Jackaroodave. The two medical items you highlight I share your reservations.
To respond to your initial question is more straightforward. The situation in Africa is what it is. The statistics for poverty stricken countries are that out of 50, 34 are in Africa. The explanation I gave for this was pretty much a gross simplification referring to essentially post WW2. Since this time it is hard to pinpoint an African country that has not had dislocations by war or regime change in addition to the traumas of decolonisation. You can either accept that as a statement or refute it. How you make the jump from outlining cause and effect to a given political stance escapes me. There are a multitude of reasons to explain why so many African countries are dysfunctional the paper outlined some of them.
Like any other country all African countries have an educated elite, but in the case of Africa the numbers are very small and hardly egalitarian, and they inevitably are the most mobile.
   Unlike some I do not care what sources I use for information,I will even scroll through rumour mill news, not because I believe a fraction of what is there but because there are sometimes little nuggets that are inserted (?) that give a rather different perspective on certain events. Such items force one to question the accepted narrative and in these latter days of spin that is no bad thing. I had the advantage of a career that took me to five continents and 40+ countries and much of the time this involved travel into the boonies. Inevitably this brought me to sights and events that others have to rely on reporters for. You see it first hand and inevitably it has an impact on you, especially sick children or children with missing limbs and not a hope in hell of obtaining prosthetics.

I do not care if a source of information comes from the extreme left or far right. If the content bears up to scrutiny and is at least supported in the main by other sources I will often accept the gist of what is being said.
In the case of the link I gave, it was the result of a brief internet search on African poverty and deprivation. What it had to say largely supported my own view. I do not necessarily support all the content blindly there may be one or two points I disagree with. However if linking to a site you have it in its entirety you cannot censor the odd phrase that does not fit with your perceptions. To generate the main thesis by myself would take too much time and too much space. That is why I use links. It seems too easy on this forum to go out and massacre the messenger because it then absolves you from reading the message.
I could discount much content of the New York Times or CNN if I went down that road.
    Sadly in this day and age there is no such beast as a provider of unbiased news. I suspect such an animal probably never existed, the author inevitably provides content tinted by his own perceptions that may be right or may be wrong. Today such content goes through further editing, massaging,censorship. Having been on the ground in places where events have happened my own view has an entirely different slant compared to that being reported by the MSM. Today the MSM and governments exert more control than perhaps most realize. This is something of a digression but calling someone a snowflake is small beer compared to be labelled racist for outlining what is essentially the truth. It seems the included warts do not sit well with some.
We are still faced with the fact that as yet no one has coined a replacement for shithole, Disfunctional hardly starts to describe it.