The declaration adopted by G20 leaders in Johannesburg on 22 November 2026 includes a reference to the Lusaka Agenda and some of its key shifts in paragraph 104:
“We recognise the role of the World Health Organisation (WHO) in line with its constitution in global health, supported by adequate, predictable, transparent, flexible and sustainable financing. Investments in health can be a fundamental driver of stability, growth and resilience. We encourage domestic public financing for health as the primary source for health finance, complemented by international support. We take note of initiatives such as Lusaka Agenda, among others aimed at advancing Universal Health Coverage (UHC) and health security. We recognise the critical importance of investing in the health and well-being of all, including women, children and adolescents as a foundation for sustainable development and call upon all partners to intensify coordinated action and efforts to accelerate progress towards UHC. We remain committed to building more resilient, equitable, sustainable, and inclusive health system for the provision of integrated people centred health services, including mental health, and to achieve Universal Health Coverage…”
Norway’s State Secretaries of International Development and Health, in this 26 November Health Policy Watch article, A Turning Point: Lusaka Agenda Anchored in the G20 Declaration, issue a call to action, quoting the Norwegian Minister of Health and Care Services from the G20 Health Ministers’ meeting in Polokwane earlier in November:
“We need bold action: we must move from a Lusaka Agenda to Lusaka Deliverables, Lusaka Timeline, Lusaka KPIs—and most important: Lusaka Results.” Acting together is essential. We must put the health of the most vulnerable first. The tools exist. Resources exist. What is needed now is political will and the courage to act.