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American Focus > Blog > Health and Wellness > Can Improving Taxation In Africa Help Meet Health Needs?
Health and Wellness

Can Improving Taxation In Africa Help Meet Health Needs?

Last updated: June 20, 2025 12:02 am
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Can Improving Taxation In Africa Help Meet Health Needs?
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In Sierra Leone, the dynamics of taxation have undergone significant shifts over the years. Joanna Favour Tom-Kargbo, an economic justice manager for Christian Aid, recalls a time when citizens willingly paid local taxes, driven by transparency in showcasing where their money was being invested, such as in infrastructure projects. However, this trust eroded when the government misused tax revenue on extravagant events that didn’t resonate with the public.

The urgency for effective taxation in Africa has intensified following drastic cuts in foreign aid, leaving many countries grappling with the sudden cessation of critical health services and programs. The repercussions of these aid cuts have been dire, with an estimated 300,000 lives lost, predominantly children, due to the lack of essential healthcare services.

A shift towards domestic revenue mobilization is now imperative, with organizations like the Africa Centres for Disease Control and Prevention advocating for African nations to bolster their health sectors through improved taxation mechanisms. This includes exploring innovative avenues such as solidarity levies on various goods and services to augment healthcare funding.

While the focus is on increasing domestic revenue streams, the process of enhancing tax systems requires meticulous planning and execution over an extended period. Countries like Togo have demonstrated that incremental progress in tax reforms is a long-term endeavor that necessitates sustained efforts.

Tax reforms must also align with principles of fairness and equity, ensuring that high-income individuals and corporations contribute proportionately to the tax burden. Implementing tiered tax structures and targeting wealthy individuals for tax compliance can help redistribute the tax burden equitably across society.

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Addressing systemic issues like corruption, inadequate resourcing of tax agencies, and low trust in government institutions is crucial for building a robust tax system. Transparency, accountability, and effective governance are essential pillars for fostering public trust in the tax system and ensuring that tax revenues are utilized judiciously for public welfare.

While progress in tax reforms may be gradual, the trajectory is promising, as seen in countries like Uganda where efforts to enhance tax collection from high-income earners have yielded positive results. However, challenges persist, particularly in addressing global inequalities in the tax system, where African nations face limitations in negotiating fair loans and terms of repayment due to unequal representation in international financial institutions.

As discussions on financing for development unfold, it is imperative to address the structural inequities within and between countries that perpetuate economic disparities. Collaborative efforts are needed to reform the global tax system and empower African nations to advocate for fairer financial mechanisms that prioritize sustainable development and economic justice for all.

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