Advancing CSO Advocacy for Health Financing Consolidating Progress and Shaping the Future of JLA


Current macroeconomic challenges, high and evolving disease burdens, and a reliance on external funds demand an urgent acceleration of domestic health financing across Africa. While the 2001 Abuja Declaration set an ambitious target for governments to allocate at least 15% of their annual budget to improve the health sector, domestic resources for health remain insufficient. This hinders the fight against high burden diseases, jeopardises and puts at risk the sustainability of hard-won gains, and leaves millions without access to essential care. Overall health expenditure has significantly increased over time, but funding from domestic sources has not increased commensurately. Therefore, while Africa celebrates considerable strides in health outcomes, inadequate domestic investments limit the flexibility of national health systems to address pandemics, NCDs, other emerging threats and threatens to dim the continent’s ability to sustain healthcare advancements. As a result, new preventable diseases continue to claim lives, pushing millions into poverty due to crippling healthcare costs. Africa’s future hinges on the health of its people, yet the continent continues to record high numbers of deaths and suffering. To build a sustainable future, the African Union has again committed to prioritizing domestic health sector investments through the 2019 Africa Leadership Meeting declaration. Meeting the ALM commitments will save millions more lives, break the cycle of poverty by protecting families from financial ruin occasioned by high out of pocket spending, and drive economic development.

Workshop objectives

Considering the high demand from JLA participants, and following recommendations from the independent evaluation, JLA partners will convene all country trainers in a workshop to review progress, share knowledge, and discuss challenges and opportunities, to further consolidate and amplify civil society advocacy for health financing and UHC in the region. More specifically, the workshop aims at gathering actionable inputs from diverse stakeholders to effectively plan and launch the next phase of support in advancing CSO advocacy for health financing and contributing to increased domestic resource mobilization (DRM) for UHC.

Meeting Summary

Concept Note


Specific Objectives

  1. Harvest JLA Successes and Challenges: Take stock and draw lessons from the key successes and challenges in advancing CSO advocacy for health financing in the region by the JLA program.
  2. Collaborate on DRM and Advocacy Strategies: Share and analyze successful advocacy campaigns, resource mobilization approaches, and existing platforms relevant to JLA goals and recommend future CSO advocacy mechanisms for health financing and DRM strategies aligned with country contexts
  3. Shape the JLA’s opportunities in the Global Health Financing agenda and “Future of Global Health Initiatives” Trajectory: Understand stakeholders’ perspectives on the JLA’s role in a changing global health landscape, considering sustainability, learning, partnership models, and potential funding opportunities and translate agreed outputs and outcomes into next steps.
  4. Mobilize Stakeholder Commitment: Secure tangible commitments from participants towards collaborating on and supporting the JLA’s next phase, including technical expertise, capacity building, coordination/collaboration and advocacy efforts, ensuring the next phase effectiveness and sustainability.

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