When conversations about Africa’s development arise, healthcare is one of the most defining indicators. As of 2025, discussions about the best cities with good health systems in Africa 2025 highlight how far some urban centres have come in providing accessible, affordable, and modern medical services.

While the continent still faces challenges like inadequate funding, poor infrastructure, and medical brain drain, several cities are standing out with impressive health systems that rival international standards. From North to Southern Africa, governments, private investors, and NGOs are building models that show Africa is not lagging behind in health innovation.

This article takes a deep dive into the top 10 best cities with good health systems in Africa 2025, ranking them not only by the sophistication of their hospitals but also by affordability, reach, and innovations.

10. Kigali

Kigali, Rwanda’s capital, rounds off the top 10 best cities with good health systems in Africa 2025. Rwanda has made remarkable progress in healthcare reform since the early 2000s.

Kigali’s health centers emphasize community-based care, digital health records, and affordable insurance. The city has become a model for resilience and innovation in African healthcare.

9. Marrakech

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Marrakech is not just a tourist attraction; it also belongs to the best cities with good health systems in Africa 2025. Morocco has invested in modernizing its hospitals and training doctors.

The city benefits from strong public-private partnerships, ensuring that healthcare services are accessible to both residents and tourists who may need emergency treatment.

8. Accra

Accra, Ghana’s capital, is fast-rising in conversations about the best cities with good health systems in Africa 2025. With facilities like Korle-Bu Teaching Hospital, Accra provides advanced care to citizens and international patients alike.

Ghana’s National Health Insurance Scheme (NHIS) also boosts access, making it one of the few African nations attempting universal coverage.

7. Durban

Durban is another South African city making it into the best cities with good health systems in Africa 2025. Known for its private clinics and advanced oncology centers, Durban’s healthcare system balances affordability with quality.

The city is also a leader in HIV/AIDS research and treatment, housing some of the most advanced research centers on the continent.

6. Addis Ababa

Ethiopia’s capital, Addis Ababa, is gaining prominence among the best cities with good health systems in Africa 2025. The government’s health extension program has been praised globally for expanding access to rural and urban populations alike.

In Addis, hospitals like St. Paul’s and Black Lion Hospital serve as referral centers for specialized treatments, making the city a growing hub for East African healthcare.

5. Lagos

Nigeria’s commercial capital, Lagos, is increasingly recognized among the best cities with good health systems in Africa 2025. While challenges remain in public hospitals, Lagos has developed a thriving private healthcare sector.

Hospitals like Lagoon Hospitals and Reddington provide world-class facilities. With a population of over 20 million, Lagos still struggles with demand, but innovations such as telemedicine and mobile clinics are helping bridge the gap.

4. Tunis

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Tunisia’s capital, Tunis, is among the best cities with good health systems in Africa 2025 thanks to its strong government-led health programs. Tunisia has invested heavily in preventive healthcare, maternal care, and advanced treatments.

Medical tourism is thriving in Tunis as patients from neighboring countries flock there for affordable surgeries and specialist care. Hospitals such as Charles Nicolle Hospital have earned global recognition.

3. Nairobi

Nairobi continues to shine as one of the best cities with good health systems in Africa 2025. With facilities like Aga Khan University Hospital and Nairobi Hospital, the city is a hub for medical excellence in East Africa.

Kenya’s growing middle class has driven demand for better services, and private hospitals have risen to the challenge. Nairobi also benefits from health-tech startups that are improving access to telemedicine and digital health solutions.

2. Cairo

Egypt’s capital, Cairo, is another top mention when discussing the best cities with good health systems in Africa 2025. Cairo has a blend of public health services and private hospitals equipped with advanced technology.

The city boasts institutions like the Kasr Al Ainy Teaching Hospital, one of the largest in the Middle East and Africa. Cairo’s health system benefits from Egypt’s strong medical education sector, producing a steady supply of doctors and specialists.

1. Cape Town

Cape Town is often the first name when we talk about the best cities with good health systems in Africa 2025. With world-class facilities like Groote Schuur Hospital famous for the first human heart transplant and numerous private clinics, Cape Town provides quality healthcare both to locals and medical tourists.

South Africa’s investment in healthcare infrastructure and training makes Cape Town a beacon for the region. Residents also benefit from a wide pool of specialized doctors and cutting-edge technology.