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Abstract
[...]sub-Saharan Africa is facing the challenges and opportunities of the largest cohort of young people in history, with the youth population aged under 25 years predicted to almost double from 230 million to 450 million by 2050. Continuation at the current pace of progress, using models of service delivery and population health that are struggling with results, equity, and sustainability across the world, including in high-income countries, is a recipe for failure. [...]we advocate an approach based on people-centred health systems and inspired by progress, which can be adapted in line with each country's specific needs. [...]we believe firmly that better health will not only benefit countries' populations directly—it will also act as a catalyst, enabling successful pursuit of other development agendas summarised in the Sustainable Development Goals (SDGs). Most sub-Saharan countries face a double burden of infectious diseases, malnutrition, and child and maternal mortality, in addition to emerging challenges of chronic conditions, such as hypertension, mental health disorders, and health problems related to climate change and environmental degradation.
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1 Ghana Health Service, Accra, Ghana; Ghana College of Physicians and Surgeons, Public Health Faculty, Accra, Ghana
2 Makerere University Medical School, Kampala, Uganda
3 University of Global Health Equity, Kigali, Rwanda
4 Ministry of Health, Dakar, Senegal
5 Africa Research Excellence Fund, Banjul, The Gambia
6 African Population and Health Research Center, Nairobi, Kenya
7 Center for Innovative Drug Development and Therapeutic Trials for Africa, Addis Ababa University, Addis Ababa, Ethiopia
8 National AIDS Control Council, Ministry of Health, Nairobi, Kenya
9 FHI360, Durham, NC, USA; London School of Hygiene & Tropical Medicine, London, UK
10 Department of Economics, University of Zambia, Lusaka, Zambia
11 Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
12 Institut de Recherche en Santé, de Surveillance Epidémiologique et de Formation, Dakar, Senegal
13 National Institute for Biomedical Research, Kinshasa, DR Congo
14 Duke Global Health Institute, Durham, NC, USA
15 Unilever, Nairobi, Kenya
16 mPedigree Network, Accra, Ghana
17 Regional Support Team for Eastern and Southern Africa, UNAIDS, Johannesburg, South Africa
18 London School of Hygiene & Tropical Medicine, London, UK; Oxford Policy Management, Oxford, UK
19 London School of Hygiene & Tropical Medicine, London, UK; Saw Swee Hock School of Public Health, National University of Singapore, Singapore
20 Independent, Oxford, UK
21 London School of Hygiene & Tropical Medicine, London, UK
22 Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA