Choosing where to seek medical help is a deeply private decision. But the numerous occasions African leaders have sought treatment abroad have thrown the spotlight on local health care investment. To a large extent, leaders are responsible for the development of proper health care for the citizens of their countries.

The deaths of former leaders Muhammadu Buhariof Nigeria and Edgar Lungu of Zambia in foreign medical facilities have not calmed accusations that African leaders neglect public health systems in their own countries.

"The state of health care in Nigeria is deeply concerning. The biggest problem is infrastructure. There are no drugs and functional medical equipment," Jamila Atiku, a researcher on public health in Nigeria, told DW.

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Reasons for medical tourism include a lack of specialized treatment available locally, poorly equipped hospitals and security fears for politicians.

Another factor, according to Zimbabwean health rights advocate Chamunorwa........

© Deutsche Welle