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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...