At Supporting Health Initiatives (SHI), we believe that African-led leadership, governance, and innovation are essential to building sustainable health systems.

Read this guest commentary, Dr Lieve Fransen — founding chair of the Global Fund and a long-standing partner in global health — reflects on the geopolitical shifts reshaping health financing and governance. Her call for self-reliance, deeper regional collaboration, and stronger African voice in global forums resonates deeply with SHI’s mission and the realities we navigate every day.