Shifting health systems from donor dependence toward domestic budgets and African-owned financing frameworks that hold past the donor cycle.
Africa's health systems are structurally exposed — aid flows cover gaps that domestic budgets have not been designed to close. When donors shift priorities, service delivery collapses. We work on the financing architecture itself: compacts with measurable targets, knowledge tools, and domestication of budget commitments governments have already made.
This approach is relevant to gender-responsive health services, immunisation and primary care equity, and to fiscal sustainability arguments in the socio-economic pillar.
Compacts set targets, the database maps what works, and domestication converts commitments into appropriations.
Structured agreements between groups of governments with specific domestic health budget targets, reporting schedules, and peer accountability mechanisms.
A country-level knowledge tool mapping which financing instruments have produced domestic budget gains — disaggregated by country income band, health system type, and instrument category.
Converting signed continental commitments into line-item budget appropriations through ministry of finance and parliamentary budget committee engagement.
The tools and institutions differ by pillar — the logic of working inside legislative moments is constant.
Gender Equality
Ensuring domestic health allocations explicitly fund reproductive health services and maternal care — not only headline budget totals.
Health Equity
Replacing donor-funded immunisation programmes with domestically financed equivalents, using the Addis Ababa Agenda as the accountability reference.
Socio-Economic Justice
Connecting health financing reform to broader domestic resource mobilisation arguments in the socio-economic pillar — taxation, domestic bond markets, and public expenditure efficiency.
Health financing works alongside policy advocacy and active citizenry across all three thematic pillars.
