Joint Learning Agenda on
Health Financing and
Universal Health Coverage

The Joint Learning Agenda is a program where civil society with the leadership of two regional organizations -WACI Health and Impact Santé Afrique (ISA)- has come together with a consortium of global health initiatives (GHIs) —The Global Financing Facility, The Global Fund, The Partnership for Maternal, Newborn & Child Health, Gavi, and UHC 2030 to develop, deliver and support capacity strengthening on UHC Budget Advocacy and Accountability in Sub-Sahara Africa.

The program promotes a multi-stakeholder collaboration that, through constructive mechanisms, will hold governments and donors to account for the allocation and equitable use of funding for health.

This unique partnership leverages collaboration between the different GHIs’ agendas, such as the GAP, UHC agenda and COVID-19 response, and provides a coordinated, aligned and long-term support to Civil Society engagement in these agendas.

The program is structured in two phases and three pillars.



Regional (Anglophone and Francophone) online Training of Trainers



In-country practical and action orientated trainings focusing on building CSO’s capacity on advocacy and accountability for health financing for UHC



Putting learning into practice with the support of tailored capacity building, technical assistance, mentoring and grants.

Civil Society organisations (CSOs) are playing a critical role in building a strong-equity focused and people-led movement for UHC.
Multiple strategies, guidelines, and other documents exist that emphasize the need for CSOs greater role in advocacy for accessible and quality health care, including through the active participation of civil society organisations (CSOs) in multi-stakeholder platforms.
With the challenge of Sub-Saharan African countries to meet the Abuja Declaration commitments (government expenditure on health should be equivalent to at least 5% of GDP and 15% of total government expenditure), the need for addressing resource mobilisation, and especially domestic resource mobilisation, is essential to achieve universal health coverage (UHC).

From local through to national level, civil society organizations can oversee health expenditures, monitoring what is spent by national programs, district health services or even local clinics, and using their findings to call for changes to budget allocations or for how budgets are expended and prioritized; and to conduct advocacy around health spending that contribute to progress on UHC.

Civil society engagement in health financing advocacy and accountability has increased over the years. However, challenges at global- and country-level remain and have been exacerbated by the COVID-19 pandemic whereby many resources have been diverted from key health programs to address the pandemic, thereby jeopardising hard-won gains in communicable diseases and basic health services and straining already fragile health systems.

CSOs have also had to grapple with how to respond to the COVID-19 pandemic but demonstrated their added value in the Covid-19 response through community mobilisation, awareness creation and using data for evidence-based decision making.

Our programme’s aim

  1. Our programme aims to develop a cadre of trainers who can build capacity through delivering training on health financing, UHC and budget advocacy to country level actors from civil society, media organisations and from among elected representatives and that can provide in-country support to budget advocacy and accountability activities undertaken by CSO actors as well as mentorship.
  2. Our goal is to promote a multi-stakeholder collaboration that, through constructive mechanisms, will hold governments and donors to account for the allocation and equitable use of funding for health.
  3. Our training empowers local champions and stakeholders through being developed by civil society for civil society.
“This course on health financing is very interesting with the sharing of experiences of the various French-speaking countries which often have similar contexts. I recommend accompanying this first wave of trainers to dissemination at country level.”
Country TrainerSenegal

“It was yet another opportunity to delve into the policy and legal framework of health financing in Uganda and also an appreciation of how health financing can influence other socio-economic aspects like poverty, income inequality and overall human capital development. I can’t wait to see our local trainers translate the knowledge and skills they acquired into action as they advocate for UHC and domestic health financing in Uganda.”

Country TrainerUganda

“I learned a lot from the course; although it was intensive, each online session was explicit and based on practical examples. The sharing of country experiences was also very rich and enabled to learn from each other”

Country TrainerIvory Coast

“Joint Learning Agenda is a step in the right direction! Aside the knowledge gained and shared, which was further shared
at state level, I was opportuned to meet brilliant and passionate advocates across the region and Nigeria. This had catalysed collaborations and partnerships. A big thank you to all the donors who made this happen!”

Country TrainerNigeria

“The JLA Training on UHC, Health Financing and Budget Accountability in Nigeria was really an eye opener for me as a Development Journalist. With knowledge gained, I have started exploring Health Financing Trends, following Government spendings and conducting advocacies.”

Country TrainerNigeria

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