Health Systems, Global Health Architecture and the Lusaka Agenda, with a focus on LMICs.

Pete Baker and I independently arrived at a similar conclusion about one of the most important shifts needed in the future of global health financing: a much greater role for the World Bank in financing health at country level. In my September 2025 article, Rethinking the Global Health Financing Architecture: Principles and a Proposed Model , I proposed that the World Bank, alongside an expanded Global Financing Facility (GFF), should become a principal platform for financing holistic health development. I argued that the Bank was particularly well suited to this role because of its capacity to support country-led priority-setting, use national public financial management systems, provide concessional financing for health-system strengthening, operate through established country platforms, and finance health in a broader, integrated and multisectoral manner rather than through disease-specific silos. Pete subsequently developed a closely related proposition through his work at the Cent...

  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...