The FGHI Co-Chairs’ Technical Note builds on the draft FGHI Commitments Paper, developed by the Commitments Task Team, which provided the foundation for a meeting of the FGHI Steering Group and other stakeholders at Wilton Park, UK 4-6th October 2023. Based on dialogue at Wilton Park, this document has been updated by the FGHI Co-Chairs to reflect feedback and provide a record of the technical foundation of the FGHI deliberations. It will be complemented by the Lusaka Agenda: The Future of Global Health Initiatives, which will be refined through consultations within and beyond the extended Commitments Task Team in the coming weeks and launched in December.

Part 1 sets out the key principles underlying the proposed way forward. Part 2 outlines a vision and direction of travel for the evolution of the GHI ecosystem over the next 10 years and presents five strategic shifts to be taken forward across GHIs, while recognising their application will be different given the varying scales, stages and models of the GHIs. Part 3 sets out an approach for operationalizing the strategic shifts towards 2030 and beyond.

The FGHI process recognises that decision making for each GHI is set by respective boards and committees. Therefore these boards and committees, alongside action from other key partners, will be essential in taking forward the shifts outlined in this paper.

The FGHI Co-Chairs’ Technical Note can be read here: