Healthcare of Excellence in Africa

The African Network of Medical Excellence aims to create medical Centres of Excellence that are capable of responding to health needs on a regional level.

What is ANME?

The African Network of Medical Excellence (ANME) is an initiative comprising of EMERGENCY together with more than a dozen African health authorities to develop an integrated network of Medical Centres   of Excellence across the continent, affirming the right of every human being to access free, high-quality medical care. 

In a region marked by decades of conflict and underfunded health infrastructure, ANME fosters stronger relationships between the countries involved through reciprocal healthcare collaboration that addresses regional needs. Two tracks—the direct expansion of the network’s facilities, in tandem with EMERGENCY-hosted conferences and workshops between African health ministries—ensure the ongoing development of ANME as a replicable and sustainable project for improving the continent’s health systems.

Model/Principles 

Emerging from our Manifesto for a Human Rights-Based Medicine (2008), ANME promotes the beliefs that every human being has a right to be treated without discrimination, and that governments consider the health and wellbeing of their citizens a priority. 

The ANME healthcare model has two guiding principles: 

  1. Free healthcare is the essential prerequisite for providing prompt treatment to anyone in need.

  2. Medical excellence guarantees high clinical standards and promotes the training of qualified healthcare professionals, research development and local healthcare systems. 

From this foundation, a network of two Centres of Excellence and an accompanying Regional Programme has developed, providing high-quality medical care to patients from 33 different countries: Afghanistan, Bangladesh, Burkina Faso, Burundi, Cameroon, the Central African Republic, Chad, the Democratic Republic of Congo, Djibouti, Eritrea, Ethiopia, Gambia, Guinea, Iraq, Jordan, Kenya, Liberia, Libya, Nigeria, the Philippines, Rwanda, Senegal, Sierra Leone, Somalia, South Sudan, Sudan, Tanzania, Togo, Uganda, Yemen, Zambia, and Zimbabwe. Italian citizens temporarily residing in Sudan have also undergone treatment at the centre. 

 

To truly achieve this, the humanitarian and development efforts directed to healthcare cannot be almost entirely focused on primary healthcare. If the universal right to quality medical assistance is to be fulfilled, it is essential to pursue an approach that aims to create a many-layered healthcare system in an inclusive way. EMERGENCY is convinced that the right to treatment is a fundamental human right and believes that medical services must be free, based on people’s needs and up to date with the latest medical and scientific discoveries. A truly integrated, many-layered healthcare service, with secondary - and tertiary - level facilities open to all, not only provides good treatment to those who need it, but it also offers specialist training to locals working in the health sector. Improving the skills of local staff is a spark for developing the local healthcare systems, providing tools and skills to handle more complicated medical challenges. Creating Centres of Excellence is a concrete method to support local communities and will also contribute to reduce the risk of brain drain by inverting the tendency and moving towards a brain gain process.

ANME Facilities

The first Centre of Excellence established as part of the continent-wide network was our Salam Centre for Cardiac Surgery in Khartoum. In 2021, ANME officially expanded to its second Centre of Excellence with our Children’s Surgical Hospital in Entebbe. Investing in a network of excellence goes beyond the facilities’ walls: each centre has a corresponding Regional Programme, which helps to identify, refer and support people in need of specialist care to reach the hospital, and to coordinate collaborations between training institutions. Through prioritising the training of local colleagues, ANME aims to increase the strength and long-term sustainability of local and regional health systems. 

Visit the project pages below to learn more about each facility

The Salam Centre for Cardiac Surgery

The fulcrum of the EMERGENCY cardiac surgery Regional Programme, the Salam Centre is the only free hospital specialising in cardiac surgery in an area home to over 300 million people.

The Children's Surgical Hospital

The hospital is a point of reference in Uganda for elective paediatric surgery, with operations planned in advance and organised through waiting lists in order to systematically tackle deep-set problems in Uganda and nearby countries.

Research and Academic Papers

Treating Children With Advanced Rheumatic Heart Disease in Sub- Saharan Africa: The NGO EMERGENCY's Project at the Salam Centre for Cardiac Surgery in Sudan

Published in 2021, this article presents EMERGENCY’s model of care and the clinical results of the Salam Centre for Cardiac Surgery in Sudan, in particular those obtained on paediatric patients under 15 years of age suffering from advanced rheumatic heart disease. The results demonstrate that building a hospital of excellence and offering free cardiac surgery and post-operative assistance can be a vector of positive change in the long term. Sharing these results means sharing our mission: allow African citizens to be recipient, like every other citizen in the world, of healthcare benefits coming from the best scientific developments in medicine, in the name of equality, dignity and human rights.

 

ANME RESOURCES

Manifesto for a Human Rights Based Medicine

After the International Workshop “Building Medicine in Africa. Principles and Strategies” hosted at San Servolo Island, Venice, Italy, on May 14 -15, 2008 and in accordance with the spirit and the principles of the Universal Declaration of Human Rights, stating that

“All human beings are born free and equal in dignity and rights” (art.1) “Everyone has the right…to medical care” (art.25)“ The recognition of the inherent dignity and of the equal and inalienable rights of all members of the human family is the foundation of freedom, justice and peace in the world” (Preamble)

We hereby declare
the “Right to be Cured” as a basic and inalienable right belonging to each and every member of the human community.

We therefore advocate
the implementation of health systems and projects solely devoted to preserve, extend and improve the life of the people in need and based on the following principles:

Equality
Every human being has the right to be cured regardless his economic and social condition, gender, race, language, religion and opinions. Standards of health care, set by the progress of medical knowledge, must be delivered equally and without discrimination to all patients.

Quality
High quality health systems must be based on community’s needs, up to date with the achievements of medical science, and not oriented, shaped or determined by lobbies and corporations involved in the health industry.

Social responsibility
Governments must have the health and well being of their citizens as their priority, and allocate adequate human and financial resources.The services provided by health systems and humanitarian projects in the health sector must be accessible to and free of charge for all.

As Health Authorities and Humanitarian Organizations

We recognize

EQS (Equality, Quality, Social responsibility) based health systems and projects as respectful of human rights, appropriate to develop medical science and effective in promoting health by strengthening and generating human, scientific and material resources.

We commit
To plan and develop EQS based policies, health systems and projects.

To cooperate among us to identify common needs in the health sector and design joint programmes.

We appeal
To other Health Authorities and Humanitarian Organisations to sign this Manifesto and to join in promoting an EQS based medicine.To donors and to the international aid community to support, fund and participate in designing and implementing EQS

Read the 2010 ANME Appeal

We, Ministers of Health and representatives of the health authorities of the Central African Republic, Chad, the Democratic Republic of Congo, Djibouti, Egypt, Eritrea, Ethiopia, Rwanda, Somalia, Sudan, Uganda, attending the first Annual Conference of the African Network of Medical Excellence, jointly organized in Khartoum, Sudan, by the National Ministry of Health of Sudan and the international NGO EMERGENCY,

Reaffirming the principle that the right to healthcare is a basic right of every individual, as stated in the Universal Declaration of Human Rights;

Recalling the principles of Equality, Quality and Social Responsibility stated in the ‘Manifesto for a Human Rights-Based Medicine’, which calls for high-quality and free-of-charge healthcare for all;

Acknowledging the urgent need for Centres of Excellence in Africa to provide high standards of medical treatment through secondary and tertiary facilities, thus strenghtening disease prevention and primary healthcare delivery;

Considering the Salam Centre for Cardiac Surgery, established by EMERGENCY in cooperation with the Ministry of Health of Sudan in Khartoum, as a replicable model in all our countries to provide high-quality care to our citizens and proper training to medical and non-medical professionals;

We commit to improving regional cooperation by establishing the African Network of Medical Excellence (ANME) in different medical specialities in order to strenghten our health systems on the national and regional level.

We jointly appeal to the international community of donors to support us and contribute to the successful implementation of this innovative, multi-disciplinary project by providing human and financial resources.

Signed on Thurday, 11 February 2010 – Khartoum, Sudan. On behalf of the Ministries of Health of: the Central African Republic, Chad, the Democratic Republic of Congo, Djibouti, Egypt, Eritrea, Ethiopia, Somalia, Sudan, South Sudan, Uganda.

On 13 May 2022, one year after the Children’s Surgical Hospital in Entebbe, Uganda, began activities, EMERGENCY hosted representatives from 12 African Health Authorities to outline the achievements of the African Network of Medical Excellence (ANME), and shape its future path.

Read the 2022 Joint Declaration

We, Ministers of Health and representatives of the Health Authorities of: Burundi, Central African Republic, Chad, Djibouti, Eritrea, Ethiopia, Somalia, South Sudan, Sudan, Tanzania, Uganda, Zimbabwe, meet today at the “Building Medicine of Excellence in Africa” international workshop, jointly organised by the Republic of Uganda’s Ministry of Health, the Republic of Uganda’s Ministry for Foreign Affairs, and the international NGO EMERGENCY, on the occasion of the celebration of one year of activities at the Children’s Surgical Hospital in Entebbe, Uganda,

Bearing in mind that strengthening national health systems in middle- and low-income countries is a commonly recognised critical factor in striving to achieve the Sustainable Development Goals (SDGs);

Reaffirming the principle that healthcare is a fundamental right of every individual, as stated in the Universal Declaration of Human Rights;

Recalling the principles of Equality, Quality and Social Responsibility stated in the Manifesto for a Human Rights-Based Medicine, calling for the delivery of high-quality and free of charge healthcare for all;

Acknowledging the lack of facilities that can provide free of charge treatment to common complex diseases in our countries;

Recognising the need to establish Centres of Excellence in Africa to address relevant health priorities providing high standards of medical treatment through secondary and tertiary facilities, to complement disease prevention and primary healthcare delivery;

Appreciating that patients suffering from severe conditions require access to long-term continuity of care that will considerably improve quality of life;

Underlining the importance of developing future generations of health workforce to address the main epidemiological conditions in the African region, thus building more resilient health systems and mitigating brain drain;

Highlighting the fundamental role that Centres of Excellence can have in guaranteeing an adequate platform to provide specialist training;

Understanding that the management of complex systems delivering specialised care should be based on the principles of transparency and efficiency in order to provide effective and equitable services to all patients;

Embracing the crucial role of fruitful regional cooperation in order to ensure proper access to specialised care for patients, knowledge sharing, and guaranteeing the circulation of human resources;

Considering the experiences of the Salam Centre for Cardiac Surgery in Sudan and the Children’s Surgical Hospital in Uganda as an example that this model can be feasible, sustainable and replicable;

We hereby, commit to:

Promote the ANME model inside our own countries to build a deeper knowledge of the system and to foster a higher level of political endorsement;

Identify relevant health priorities that can be addressed by a cooperative and comprehensive response, and that allow for the referral of patients from across the region;

Improve regional cooperation amongst ANME countries and partners in order to reinforce the network and all its components;

Advocate jointly to promote the ANME model within the international community;

Join and strengthen efforts to mobilise resources from governments, international institutions, and donors to guarantee the long-term financial sustainability of the African Network of Medical Excellence.

Dated Friday 13th May 2022. Entebbe, Uganda

Ministers of Health and representatives of Health Authorities of:

Somalia: H.E Dr. Nur Fawziya Abikar
South Sudan: H.E Dr. Yolanda Awel Deng Juach
Sudan: H.E Dr. Heitham Mohammed Ibrahim Awadalla
Uganda: H.E Dr. Jane Ruth Aceng Ocero
Burundi: Dr. Jean Baptiste Nzorironkankuze
Central African Republic: M.me Chantal Manzibahi Nee N’droumokato
Chad: Dr. Francine Mbaidedji Dekandji
Djibouti: Dr. Saleh Banoita
Eritrea: Dr. Yohannes Teclegiorgis Tewelde
Ethiopia: Dr. Abas Hassen Yesuf
Tanzania: Dr. Januarius Joseph Hinju
Zimbabwe: Dr. Israel Dube

 

The Regional Programme of Cardiac Surgery

The Salam Centre is connected to a network of facilities across Africa and beyond where our international cardiologists perform screening and follow-up checks for patients who need surgery.

You can help bring healthcare to those in need

By donating to EMERGENCY, you can help provide high-quality, free healthcare to those in need.