The time-bound FGHI process concluded in December 2023 with the publication of the Lusaka Agenda: Conclusions of the FGHI process

Two doctors analysing samples.

The Future of Global Health Initiatives process brings together a group of global, regional and national health stakeholders โ€“ from governments and international- and domestic-financing partners to civil society, health organisations, and academics โ€“ in a time-bound process of consultation and research throughout 2023, to reflect on how global health initiatives (GHIs) can be optimised to best support national health priorities and countriesโ€™ progress towards universal health coverage (UHC).


The challenge

There is widespread recognition that countries should have ownership and control over their own health agendas.

There is also recognition that for low- and middle-income countries to effectively deliver on their health agendas and strengthen health systems, external resources need to be fully aligned in support of national health plans, with a pathway created for increased and sustainable domestic financing.

There is also common agreement that there is some way to go to achieving this. Getting there will require reappraisal of, and greater alignment across, the global health ecosystem.

Building greater alignment, particularly around health systems strengthening and a more sustainable global health ecosystem, is even more urgent as the world faces increasing epidemiological and demographic changes and global health inequities: from aging populations; to the growing burden of non-communicable diseases, mental health, and continuing and emerging challenges from infectious diseases; and growing threats from environmental degradation, climate change and new disease outbreaks. The COVID-19 pandemic has shown us that many of these challenges cannot be contained within individual borders and that our collective health is dependent on the health systems in all countries.

Now is the time, while the lessons of the COVID-19 pandemic are still fresh, to take stock of how the global health system can best meet the health challenges of today and of tomorrow. โ€‹

Two women at a pharmacy in India.
A pharmacy in India, taken as part of a Wellcome funded project aimed at exploring reduction of inappropriate antibiotic use. Wellcome Collection.