Final Outputs

The Lusaka Agenda – launched on Universal Health Coverage (UHC) day 12 December 2023 – marks the culmination of a 14-month process of engagement that has included multi-stakeholder dialogues in Addis Ababa, Ethiopia (14 June), Wilton Park, UK (4-6 October) and Lusaka, Zambia (26 November). Building from existing efforts, it captures consensus around five key shifts for the long-term evolution of Global Health Initiatives (GHIs) – and the wider health ecosystem – and highlights a number of near-term priorities to catalyse action towards the five shifts. It provides a foundation for coordinated action to support these shifts, and a path towards a joint long-term vision of domestically-financed health systems and UHC that leaves no one behind.

The realisation of the shifts requires united and collective effort across stakeholder groups, underpinned by mutual accountability. We would like to thank the many stakeholders who took part in this process, including our Steering Group, Research and Learning Task Team and Extended Commitments Task Team members and those who participated in multi-stakeholder dialogues.

The Lusaka Agenda has been shared with the boards of the GHIs to put the next steps into practice and to work together to catalyse action towards the five shifts outlined. From January 2024, an informal, interim working group chaired by Ghana, Canada and Amref Health Africa will work together over four months to:

-help anchor the Lusaka Agenda on the agendas of the GHI boards and the African Union, and begin to drive its implementation; and,

-engage with stakeholders, including GHIs, CSOs and a broader group of donor and implementing countries, to design the modalities of a global health financing alignment arrangement, to consider how to operationalize the key shifts also in the broader global health financing ecosystem.