Fassika Alemayehu

#HAPPENING #NOW @FMoHealth 🇪🇹, @dereje_dugumaMD opens #CBLN — highlighting African health priorities, system challenges & investment in resilient, climate-smart health systems. #ACB is recognized for amplifying Africa’s voice in Global health initiatives. 🌍💉#peerlearning

ACB is looking forward to bringing African countries together at the CBLN to reflect on lessons from Global Fund Grant Cycle 7 and align on shared priorities for GC8, #sustainability, #LEN, and #climate-resilient health programming.

World AIDS Day 2025: Africa is mobilizing, innovating, and adapting but cannot end AIDS alone. We call for renewed global solidarity and sustained investment to protect progress and ensure no one is left behind.#WorldAIDSDay2025 #EndAIDS #GlobalHealth @UNAIDS @UNAIDS_WCA

🔙 Flashback to earlier this month: The Africa Constituency Bureau (ACB) convened over 40 stakeholders from more than 15 countries to reflect on the realities of reprioritising @GlobalFund grants in the 2024–2026 allocation cycle. Amid tighter budgets, countries shared both challenges and opportunities: ➡️ The need to keep reprioritisation inclusive and evidence-driven, even under compressed timelines. ➡️ Protecting investments in health systems, communities, and youth, which are vital for resilience and equity. ➡️ Advancing domestic resource mobilisation and innovative financing to sustain gains beyond donor cycles. ➡️ Exploring African-led solutions for access and procurement of new innovations, such as long-acting prevention tools. ➡️ Ensuring country realities directly inform global policy decisions, bridging the gap between implementation and strategy. By creating space for #Africa to speak with one voice, the ACB is strengthening the link between local experience and global health governance—a lesson with relevance far beyond the continent. #Flashback #GlobalHealth #AfricaLeadership #HealthFinancing #ResilientHealthSystems

🌍 Africa’s Voice in the 8th Replenishment of the Global Fund At an event hosted by #SouthAfrica and the #UnitedKingdom , Africa’s leadership and essential role in ensuring the success of the 8th Replenishment of the Global Fund was spotlighted. @Dr_JeanKaseya called for bold reforms and sustainable African financing: 🗣️ “We are proud Africans. But with a 70% reduction in ODA, our countries must raise more funds from within. We need reforms to ensure our Ministers know what partners bring to the table. We also need sustainable solutions rooted in Africa.” He underscored: ✅ The importance of strong leadership from South Africa and the UK in the replenishment effort. ✅ The need to maintain U.S. funding, stressing the joint advocacy efforts by @AfricaCDC and @GlobalFund . ✅ That the Global Fund supports health systems, not just disease-specific programs vital in a context where Africa faces nearly one outbreak per day. #GlobalFundReplenishment #HealthSystems #DomesticFinancing #AfricanLeadership #GlobalHealth

🚨 Happening Now! @WHOAFRO 📢 Webinar: Advancing the Lusaka Agenda in the African Region – Progress and the Way Forward The Lusaka Agenda offers Africa a bold roadmap to reimagine global health—making it more just, effective, and resilient. Its implementation should drive: ✅ Measurable progress across the 5 Key Shifts ✅ Increased domestic health financing ✅ Improved donor alignment & coordination ✅ Strengthened health systems ✅ Locally financed public health functions ✅ Greater country ownership of health outcomes ✅ Real progress toward Universal Health Coverage (UHC) #LusakaAgenda #AfricaLeadsHealth #UHC #HealthSystems #GlobalHealth #DomesticFinancing

#cotedivoire : A central priority of the Government’s UHC agenda—supported by @WorldBank, @GlobalFund Fund and @UNAIDS is to ensure that all people living with HIV, estimated at over 400 000 people, are fully enrolled in the national health insurance scheme. Special attention is being given to identifying modalities through which the poorest and most vulnerable people living with #HIV will benefit from free coverage under #UHC.

The Tipping Point: Why the Global Fund’s 8th Replenishment Must Be a Wake-Up Call for Africa’s Health Sovereignty africanconstituency.org/the-tipping-po… via @acb4gf @GlobalFund @AfricaCDC #globalhealth #healthfunding #Africa

How Debt Is Undermining Health in Africa Data Source: @UNAIDS – “Domestic revenues, debt relief and development aid: Transformative pathways for ending AIDS by 2030” (Eastern and Southern Africa Report) 💰 Between 2017 and 2023, public debt service in Eastern and Southern Africa rose from 5% to 8% of GDP. In 2023, countries spent $68.7 billion on debt repayments—2.7 times more than their entire health budgets ($25.7 billion). 📉 In countries like #Angola, #Kenya, #Malawi, #Rwanda, #Uganda, and #Zambia, debt servicing consumes over 50% of tax revenues, crowding out vital investments in health, education, and social protection—all essential to ending AIDS. 🚨 Of 18 countries reviewed, 7 are already in debt distress or receiving relief (Angola, #Ethiopia, Malawi, #Mozambique, #Somalia, Zambia, #Zimbabwe), and 2 more are at high risk (Kenya, #SouthSudan). Debt relief has done little—Zambia will still allocate two-thirds of its budget to debt service from 2024 to 2026. 📅 Looking ahead to 2030, countries like South Africa, Ethiopia, South Sudan, Mozambique, and Tanzania will each need to mobilize over $1 billion per year for HIV services alone—on top of broader social investments. 📢 Comprehensive debt relief is urgently needed. This must include all creditors—private, bilateral, and multilateral—and aim to cap debt service at no more than 15% of government revenues. This could free up $41 billion annually, part of which can be redirected to health, education, and social protection. ➡️ As we look to 2030 , Debt reduction is not charity— it is a strategic investment in people, public health, and sustainable development. @SDG2030 #DebtRelief #GlobalHealth #HealthFinancing #Africa #HIV #SDGs #PublicInvestment