Informing humanitarians worldwide 24/7 — a service provided by UN OCHA

World

A New Compact for Health Financing: Insights from Policymakers Across Africa

Attachments

Key messages:

• There was broad, cautiously optimistic support for the New Compact, with participants seeing potential in its key pillars, but doubting donor commitment.

• Challenges in coordinating the approach were emphasised, as fragmented aid and weak donor alignment remain major barriers, compounded by fiscal pressures, shifting donor priorities, and geopolitical disruptions.

• Participants noted that technical solutions alone are insufficient and that political will, governance reforms, and shifts in donor behavior are critical.

• Participants urged further work on strengthening country capacity, improving donor accountability, and integrating the New Compact into G20 discussions.