Pillar 02 — Health Equity

Health is a right.


We strengthen primary health care, unlock domestic health financing, and drive the domestication of continental commitments — from the Abuja Declaration to the Maputo Protocol — into country-level action that saves lives.

The issue

Africa's health financing gap is not a story of insufficient ambition — it is a story of unrealised commitments. The Abuja Declaration set a 15% target for domestic health expenditure two decades ago; a handful of states have met it. Continental immunisation, primary health care, and pandemic-readiness agendas have continental sign-off but uneven country-level enforcement.

African Renaissance Trust treats this gap as the central problem of African health policy. We work with ministries of health and finance, AU directorates, and development finance institutions to unlock the domestic resources that translate continental commitments into measurable health gains.

Our approach

Connect · Inform · Activate

Tuned to the institutions, instruments, and decision points that determine whether continental health commitments become country-level reality.

01

Connect

We convene health ministers, AU directorates, and development finance institutions around Africa's unfinished health financing agenda. Through Gates Foundation catalytic capital, we broker strategic partnerships that embed Africa Leaders' Meeting language into national and regional health strategies.

02

Inform

We produce decision-ready health financing analytics, strategy briefs, and accountability frameworks designed for ministerial desks and AU committee rooms — including the EAC Sustainable Health Financing Compact and the Health Financing Exemplars Database that maps what works, where, and why across the continent.

03

Activate

We drive the domestication of the Abuja Declaration and the Addis Ababa Immunisation Agenda into national budget commitments and governance reforms — converting continental pledges into measurable increases in domestic health expenditure.

Flagship work

Projects under this pillar

ACTIVE

EAC Sustainable Health Financing Compact

A regional compact anchoring sustainable domestic health financing commitments across East African Community member states.

Partner: East African Community
ACTIVE

Health Financing Exemplars Database

A continental evidence base mapping what works in domestic health financing — by country, instrument, and outcome.

Open evidence platform
Catalytic capital

Gates — Health Financing

Strategic partnerships and convenings that embed Africa Leaders' Meeting language into national and regional health strategies.

Partner: Gates Foundation
For donors and partners

Where new partnerships strengthen this pillar

Investment opportunities include country-level Abuja Declaration domestication tracking, expansion of the Exemplars Database, regional health financing compacts beyond EAC, and pandemic-readiness governance support.