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Remarks by Mr. Haytham Elmaayergi, Executive Vice President, Afreximbank

1 April, 2026
Remarks by Mr. Haytham Elmaayergi, Executive Vice President, Afreximbank

Tangier, Morocco, 1 April 2026 - Afreximbank has outlined a scalable approach to transforming healthcare financing in Africa, with Mr. ElMaayergi, Executive Vice President, Global Trade Bank, Afreximbank, emphasizing that “the constraint is not capital availability, but the absence of scalable, investable healthcare platforms,” and calling for a shift from fragmented healthcare projects to aggregated, investment-grade platforms. He highlighted Afreximbank’s multi-pronged strategy spanning crisis response through Pandemic Trade Impact Mitigation Facility PATIMFA, long-term capacity building through the African Medical Centre of Excellence (AMCE) to reverse USD 6–10 billion in outbound medical spending, and upstream interventions such as energy financing to address structural health constraints, while proposing a pilotable Healthcare Infrastructure Aggregation Bond that pools healthcare assets under a single SPV with ring-fenced revenues and Afreximbank credit enhancement to create predictable cashflows and attract institutional investors.

Mr. ElMaayergi further underscored Afreximbank’s role in mobilizing capital through guarantees and credit enhancement solutions, including the Afreximbank Guarantee Programme and capital relief structures, to secure both institutional and private investment, as well as its role in structuring investable, ESG-aligned assets supported by Trade Development Impact analysis and clear mapping to the United Nations Sustainable Development Goals, noting that Africa’s institutional capital remains under-allocated due to a mismatch between project risk profiles and investor mandates, and that scaling investment requires aggregation, standardization, and robust structuring to transform healthcare into a viable infrastructure asset class.

He concluded that Afreximbank, including through its capital markets capabilities, is positioned to structure, de-risk, and distribute such instruments at scale, enabling a transition from isolated initiatives to integrated, bankable healthcare ecosystems that expand access, improve outcomes, and support long-term economic resilience.