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Rethinking the Global Health Financing Architecture: Principles and a Proposed Model

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Author: Gerald Manthalu   Introduction The Lusaka Agenda has been gaining momentum, driven by interested stakeholders and accelerated by the recent cuts in foreign aid. Notable progress  includes: 1) the joint work of the Global Health Initiatives (GHIs) and pathfinder countries through the joint committee working group (JCWG) of Gavi, the Global Fund and the Global Financing Facility (GFF) and countries (Malawi, Mozambique, Guinea, Ethiopia and Chad) and similar work by the Africa Centres for Disease Control and Prevention (AfricaCDC) & the World Health Organization (WHO) AFRO with countries (Central African Republic, the Democratic Republic of Congo, Ethiopia, Ghana, Malawi, Mozambique, Senegal, and South Sudan) focussing on country specific reforms across the five strategic shifts of the Lusaka Agenda; 2)  country led aid alignment efforts such as  Sector Wide Approach (SWAp) approaches, One plan, One budget, and One monitoring and evaluation (M&E) mec...
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My perspective on the impact of the aid freeze on the health sector in a low-income setting

  My perspective on the impact of the aid freeze on the health sector in a low - income setting The recent aid freeze by the American Government has caus ed chaos, panic , and uncertainty across the world . M illions of beneficiaries, hundreds of recipient governments , and thousands of non-governmental organizations ( NGOs ) and civil society organizations ( CSOs ) have experienc ed loss of funding and support . Understanding the extent of th ose loss es and the relative impact s o n these different recipient groups is crucial in order to call for the right action. Having heard many policy experts, government leaders, and advocates express concern for beneficiaries in poor countries, I provide my perspective of what the loss for beneficiaries and recipient governments may have been particularly in the health sector. From the beneficiary' s perspective, the primary impact of aid cuts would be the reduction in donor-funded direct service provision and the ne...
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