The government of Kenya and Scottish Government convened a high-level side event during the 77th World Health Assembly. Several key announcements took center stage highlighting the growing strength of the UN Health4Life Fund and its ability to provide a space for countries and local actors to collaborate, innovate and drive change.
Mauritius and Philippines join Health4Life Fund
Representatives from Mauritius and the Philippines announced their commitment to join the UN Health4Life Trust Fund as strategic partners. Their participation will enhance efforts to prevent and control NCDs and improve mental health outcomes globally. Mauritius has recently been entrusted with hosting the new pooled drug procurement secretariat for Small Island Developing States (SIDS) that will enhance access to affordable, quality-assured, and safe medicines and medical supplies. Dr Kailesh Jagutpal, Minister of Health and Wellness from Mauritius announced the country’s ambition to further promote collective action by taking a lead role in the Health4Life Fund governance body as a strategic partner. “The government has … given its willingness to be participating in this Fund and we look forward to working together.”, said Minister Jagutpal in his remarks.
Kailesh Jagutpal, Minister of Health and Wellness Mauritius addresses the audience
A similar announcement was warmly welcomed by the audience from the Government of the Philippines. “I am delighted to announce that the government of the Philippines is joining the Health for Life Fund as a strategic partner. We will take an active role in its governance to help shape the direction of the fund and to advocate for resources to ensure Health for Life delivers for countries,” said Dr. Emmie Liza Perez-Chiong, Undersecretary of Health, Philippines. “To demonstrate our commitment and the need for all countries to play their part in raising resources, I am also pleased to announce that the Philippines will be contributing financially to the Health for Life Fund. I encourage others to do the same.”
Emmie Liza Perez-Chiong, Undersecretary of Health, Philippines announces that Philippines is joining Health4Life Fund as a strategic partner
Emphasis on catalytic, context-specific solutions
The high-level health officials from Kenya, Scotland, Rwanda, Zambia, Mauritius and the Philippines all reiterated the importance of ensuring that responses to a county’s rising burden of NCDs and mental health conditions are purpose-built for the context and respond to country priorities.
Cabinet Secretary Susan Nakhumicha Wafula of Kenya opened her remarks with a challenge to the audience. ‘Is there a case for scaling up funding for NCDs and mental health?,” she asked. “For Kenya, there's more than a case”. 41% of all deaths in Kenya are now associated with NCDs making it an imperative to address this growing burden. Speaking about the Kenyan advances in implementing Universal Health Coverage and its approach in mobilizing community health promoters, the Cabinet Secretary highlighted that “solutions must be tailor-made, specific, to be able to address country problems.”
Cabinet Secretary Susan Nakhumicha Wafula (Kenya) speaks to the gathering of high-level government officials, members of civil society and representatives of business and philanthropic organizations
The Health4Life’s focus on catalytic grants found common ground with the health officials’ approaches to their NCDs and mental health responses.
“We really need this kind of fund, especially when it comes to financing not macroscopic projects but microscopic projects,” noted Minister Kailesh Jagutpal of Mauritius, expressing the importance of catalytic approaches that scale up impact. “Little things… will bring a lot of change. We want that ignition to start, Health 4 Life Fund (can provide that).”
Leave no one behind
Speakers highlighted the importance of mental health.
Minister of Health, Karina Rando of Uruguay emphasized the importance her country has placed on Universal Health Coverage. “Our health systems provide accessible and universal coverage to the entire population of the country,” she noted. Among many notable advances, she explained that Uruguay is making steady progress toward the WHO 90-70-90 targets for cervical cancer elimination. “In 2023, (Uruguay) expanded HPV vaccination to men and women between the age of 11 and 26 inclusive. That vaccination is free for all the nation. Cervical cancer screening was also updated last year with the incorporation of HPV test as a method of choice, making our country a pioneer… in the region. We are very close to treat 90% of our patients with precancerous lesions and invasive cervical cancer.”
Another area of significance that the various speakers, including Minister Rando, highlighted was the importance of the integration of mental health.
Minister Sabin Nsanzimana of Rwanda recalled that this year marks 30 years since the Rwandan genocide which has left lasting scars, including in the country’s mental health burden. He noted that this tragic history still “affects those who were there and even those who were born after the genocide”. Through the Health4Life Fund, Rwanda intends to use schools as the “best way (to reach) children even (for) mental health programs,” he remarked.Ambassador Bekker of The Netherlands gave remarks from the floor further emphasizing the need for stronger action on mental health saying, “We are a big believer in multi-partner trust funds. I'm very happy that Health 4 Life Fund gives so much attention to mental health because, ladies and gentlemen, it's the new pandemic. It's underfunded, it's often overlooked, and it's a huge problem.”
Launch of Health4Life’s first funding round
Amidst the exciting announcement of new partnerships for the fund, the discussions also focused on the anticipated impact of Health4Life Fund grants in countries. Following its first contribution from Scotland, Health4Life launched a limited call for proposals in December 2023.
High-level officials from Rwanda and Zambia--who are both currently developing proposals for this funding round--participated on the panel showcasing the areas where the funds will have catalytic impact. Health4Life Fund aims to bolster national capacity and strengthen domestic resources by unlocking bottlenecks in the system.
Permanent Secretary Kennedy Lishimpi of Zambia explained how his government has been increasing its health budget in the last years and apportions funds to NCDs given the expanding burden. He noted that by taking a strategic and streamlined approach to early detection, “ultimately the cost of managing high blood pressure in a country comes down because you avoid the complications. We are confident that… the application that we have done for the catalytic funding from the Health4Life partnership will help us to actually achieve the initial thrust that we are looking at” to scale up the country’s NCD response.
Panel discussion on catalyzing country action through the UN Health4Life Fund with Minister Sabin Nsanzimana (Rwanda), Permanent Secretary Kennedy Lishimpi (Zambia), Mary Muia, President-Elect of Soroptimist International Africa Federation (Kenya) and Pubudu Sumanasekara, Board member of the NCD Alliance (Sri Lanka)
Civil society at the heart of Health4Life Fund
Health4Life Fund invites civil society to participate in its governance and as partners to support country level implementation. The NCD Alliance and Soroptimist International both participated on this panel, detailing their support for the Health4Life Fund
“We are looking at ourselves as drivers of change. We would want to support and work with the governments to create this awareness at the grassroot level, at the household level... to eliminate cervical cancer,” said Mary Muia, the President-Elect of Soroptimist International Africa Federation. Mary also demonstrated some of the work that the organization is doing by developing a digital health tool to raise awareness among pre-teen girls and women on the need for HPV vaccination and regular screening for cervical cancer.
Front of mind was the upcoming WHO/World Bank Second Global Dialogue on Sustainable Financing for Non-communicable Diseases and Mental Health in June 2024 and the fourth high-level meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases in 2025.
The NCD Alliance who are leading the civil society advocacy response to these events pledged to keep the Health4Life Fund alive in the discussions.
“As we look forward (to) the high level meeting on NCDs next year, I see many similarities between our advocacy priorities (at the NCD Alliance) and the values of the Health for Life fund,” said Pubudu Sumanasekara, Board member of the NCD Alliance. “Together, (we) can begin to make steady progress towards our shared goal of good health for life.”
Partnership and shared learning
Professor Sir Gregor Smith, Chief Medical Officer (Scotland) highlights the importance of the UN Health4Life Fund and its novel approach to global health financing.
Learning from each other and the value of partnership was also emphasized throughout the session. “NCDs are a global challenge demanding global solutions. The Health for Life Fund is distinctly valuable because it embraces a truly collaborative approach. The very structure of this fund, with our emphasis on leadership from the Global South, represents a vital shift in tackling NCDs. The Global South isn't just at the table, they're leading the response, bringing fresh perspectives and innovation to the global conversation. It's about empowering those closest to the challenges to chart the course and shape the global conversation on NCDs. Scotland has much to share, but we've also got much to learn,” explained Professor Sir Gregor Smith, Chief Medical Officer of Scotland.
Photo Credit: WHO/Oliver O’Hanlon