Clare Battle

Global Health Initiatives and Universal Health Coverage in Pakistan‐Aligned for the Future? There is increasing global discourse on Global Health Initiatives' (GHIs) role and the need for better alignment with universal health coverage (UHC), which is particularly salient given recent rapid...

Addressing power imbalances must be at the centre of paradigm shifts in country assistance by GHIs: interesting reflections from Pakistan onlinelibrary.wiley.com/doi/10.1002/...

Welcome! You are invited to join a webinar: Rethinking Global Health: Bold Proposals for Reform . After registering, you will receive a confirmation email about joining the webinar. Seismic shifts have upended global health in recent months. Wellcome has commissioned five thought leaders from different regions of the world to set out bold ideas for a new global health architec...

You can also hear directly from these thought leaders at our a webinar on 11 September 2025 at 15:00 BST. They will highlight some of their bold reform ideas and how to achieve them. Register to join the webinar: wellcome-org.zoom.us/webinar/regi...

Bold ideas for a reformed global health system | Reports | Wellcome Discussion papers commissioned by Wellcome bring together bold proposals from five different regions of the world for a reimagined global health architecture.

If you could reimagine the global health system, what would it look like?

@wellcometrust.bsky.social commissioned five thought leaders from around the world to share their vision for the future of global health. Read the outcomes here:

wellcome.org/reports/bold...

As does this:
"The lack of external, systemic incentives in support of multilateral collaboration contributed to GAP’s inability... to significantly change the way organizations work with each other to ensure better alignment. "

This point in particular feels like a cautionary tale for current efforts:

"Overall, the evidence emerging from the evaluation indicated a lack of transmission of global-level agency commitments to the country level, and a waning engagement of signatory agencies over time"

As the SGD 3 GAP sunsets, important reflections for all of us looking to build a more coordinated, collaborative and effective global health ecosystem

iris.who.int/handle/10665...

The Concessional Funds Need a Major Overhaul: Action Items for FfD4 There is an urgent need to rethink the current concessional finance system to ensure that vital funds remain viable and effective. The vision should be one that points to fewer, yet better-resourced f...

@cgdev.org suggest 3 priority actions for concessional funds:
Action 1: Commit to a moratorium on the creation of new funds
Action 2: Launch a review of the funds’ financial models
Action 3: Call for a fund-by-fund rethink of grant allocation models
www.cgdev.org/blog/concess...

International development is evolving from handouts to partnerships A modernised approach to international development involves mutually beneficial relationships – and realising this vision requires reform

And as set out here, we need to see other global health organisations embrace reforms as well

www.telegraph.co.uk/global-healt...

Really encouraging to see this from @gavi.org - better aligning ODA with recipient country priorities is critical www.gavi.org/news/media-r...

Wellcome is looking for 5 organisations to lead inclusive regional dialogues on the future of the global health architecture in i) Latin America & Caribbean ii) Africa iii) Asia & Pacific iv) Europe & N. America v) Middle East & Central Asia.
Submission deadline 13 July. More here: lnkd.in/ePcKjsmq

The Gavi Leap: radical transformation for a new global health architecture It has long been acknowledged that the global health system needs reform. Although this system has improved public health, saved lives, and advanced health equity,1,2 it remains fragmented, uncoordina...

'Gavi Leap' sees @gavi.org moving to one grant window for the Gavi 6.0 strategic cycle, which means that countries will only need to apply for funding once www.thelancet.com/journals/lan...

Gavi and the Global Fund Replenishments: Donors Must Demand Real Reform In the midst of a global health funding crisis, Gavi and the Global Fund are seeking substantial replenishments: $9 billion over five years and $18 billion over three years, respectively (Figure 1). B...

New @cgdev.org blog.

@jmadankeller.bsky.social & I ask: can donors and the AU tie the replenishments of @GlobalFund and @gavi to real reform, in line with Lusaka Agenda? Empowering countries & building sustainable health systems that can withstand aid volatility?

www.cgdev.org/blog/gavi-an...

Charting a Pathway for Sustainable Financing of Africa’s Resilience — Statement - Resilience Action Network Africa (RANA)

Charting a Pathway for Sustainable Financing of Africa’s Resilience — Statement from Nairobi convening sets out key asks for reimagining sustainable models for human development and health systems across Africa www.ranafrica.org/news/chartin...

Navigating health financing cliffs: a new era in global health An era in global health, inaugurated in 2000 by the UN Millennium Declaration,1 has passed. This era saw large increases in domestic spending on health and official development assistance for health,2...

"The new era of global health must be rapidly constructed without seeking merely to restore what was." www.thelancet.com/journals/lan...

Rethinking aid: A call for genuine transformation in the development paradigm | Development Today Aid in the Global South - and in Africa, in particular - has at times functioned as a mechanism of control, entrenching asymmetries under the guise of assistance....

"When the same actors who have long benefitted from imbalance lead the calls for equity without changing the underlying incentives, the result is stasis in the name of progress". www.development-today.com/archive/2025...

An Advocate’s Dilemma: Defending Official Development Assistance or Reducing Aid Dependency?

Guest Essay by @katribertram.bsky.social

Geneva Health Files Newsletter Edition #259 [The Files In-Depth]

genevahealthfiles.substack.com/p/an-advocat...

After USAID: what now for aid and Africa? Seize this opportunity to reframe aid and centre local health needs The Trump administration’s shocking decision to dismantle the United States Agency for International Development (USAID) overnight ...

"Self-sufficiency must be the aim. African governments must insist on partnerships on their own terms, and, along with civil society in Africa, must control what gets funded and reject processes that undermine the whole system." www.bmj.com/content/388/...

Ruth Nigatu, Ethiopia: African voices need to make themselves heard in the boards of global health institutions #AHAIC2025

Gerald Manthulu, MoH Malawi: DAH is currently driven by top down priority setting, rather than responding to country needs. This is what the Lusaka Agenda seeks to shift

At #AHAIC2025, hearing references to the #LusakaAgenda, and wondering what it is? Find it here: futureofghis.org/final-output...

"This particular moment...provides a window to refocus all existing donor funding for health on core government priorities and to put in place protections to mitigate against the impact of aid volatility"
www.pfm4health.net/blog/precipi...

Attending the #AHAIC2025 conference in Kigali next week,?
Join us for a session exploring how countries are working with partners to implement the #LusakaAgenda and accelerate progress towards #UHC.
You can also register for free to join online: ahaic2025.eventify.io/t2/tickets

Really interesting insights from Malawi on the impact of the US aid freeze on the country's health sector: to understand impact we need to understand how much funding aligned with country priorities batumeyo.blogspot.com/2025/02/my-p...

Interesting analysis of GHI alignment issues in relation to Nigeria's health agenda journals.scholarpublishing.org/index.php/JB... #LusakaAgenda

Examining aid fragmentation and collaboration opportunities in Cambodia’s health sector - Globalization and Health Background Cambodia’s health sector faces significant challenges exacerbated by aid fragmentation, where development aid is dispersed among numerous small, uncoordinated projects. This study examines ...

Examining aid fragmentation and collaboration opportunities in Cambodia’s health sector: study "unveils a tendency among donor countries for launching numerous, highly specialized projects, diverging from a collective, strategic health intervention" link.springer.com/article/10.1...

Money Talks: The Lusaka Agenda Financing Alignment Indicators Just over a year ago, the Future of Global Health Initiatives process concluded with the publication of the Lusaka Agenda, which recognized that the current global health financing architecture needs ...

Interesting reflections from @cgdev.org and @who.int colleagues on what alignment with PFM systems actually means for health financing www.cgdev.org/blog/money-t... #LusakaAgenda

Africans are least represented in global health organizations, boards, conferences, and publications

Read this importance piece to know how visa inequities play a role

www.nature.com/articles/d44...

Engagement with civil society has continued to deepen, leading to the development of #CSO priorities for making the Lusaka Agenda successful.
Read here: wacihealth.org/wpfd_file/ci...
(8/8)

Common metrics: @who.int have convened a technical discussion on health system strengthening metrics, working with a range of countries and global partners to identify a slim set of common metrics to demonstrate outcomes and impact (7/8)

Global momentum: The #LusakaAgenda has been recognised in G7’s Apulia communique and WHO’s GPW14, and featured strongly in strategic discussions at this year’s WHA.
UHC2030 are exploring their role in supporting future coordination and advocacy around the #LusakaAgenda (6/8)