This evaluation, commissioned by the Wellcome Trust, aims to provide an independent assessment of what happened during the FGHI timeline, generating forward-facing insights on what worked well and less well, and lessons for future global exercises such as this.
The evaluation covers two phases: the conception/initiation of FGHI (March 2022 – Sept 2022); and the core FGHI process (Sept 2022 – Dec 2023).
The aim is to examine the effectiveness of the working methods and tactics employed and evaluate the extent to which planned objectives were achieved in an equitable way. This report provides a record of what happened, and the successes and challenges encountered, to support learning and reflection by the global health community and to inform future collaborative efforts.
The evaluation team gathered and triangulated data across multiple sources. We interviewed 43 key informants from across 13 stakeholder groups involved in FGHI, reviewed 134 documents, and received 45 responses to an online feedback survey.
Through systematic collation and analysis of divergent views, the evaluation hopes to facilitate an understanding of whether and how the FGHI process contributed to meaningful change in the way domestic and international resources support country primary health care (PHC), health systems and UHC needs.
Key lessons
- Reform to the global health ecosystem remains a priority issue
- Define the problem clearly from the outset and leverage work of previous efforts
- Establish inclusive and transparent governance structures
- Sophisticated, multi-layered political economy analysis of GHI Boards is essential to drive change
- Capitalise on windows of opportunity to address fundamental issues in sustainable health financing
