Published: February 15, 2026
EXECUTIVE SUMMARY
Sub-Saharan Africa is increasingly facing multiple Public Health Emergencies
(PHEs) that require rapid response.
However, the disaster-preparedness of most African countries remains inadequate. Initiatives
such as the African Union (AU) Bingwa COVID-19 Vaccination initiative provide a compelling
model for engaging youth in emergency response, demonstrating that their involvement can
expedite access to vaccines at the grassroots level, strengthen community resilience, combat
disinformation and enhance response effectiveness.
This Policy Brief outlines the key lessons
from the AU Bingwa Initiative, emphasizing the need for structured youth participation,
leveraging digital engagements and creatives, as well as the need for political will and support
to maximize the impact of youth-driven approaches to future PHE responses. The policy brief is
based on evidence from the impact report of the AU Bingwa initiative to articulate key insights
that policy makers and practitioners in the PHE response sector may consider when crafting
interventions that are intended to actively involve the youth in future.
Key Learnings from the AU Bingwa Initiative
Youth are Agents of Change: The AU Bingwa initiative mobilized young leaders to
advocate for COVID-19 vaccination. Their grassroots engagement, digital outreach, and
storytelling campaigns significantly influenced public perception and vaccine uptake.
Community-Centered Approaches Work: The initiative’s success stemmed from cultural
sensitivity, localized messaging, and partnerships with community leaders. Future
programs should tailor interventions to local contexts for greater trust and adoption.
Digital Platforms Amplify Impact: social media, online campaigns, and partnerships
with influencers expanded the initiative’s reach, engaging millions. Investing in youth-led
digital strategies can enhance future PHE responses.
Tap into Africa’s Creative Sector: Strategic collaborations with Africa’s creative sector
can transform complex public health information into engaging, community-specific
content, significantly improving sensitization efforts.
Institutional Support is Crucial: Government backing and financial investment are
essential for youth-driven initiatives to thrive. Policies should formalize youth inclusion
in national health emergency frameworks.
Key recommendations
Engaging and involving the youths in national and continental PHE response
processes is a high-return venture that continental health institutions,
development agencies and governments should always consider. The formal
engagement of youth during the AU Bingwa Initiative was crucial as it helped
influence policy narratives, expedite decision-making processes, strengthen
grassroots capacity, and improve the success of the COVID-19 response.
It is vital to gain political will and support from African governments and local
leadership. Without that support, implementation becomes difficult because local
communities wait for guidance from government officials and local leaders when
it comes to externally driven socio-economic development initiatives.
Involvement of creative industries and digital platforms in youth-led PHE
response processes can add a lot of value as it resonates very well with the youth
and their communities. It was useful in driving the uptake of vaccines among
the youth as the creative industry performances and information dissemination
through digital platforms made it possible for the AU Bingwas to reach larger
numbers of people. This approach should also be deployable in the Mpox
response and other PHE response efforts.
It is important to integrate evidence-based approaches that prioritize helping
populations to understand and make sense of the known risks and advantages
associated with PHEs. Having compelling data, evidence, and information was
crucial for the Bingwas to convince stakeholders who were otherwise hesitant to
accept vaccines.
Overall, the AU Bingwa initiative represented a positive and proactive response to the COVID-19
pandemic, highlighting the importance of collaboration, youth empowerment, and community
engagement in the quest for PHE response and recovery. We recommend that AU Member
States and institutions active in the PHE response sector scale up the approaches used under
the AU Bingwa initiative as a model of successful response mechanisms and interventions that
actively involve the youth.
BACKGROUND
Sub-Saharan Africa (SSA) increasingly faces multiple Public Health Emergencies
(PHEs) that require rapid response.
For instance, from 2001 to 2022, the (SSA) region reported 1,800 PHEs, such as Ebola, cholera,
meningitis, measles, yellow fever, monkeypox, Zika, Rift valley fever, and COVID-19 (Moyo et al.,
2023). Zoonotic pathogen outbreaks caused by monkeypox and Ebola viruses have also risen
significantly, with a 63% increase between 2012 and 2022 compared to the previous decade
(WHO, 2022). Even after the COVID 19 pandemic experiences that killed at least 7 million people
world-wide, Africa and the rest of the world still seem to be poorly prepared for another serious
disease outbreak (Staines, 2025). The recent outbreak of Monkeypox (Mpox) in Africa raised
serious concerns about the ability of various AU Member States to effectively manage and
contain its spread and that of other emerging infectious diseases. Figure 1 summarizes the
distribution of the number of public health emergency events reported by type of infectious
disease outbreak, grouped by event category in the WHO Africa Region as of 2018.
Figure 1 shows that outbreaks of Cholera have been the most frequent when compared to
other outbreaks. This is followed by Measles, Yellow Fever, and then Rift Valley Fever. Other
disease outbreaks with significant levels of frequency include Meningitis, Dengue Fever, and
Monkeypox.
At the national level, the quest for robust systems of preparedness and response to disease
outbreaks in Africa also faces several challenges. Among other challenges, these include resource
constraints, underlying systemic gaps, and knowledge limitations.
At the individual/ household
level, poverty, stigma, low-risk perception, limited access to healthcare, and conflicting cultural
and religious beliefs pose additional barriers to response systems (Buseh et al., 2015; Moyo et
al., 2023). This serves as a stark reminder of the need to invest in public health infrastructure,
strengthen disease surveillance and response systems, and prioritize the health and well-being
of vulnerable populations on the African continent (Al-Tawfiq et al., 2024).
Limitations in knowledge about the treatment or containment of new disease outbreaks often
makes it difficult for public health institutions to provide appropriate response. As MacGregor
et al. (2020) point out, the reality of limited knowledge in different African countries about
many aspects of new disease outbreaks, coupled with predictions of potentially devastating
consequences often engender a sense of greater urgency among key actors at the national and
global levels who are responsible for implementing appropriate responses to the new disease
outbreaks. For example, limitations in knowledge about the COVID-19 virus made the design and
implementation of effective interventions quite confounding for both developed and developing
countries.