The role of non-state actors in health system governance in Africa: challenges and opportunities

Abstract

Non-state actors (NSAs) play a critical role in supporting health systems worldwide. Whether they are non-governmental organizations, business leaders, multinationals, religious or philanthropic groups, or community-based organizations, their contributions have been life- saving during major health crises, such as the HIV/AIDS pandemic, the Ebola epidemic, and the African trypanosomiasis outbreak. The proliferation of NSAs and their increasing involvement in health initiatives raise questions about their true role in the governance of health systems, particularly in Africa. The overall objective of this study was to determine the role of NSAs in the governance of health systems in Africa. A qualitative study was adopted. Data were gathered through interviews with four purposively selected participants. The interviews were recorded, transcribed, and subjected to content analysis, revealing the study's key findings. The results indicate that NSAs play significant roles in several domains, including health service delivery, advocacy and awareness-raising, capacity building, financing and partnerships, and emergency response during health crises. Despite the considerable challenges they face, NSAs represent a vital opportunity for improving health systems across Africa. Their capacity for innovation, community mobilization, and responsiveness to critical needs establishes them as indispensable partners in advancing public health objectives and achieving universal health coverage.