Africa is disproportionately burdened by infectious diseases such as HIV/AIDS,
malaria, tuberculosis, and neglected tropical diseases. Rapid and accurate diagnostic tests are
crucial for early detection and management of these diseases. However, many African
countries struggle to provide widespread access to such tests.
High costs associated with diagnostics can be prohibitive for individuals and healthcare
systems. The majority of Africans lack access to health insurance and must pay out-of-pocket
for diagnostic tests. Remote and underserved regions often lack healthcare facilities,
making it difficult for individuals to access diagnostic services. Poor transportation
infrastructure compounds this issue. A shortage of skilled healthcare professionals,
including laboratory technicians and radiologists, limits the capacity to conduct and
interpret diagnostic tests.
Regulatory issues further exacerbate the diagnostic gap in Africa. Cumbersome and slow
regulatory processes can delay the approval and adoption of new diagnostic technologies
and tests, preventing timely access. Ensuring the quality and accuracy of diagnostic tests
is a challenge in some regions, as regulatory authorities may lack the resources or capacity
for rigorous oversight.
The diagnostic gap in Africa is not just a local concern; it has broader implications for
global health security, Insufficient diagnostic capabilities can impede the timely
detection and reporting of emerging infectious diseases, which can potentially lead to regional
and international outbreaks. Inadequate diagnostics can contribute to the misuse and overuse of
antibiotics, fuelling antimicrobial resistance—a global health threat. The COVID-19
pandemic highlighted the importance of rapid and widespread diagnostic testing. A weak diagnostic
infrastructure in Africa can hinder pandemic preparedness efforts.
The diagnostic gap in Africa represents a multifaceted challenge that impacts healthcare
delivery, public health outcomes, and global health security. Addressing this gap
requires concerted efforts from governments, international organizations, researchers, and
healthcare providers to improve access, regulatory frameworks, and diagnostic capacity across the
continent. Bridging this gap is essential not only for the well-being of Africa's
population but also for enhancing global health security in an interconnected world.
At the Basing lab, our focus is
• To assess the extent and nature of the diagnostic gap in Africa, focusing on major
diseases and conditions such as infectious diseases, non-communicable diseases, and
emerging threats.
• To identify the key barriers to access to diagnostics in Africa, including but not
limited to supply chain, economic, infrastructural, and geographical factors.
• To analyze the regulatory challenges and bottlenecks that hinder the deployment and
utilization of diagnostic technologies and services in African countries.
• To investigate the potential linkages between the diagnostic gap in Africa and global
health security, with a particular emphasis on the implications for pandemic
preparedness and response.