PMNCH — Hosted by the World Health Organization
Global Advocacy · #Act4WCA

Global Advocacy

Official development assistance is declining while efforts to strengthen domestic resource mobilization intensify. Yet global-level decisions — on the health architecture, debt, and multilateral funding — will shape whether women's, children's and adolescents' health (WCAH) is protected in this transition. This page equips partners with the evidence, resources and entry points for advocacy at the global level.

Section 1

Global Health Architecture

UN80, WHO reform, the Accra Reset and the Lusaka Agenda — how to keep WCAH centre stage.

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Section 2

Debt

Debt service is crowding out health and education. Debt relief is a WCAH issue.

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Section 3

Multilateral Funding

How to access and influence Global Fund, World Bank and GFF financing for WCAH.

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Section 4

Just Transition

As ODA declines, the pace of donor withdrawal must not cost lives.

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Section 1

Global Health Architecture

The global health architecture is being reshaped through the UN80 Initiative, WHO reform and processes such as the Accra Reset and the Lusaka Agenda. These reforms aim to build a system that is more efficient, coherent, country-focused and financially sustainable — but the health and rights of women, children and adolescents are not yet centre stage. What is not clearly named is rarely protected. Use this advocacy package to make the case that reform must explicitly safeguard WCAH, with dedicated financing and inclusive governance.

The WHO-hosted joint process

At WHA79, Member States discussed a WHO-hosted joint process for reform of the global health architecture, including a Joint Task Force co-chaired by one developing and one developed country, with regular Geneva-based Member State consultations. Partners can engage at each step.

  1. 1
    May 2026
    WHA79

    Joint reform process discussed; Joint Task Force proposed.

  2. 2
    Ongoing · monthly
    Member State consultations

    Regular Geneva-based consultations.

  3. 3
    Date TBC[date TBC]
    Executive Board (EB158)

    Follow-up on reform proposals.

  4. 4
    May 2027
    WHA80

    Decision point.

Resources

01

Global Health Architecture FAQ

PMNCH's practical guide to engaging in reform discussions.

[URL]
02

Centering Women, Children, and Adolescents in Global Health Reform

Article by Rt. Hon. Helen Clark and Rajat Khosla.

[URL]
03

G7 Joint Political Declaration on the Reform of the Global Health Architecture (Lyon, April 2026)

Reaffirms sexual and reproductive health and rights as a core component of reform.

[URL]
04

G7 Statement on International Partnerships

[URL]
05

Joint statement on UN80 reform

Signed by 500+ leaders and organizations.

[URL]

Key advocacy message

Reforms must formally name and prioritise women, newborns, children and adolescents — with ring-fenced financing and inclusive governance led by the Global South.

Section 2

Debt

Countries are being forced to choose between servicing their debt and serving their people. Debt relief and reform of the international financial architecture are health issues — and WCAH advocates have a critical role to play.

3.4 billion people live in countries that spend more on debt interest payments than on health or education.

Source: UNCTAD, A World of Debt 2025

61 developing countries allocate 10% or more of government revenues to interest payments

African countries pay on average 4x more to borrow than the United States

Some African countries spend up to 6x more on interest than on health

UN Framework Convention on International Tax Cooperation ('UN Tax Convention') — follow the negotiations and read the draft text

The UN Framework Convention on International Tax Cooperation is the first legally binding global tax treaty negotiated at the United Nations, rather than the OECD, giving every country, not just the wealthiest, an equal seat at the table. Negotiations began in 2025 and are due to conclude in 2027, alongside two early protocols on cross-border services and on dispute prevention and resolution. For financing advocates, the stakes are direct: countries lose billions each year to tax avoidance, profit shifting, and illicit financial flows; resources that could otherwise fund health systems and reduce dependence on volatile aid and debt. A convention that locks in stronger information exchange, fairer allocation of taxing rights, and coordinated action on harmful tax practices would expand the domestic resources governments can put toward women's, children's, and adolescents' health.

Entry points for advocacy

  • •Call for debt relief and restructuring mechanisms that protect health spending
  • •Support debt-for-health swaps and innovative financing instruments
  • •Advocate for reform of the international financial architecture so borrowing costs do not crowd out WCAH investment
  • •Push for transparency in national debt and health budget data
Section 3

Multilateral Funding Sources

Multilateral agencies remain a vital source of financing that partners can tap for women's, children's and adolescents' health. PMNCH is hosting a webinar series on how to access and influence these funding streams.

Global Fund

Resources to fight AIDS, TB and malaria that can strengthen integrated services for women, children and adolescents.

Webinar

July 2026

Watch the webinar[URL]

Key resources

  • GC8 Modular Framework Handbook

    The primary technical guide for identifying modules, interventions and activities eligible for Global Fund financing across HIV, TB, malaria and RSSH.

  • GC8 HIV Information Note

    Describes HIV funding request priorities including prevention for women and adolescent girls, PMTCT, and gender-based violence.

  • GC8 RSSH Prioritization Guidance

    Guidance on how to use the RSSH module for integrated health system investments, including community systems and PHC platforms relevant to SRMNCAH.

  • GC8 Matching Funds

    Full descriptions, eligibility criteria and access conditions for all GC8 matching funds, including the Integrated Community & Health Services for Women & Children Match Fund, the Addressing Human Rights & Gender Barriers to Services Match Fund, and the Digital Solutions Supporting Integration Match Fund.

  • GC8 Full Review Application Form

    The template for funding request submissions, including the section on matching fund conditions.

  • GC8 Community Consultations Toolkit

    Practical tools for civil society engagement in CCM country dialogues and proposal development.

World Bank

How National Health Compacts and IDA financing can be leveraged for maternal, newborn, child and adolescent health.

Webinar

Q3 2026 — Date TBC

Watch the webinar[URL]

Key resources

Gavi, The Vaccine Alliance

HPV vaccination, maternal immunisation and health system strengthening windows under Gavi 6.0 (2026–2030).

Webinar

Q4 2026 — Date TBC

Watch the webinar[URL]

Key resources

Section 4

Just Transition

Donor financing for health is contracting at record pace. Total ODA fell by 23.1% in 2025 — the largest annual drop ever recorded — with a further decline projected this year. A 'just transition' means that as countries move toward domestically financed health systems, the pace and manner of donor withdrawal must not cost lives. The Lusaka Agenda provides the framework: alignment of external support behind one national plan, one budget and one monitoring framework, strengthening primary health care, and increasing domestic resources for health.

[DATA VISUALIZATION PLACEHOLDER]

Map/chart of OECD donor countries' ODA trajectories, OECD/IHME data to be added.

Entry points for advocacy

  • •Call on donor countries to publish transparent, predictable transition timelines
  • •Advocate for alignment of remaining external funding behind national plans (Lusaka Agenda)
  • •Ensure WCAH services are explicitly protected in transition planning
  • •Track donor trajectories and hold governments accountable to commitments