During the 1980s, Amref Health Africa moved into community health development, closer collaboration with the ministries of health in the region, and cooperation with international aid agencies. This set the organisation’s course for the 1980s and beyond. Greater emphasis was given to strengthening health systems and staff development.
In the early 1990s, Amref Health Africa introduced a one-year community health training programme. The 1990s also saw Amref Health Africa’s work expand to focus on preventative measures against malaria, HIV/AIDS, and tuberculosis. During the mid-1990s, Amref Health Africa increased its focus on HIV/AIDS as it looked set to undo much of the progress made in health during the 20th century, and become a major burden to health systems in poor countries.
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