to get the world to care about the long-term public health crisis unfolding in the West African Sahel.

In Kenya, primary and secondary school students take courses called Life Skills Education. So do students in Malawi, Mozambique, Namibia, and Swaziland. South Sudan adds “peace-building” to the subject title. Lesotho, Madagascar, Rwanda, Tanzania, Uganda, and Zambia are more direct. These countries add the word “sexuality” to the course name.

A country can achieve sustainable peace and security only if women are included, said Monde Muyangwa, Director of the Wilson Center’s Africa Program at a recent Wilson Center event on the role of women in promoting peace and security in Africa. “And I would argue that part of the challenges that we face on the African continent, the insecurity that we face in parts of the African continent,” she said, “is precisely because not all segments of society are included.”