Financing organ transplantation across borders
Co-author of the Nouakchott Declaration on Organ Donation & Transplantation, presenting a multisectoral financing model for transplant programmes in Africa.
- Context
- Africa
- Sector
- High-cost specialised care
- Dr. Allama's role
- Co-editor, co-lead and co-author of the Nouakchott Declaration; focal point for sustainable financing
- Basis
- Founder's professional experience
Context
Some treatments are too specialised for any one country to finance alone. Organ transplantation is one of them. Many countries do not have the patient numbers to run a transplant centre efficiently on their own, and the cost lands up front while the savings compared with long-term dialysis arrive slowly.
The challenge
Ministries often understand the economic logic but lack the cash when it is needed. A regional approach only works if governments trust each other’s referral systems, prices and data.
What Dr. Allama contributed
Working with colleagues from the African Association of Nephrology, she was co-editor, co-lead and co-author of the Nouakchott Declaration on Organ Donation & Transplantation. At the African Forum on Organ Donation & Transplantation in Nouakchott in 2025, she presented a multisectoral financing model combining public-private partnerships, regional funds and health diplomacy, and proposed a pilot PPP to fund transplant programmes across borders. She serves as Mauritania’s focal point for the Declaration’s sustainable financing principle.
What it shows
Pooling patients, specialists and financial risk at regional level can make high-cost care sustainable where no single health system could carry it alone.