When it comes to healthcare excellence in Africa, several urban centers stand tall. Though official 2025 city rankings haven’t surfaced yet, 2024’s Numbeo Health Care Index paints a clear picture—and a 2025 country-level score adds insight into the trends likely shaping healthcare realms.
The Africa Health Care Index 2025 mid-year report highlights the continent’s leading cities in healthcare delivery, measuring staff competence, diagnostic capacity, service responsiveness, affordability, and accessibility
Let’s explore the top ten cities offering the best medical care on the continent.
1. Cape Town, South Africa
Leading the pack with the highest healthcare index (68.7), Cape Town combines world-class hospitals, robust public-private infrastructure, and a focus on research-driven care. It’s a model of medical proficiency wrapped in a breathtaking coastal backdrop.
2. Pretoria, South Africa
With the second-best score (66.7), Pretoria is the administrative heartbeat of South Africa and home to institutions like Steve Biko Academic Hospital and the University of Pretoria. It’s a hub of healing and innovation.
3. Nairobi, Kenya
East Africa’s beacon of healthcare (61.6), enabled by elite hospitals, international accreditations, and the Aga Khan University Hospital—home to a pioneering cholesterol clinic and advanced diagnostic tech.
4. Johannesburg, South Africa
Scoring 60.5, Johannesburg offers broad access to tertiary care and cutting-edge research from the University of the Witwatersrand.
5. Durban, South Africa
South Africa’s coastal heart—with a score of 59.0—is known for its targeted health campaigns, specialized services in cardiology and nephrology, and approach to community wellness.
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6. Algiers, Algeria
North Africa’s standout at 56.8, offering government-backed public healthcare and growing private medical infrastructure.
7. Tunis, Tunisia
Scoring 56.7, Tunis balances public sector investments with private flexibility, making it a reliable destination for medical services and advanced treatments.
8. Lagos, Nigeria
At 47.5, Lagos is Nigeria’s top-performing city in healthcare. It’s a rapidly evolving metropolis, though tasked with navigating urban pressures and uneven resource distribution.
9. Cairo, Egypt
Cairo scores 46.1 and remains Egypt’s access point for medical treatment across its dense population and historic hospitals.
10. Casablanca, Morocco
Rounding out the list at 44.8, Casablanca brings together private healthcare providers and regional accessibility, especially for specialized procedures.
While trailing the South and North African giants, Lagos remains Nigeria’s top healthcare city. The city’s resources and institutions continue to expand, albeit challenged by infrastructure strain