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Tracking the "America First" Bilateral Health Agreements

Tracking the "America First" Bilateral Health Agreements

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Think Global Health's analysis found gaps between country needs and new cofinancing commitments with the United States

Community health workers prepare vaccines for a measles vaccination drive amid a surge in cases, in San Cristobal de Las Casas, Chiapas, Mexico, on February 25, 2026.

Global Health Reform for Communities Beyond Institutions

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Much of global health progress has been driven by small teams, writes the head of Expertise France's major pandemics cluster

How the Iran War Is Straining Humanitarian Aid, in Three Charts

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Aid organizations face meandering shipping routes and soaring fuel costs beyond the price of gasoline

Map titled “Shipping Aid in Wartime” showing how food shipments to Port Sudan are rerouted because of the Iran War. A solid dark line marks the typical route from Nhava Sheva, India, across the Arabian Sea, through the Bab-el-Mandeb Strait and Red Sea, to Port Sudan, with labels for Salalah, Jeddah, Suez Canal, and Port Sudan. A dashed orange line shows the alternate route looping south across the Indian Ocean, around the Cape of Good Hope at Africa’s southern tip, and back up West Africa and the Mediterranean before reaching the Red Sea. A note on the map says ships avoiding the Bab-el-Mandeb take this longer route. Caption states that rerouting can add 6,000 miles and more than three weeks of transit time.

The Expanded Global Gag Rule and the Case for Regional Solidarity

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The anti-abortion policy undermines organizing principles, rooted in ubuntu, that keep African health systems coherent under stress

A woman gazes out of a window while attending a talk on sexual health and HIV prevention, in the Tanghin neighborhood of Ouagadougou, Burkina Faso, on April 13, 2013.

Multilane Procurement Amid the America First Health Agenda

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Health procurement in low- and middle-income countries will remain unavoidably multilane. Donors should build around that reality

An Ethiopian Cargo terminal worker offloads a shipment of Johnson and Johnson's COVID-19 vaccines that arrived under the COVAX scheme, at the Bole International Airport, in Addis Ababa, Ethiopia, on July 19, 2021.

Sovereignty vs. Multilateralism Is the Wrong Debate in Global Health

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Seed Global Health CEO: countries need a global health model where sovereignty sets the agenda and multilateralism enables it

U.S. Deputy Secretary of State Christopher Landau shakes hands with African Union Commission Chair Mahamoud Ali Youssouf, at the African Union headquarters, in Addis Ababa, Ethiopia, on January 28, 2026.

The Lusaka Agenda Shows the Power of Community Voices

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By prioritizing primary health-care systems led by locals, the Lusaka Agenda can transition power back to Africa

Medical workers are seen at the health centre in the commune of Wangata during a vaccination campaign against the outbreak of Ebola, in Mbandaka, Democratic Republic of Congo, May 23, 2018. REUTERS/Kenny Katombe

What U.S. Withdrawal From the World Health Organization Means for Africa

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A Chatham House fellow explains how, from an African perspective, the decision stripped away comforting assumptions about global health cooperation

A woman and her child, who is suffering from malnourishment, wait for care at the emergency ward of Dikwa Primary Health Center, where children are stabilized for severe malnutrition, following the withdrawal of USAID support, in Dikwa, Borno State, Nigeria, on August 27, 2025.

Gold Prices Reach Record High, Poisoning Ghana's Land

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As gold demand grows, Ghana's rural families turn to riskier operations, worsened by lax regulations and porous supply chains

An artisanal miner climbs out of a gold mine with a bag of rocks broken off from inside a mining pit, at the unlicensed mining site of Nsuaem Top, in Ghana, on November 24, 2018.

Transforming the Global Health Ecosystem for a Healthier World in 2026

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African health and finance officials, along with the former executive director of UNAIDS, offer 10 considerations for global health reform initiatives

Transforming the Global Health Ecosystem for a Healthier World in 2026

Africa's Push For Health Sovereignty

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Africa's leaders are explicitly reframing health financing as an economic and fiscal priority, not a social afterthought

Jocelyne Mitoba, who was detained for 8 days with her baby for lack of money at Bethesda Medical Center, holds her newborn at her home, in Ngaba, a neighborhood of Kinshasa, Democratic Republic of Congo, on February 18, 2023.

Shifting the Narrative on Global Road Safety

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A study examines the role journalism can play in preventing traffic collisions in five Anglophone African countries

Road safety officers stand, as traffic is blocked up on a road, in Lokoja, Nigeria, on October 13, 2022.