WHO and African Medicines Agency Sign Framework to Strengthen Quality-Assured Health Products Across Africa

Not the institution itself, but its impact: safer medicines, faster access.
WHO's Africa director set the measure of success for the new African Medicines Agency.
Mark

Strip away the ceremony. What did these two organizations actually sign?

Mimi

A framework for collaboration. It commits WHO and the African Medicines Agency to joint operational plans over three to five years, with priorities, timelines and deliverables, covering national, regional and continental regulators.

Mark

And the point is faster access to medicines?

Mimi

That's the stated goal. The idea is to cut duplicated reviews so products get approved sooner, with reliance meaning regulators can lean on each other's assessments.

Luke

Careful with "will." The announcement says approvals should become faster and costs lower, but it gives no targets, no timeline for results and no figures.

Mark

So the benefits are projected, not measured?

Luke

Right. Efficiency, lower costs and investment predictability are all expectations from the organizations themselves. Nothing independent confirms them yet.

Mimi

What is concrete is the structure: five areas of work, including surveillance of substandard and falsified products and building the regulatory workforce.

Mark

Why do ratifications keep coming up?

Mimi

Because the side event explicitly pushed for AMA Treaty ratification. The agency's strength depends on member states backing it.

Luke

And the source doesn't say how many have ratified or what's still outstanding. That's a gap worth noting.

Mimi

The first operational plans should show whether this turns into faster approvals.

  • A tangle of fragmented regulators and thin manufacturing means life-saving products stall long after they are made.
  • Falsified and substandard medicines keep slipping through weak market surveillance, putting patients and trust at risk.
  • WHO and the African Medicines Agency are binding themselves to joint operational plans over three to five years, reaching from national offices to continental halls.
  • Regulators are being urged to lean on one another's assessments instead of repeating them, aiming to cut approvals from years toward months.
  • The outcome now hangs on AMA Treaty ratifications by member states and on whether the first plans actually deliver faster approvals.

In the quiet corridors of the Seventy-ninth World Health Assembly, a long-imagined partnership took written form as the World Health Organization and the African Medicines Agency signed a Framework Agreement for Collaboration. Across a continent where a medicine can sit for months in a bureaucratic queue, or never arrive at all, the two bodies have pledged to align how remedies, vaccines and other health products are judged for safety and quality. The purpose is less a single triumph than a slow weaving of national regulators into a shared fabric, so that trust earned in one place may be honored in another, and so that people who depend on medicine are not left waiting on the paperwork of a fragmented system.

On the sidelines of the Seventy-ninth World Health Assembly, at a ministerial side event, the World Health Organization and the African Medicines Agency signed a Framework Agreement for Collaboration. It is a structured promise to align how medicines, vaccines and other health products are regulated across Africa, and to help the young agency find its footing.

The AMA, a specialized agency of the African Union, exists to strengthen regulatory capacity and widen access to quality-assured products. The agreement rests on three connected aims: harmonization, convergence and reliance. In everyday terms, national regulators would work toward common standards and, where sensible, trust one another's assessments rather than repeating them.

The problems are familiar. Fragmented frameworks, limited local manufacturing, weak surveillance and tangled supply chains keep health products from reaching people, and substandard and falsified medicines remain a serious threat. The announcement argues that universal health coverage and pandemic preparedness depend on regulators strong enough to meet these pressures.

Five areas of joint work are named: faster access to safe and effective products, harmonization, stronger surveillance against falsified goods, workforce and capacity building, and support for local production and emergency preparedness. Dr Yukiko Nakatani of WHO called strong regulation a pillar of resilient health systems, while Dr Delese Mimi Darko of AMA put it in terms of trust: everyone in Africa should be able to rely on the quality of what they receive. Dr Mohamed Yakub Janabi, WHO Regional Director for Africa, insisted the true measure is results, not institutions: safer medicines, faster access, stronger security.

The side event gathered health ministers, African Union bodies, national regulators and global partners, urging ratification of the AMA Treaty and sustained investment. Both organizations hope the AMA will become a model for regional cooperation beyond Africa. Yet the real test is still ahead: treaty ratifications, and the first joint plans that will show whether approvals truly speed up.

On the margins of the Seventy-ninth World Health Assembly, at a ministerial side event, the World Health Organization and the African Medicines Agency signed a Framework Agreement for Collaboration. The document sets up a structured partnership aimed at aligning how medicines, vaccines and other health products are regulated across Africa, and at helping the new agency get fully up and running.

The agency, known as AMA, is a specialized agency of the African Union. Its mandate is to strengthen regulatory capacity and widen access to quality-assured medical products on the continent. The agreement names three connected aims: harmonization, convergence and reliance. In practice, that means national regulators working toward common standards and, where appropriate, leaning on one another's assessments instead of repeating them.

The problems it targets are well known. Fragmented regulatory frameworks, limited local manufacturing, weak market surveillance and complex supply chains continue to delay access to health products across Africa. Substandard and falsified medical products remain a major challenge. The announcement argues that universal health coverage, pandemic preparedness and equitable access increasingly depend on regulatory systems strong enough to handle these pressures.

The agreement builds on the renewed African Union–WHO Memorandum of Understanding from May 2025. It lays the groundwork for joint operational plans over the next three to five years, which will set out priority areas, timelines and deliverables. The work is meant to span national, regional and continental levels.

Five areas of joint work are listed. WHO and AMA will seek to speed access to safe, effective and quality health products; promote harmonization, convergence and reliance; strengthen safety surveillance and the response to substandard and falsified products; build regulatory capacity and workforce across Africa; and support innovation, local production and regulatory preparedness in public health emergencies. A central goal is to streamline approval processes, cutting duplication so that products can be approved faster. The announcement says a more aligned system should improve efficiency, lower costs and offer a more predictable environment for investment, to the benefit of patients and manufacturers alike.

Dr Yukiko Nakatani, WHO Assistant Director-General for Health Systems, Access and Data, called strong regulatory systems a pillar of resilient health systems and fundamental to health sovereignty and security. She described the agreement as a decisive step toward a more unified regulatory ecosystem in Africa, one that would benefit the world as well as the continent. Dr Delese Mimi Darko, AMA's Director-General, framed it in terms of trust: every person in Africa, she said, should be able to count on the medicines and vaccines they receive meeting the highest standards of quality, safety and efficacy. Dr Mohamed Yakub Janabi, WHO Regional Director for Africa, set a measure for the agency's success: not the existence of an institution but its results, meaning safer medicines, faster access and stronger health security.

The side event brought together Ministers of Health, African Union institutions, national regulatory authorities and global partners. The aim was to build political leadership behind regulatory reform, ratification of the AMA Treaty, and sustained investment in strengthening regulatory systems. WHO and AMA urged Member States and partners to use the momentum to advance reforms, speed up ratification and invest in a trusted, harmonized system. Both organizations also expect AMA to become a model for regional regulatory cooperation beyond Africa.

What to watch next: treaty ratifications by member states, and the first joint operational plans. Those plans will show whether the promised faster approvals actually materialize.

Every person in Africa should have confidence that the medicines, vaccines and other health products they receive meet the highest standards of quality, safety and efficaciousness.
— Dr Delese Mimi Darko, Director-General of AMA
AMA's success will be measured not by establishing an institution but by its impact: safer medicines, faster access and stronger health security.
— Dr Mohamed Yakub Janabi, WHO Regional Director for Africa (paraphrase)
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