Africa CDC Frameworks

Africa CDC: Framework for Development of National Public Health Institutes in Africa

Building upon the experience of the International Association of National Public Health Institutes (IANPHI) and adapted from IANPHI’s Framework for NPHI Development, this document is tailored to African context and describes National Public Health Institutes (NPHIs), including core aspects of their operations and public health functions. It includes topics for NPHIs to consider as they develop, such as mandates, guiding principles and activities that are vital to create, strengthen and sustain NPHIs. The appendices can serve as guidance documents for African countries that want to create more robust and effective national public health capacities.

Creation of this document was a collaborative effort between: 

  • Africa Centres for Disease Control and Prevention
  • Human Development and Public Health Initiative, Nigeria
  • International Association of National Public Health Institutes
  • Mozambique Instituto Nacional de Sáude
  • Public Health England
  • South Africa National Institute for Communicable Diseases
  • US Centers for Disease Control and Prevention
  • Zambia National Public Health Institute


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Africa CDC NPHI Framework PDF PDF PDF PDF

Africa CDC: Providing a Legal Framework for a National Public Health Institute

Creating a National Public Health Institute (NPHI) usually involves bringing together functions that previously existed in separate organizational units, sometimes with the addition of functions or units that did not previously exist in the national government. Many NPHIs are largely developed from units within Ministries of Health and may not have specific legal language that specifies their functions and authorities. Others have their origin in research institutes, some of which are authorized by laws. Regardless of the organizations or parts of organizations that comprise the new NPHI, a legal framework that clearly defines what the NPHI will do and how it will operate is an important step to providing the clarity of mission, governance, leadership, and finance that contribute to success.

The purpose of this document – Providing a Legal Framework for an NPHI – is to describe the types of legal mechanisms countries are using to establish NPHIs or enhance the stature of existing NPHIs and the issues typically addressed. It also describes processes countries have used to place NPHIs on sound legal footing, and some of the typical challenges and facilitating factors encountered. It includes detailed descriptions of content that countries might want to include in their legal frameworks and case studies from countries with varied experiences creating NPHIs by decree, law, or regulation.

Creation of this document was a collaborative effort between:

  • Africa Centres for Disease Control and Prevention
  • Emory University School of Law
  • Guinea Bissau National Institute of Public Health
  • International Association of National Public Health Institutes
  • Mozambique Instituto Nacional de Sáude
  • National Public Health Institute of Liberia
  • Nigeria Centre for Disease Control
  • Public Health England
  • South Africa National Institute for Communicable Diseases
  • US Centers for Disease Control and Prevention
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Africa CDC Legal Framework PDF PDF PDF PDF