Des produits de santé issus de la recherche publique, payés au prix fort par l’Etat

Des études de cas concrètes développées par Action Santé mondiale portant sur 4 produits de santé révèlent la nécessité d’une plus grande transparence du marché du médicament et d’une meilleure régulation des prix : alors que ces produits sont issus de la recherche publique, ils sont pourtant payés au prix fort par l’Etat.

Etudes de cas – Médicaments, à quels prix – Action santé mondiale 2019

Development finance trends

GHA has published a series of policy briefs which aims at analysing political trends in development finance and informing the decision making process at the French, EU and global levels:

The adoption of Agenda 2030 launched a new era for development in terms of scale and ambition. For the first time, the international community agreed on universal goals and recognised that the fight against all forms of poverty and inequalities was at a crossroads between social, environmental and economic needs. The adoption of an agenda that aims to “leave no one behind” initiated a narrative shift with equity at the heart of the policy response. 

As part of the roadmap to reach the Sustainable Development Goals (SDGs), the Addis Ababa Action Agenda launched a new development finance agenda. The international community agreed that the financial gap of US $2.5tn per year to achieve the SDGs by 2030 in developing countries will only be filled with the contribution of all sources of financing: external and domestic, public and private. As a result, Official Development Assistance (ODA) is increasingly framed as a catalyst to leverage other sources of investments, including from the private sector, in order to jump from “billions” to “trillions” and fill the funding and development gaps.

In parallel, development policy underwent a major shift. It moved from being a policy field in its own right, with a specific implementation logic (aid effectiveness principles) and historic mandate (poverty reduction) to being integrated into other policy fields such as migration management, security and defence and economic investments. While in theory this integration could have been valuable, for instance to enhance policy coherence or give greater prominence to development, development objectives have instead increasingly been subordinated to the above-mentioned policy fields. This shift considerably changed development policies’ objectives and budgets, as well as global norms. 

In order to contribute to the on-going policy dialogue on global development, GHA analysed new instruments developed by bilateral, regional and multilateral donors and their compliance with internationally recognised principles of aid effectiveness. Instruments under scrutiny are: the Alliance Sahel, the EU Emergency Trust Fund for Africa (EUTF), the EU External Investment Plan (EIP), the Global Financing Facility for Women, Children and Adolescents (GFF) and the Pandemic Emergency Financing Facility (PEF). We developed and applied an analytical framework focusing on governance set-ups, agenda-setting processes, stakeholder engagement, types of funding mechanisms, implementation channels, transparency and accountability (see Annex 3). Our analysis looked at decision-making and power dynamics both at the global and national levels to understand the design and implementation of these instruments. 

We used a mix of literature review, official data and interviews with stakeholders based in Brussels, Paris and Washington, as well as fact-finding missions in Burkina Faso (November 2018), Sierra Leone (January 2019) and Uganda (March 2019). We met with representatives of governments, donors, development agencies, parliamentarians, UN agencies, as well as local and international civil society. A list of people interviewed can be found in Annex 1. We would like to thank all stakeholders who agreed to meet with us in Brussels, Paris, Geneva, Washington, Ouagadougou, Bobo Dioulasso, Kampala and Freetown and gave us first-hand accounts on design, implementation and monitoring of these instruments.

The Glossary is available in Annex 2

A French translation will be available in the coming weeks. / Une traduction française sera disponible dans les prochaines semaines. 

Carnets de santé en Afrique

Lancé par le Conseil présidentiel pour l’Afrique et l’ONG Action Santé Mondiale, « Carnets de santé en Afrique » trace une série de portraits des initiatives africaines ayant toutes comme objet commun de rendre la santé accessible à toutes et tous.


En débutant en Ethiopie, au Rwanda, puis en passant par le Sénégal, la Guinée, le Botswana, et enfin l’Afrique du Sud, le projet apporte un regard optimiste, prometteur et innovant sur la santé en Afrique grâce à l’engagement des acteur·rice·s communautaires.

Who should become EU Health Commissioner?

Brussels, 9 September, 2019

As the President-elect of the European Commission Ursula von der Leyen is expected to unveil the structure of the new College of Commissioners on Tuesday, September 10, Global Health Advocates joined forces with 43 civil society organisations from Europe to outline the ideal profile of Health Commissioner.

Civil society expects from the future Health Commissioner to take strategic leadership of putting people and their health at the centre of EU policy-making.

While the EU has a mandate to ensure a high level of protection of human health in all EU policies, in recent years health and well-being have gradually slipped down the EU’s political agenda, monopolised by growth, migration and security, which resulted in missed opportunities to decrease health inequalities.

Among others, the future Health Commissioner is expected to prioritise the public interest over those of economic and financial actors  and elaborate an explicit approach to deal with the commercial, economic, social and environmental determinants of health, ensuring that people’s right to health is not for sale. The full text can be found here.

Once the structure of the next Commission is unveiled, the commissioner-candidates will need to be vetted by the European Parliament during hearings in September-October. Civil society now counts on the European Parliament to make sure that we have a health commissioner who will put public health first and protect people’s well-being.

The initiative is part of a broader civil society campaign to ensure the next European Commission  ensures a just transition toward a sustainable economy and society for all. A ‘job ad’ outlining the profile of ideal commissioner-candidates was published in July when the EU member states were putting forward their candidates. A civil society letter was directly addressed to the EU Heads of State ahead of the May 2019 Sibiu Summit, urging them to nominate right candidates. 


Civil Society Celebrates EU’s pledge to the Global Fund to fight AIDS, Tuberculosis and Malaria.

Aidsfonds, Global Health Advocates and The ONE Campaign welcome the contribution by the European Commission to pledge €550 million to the Global Fund to Fight AIDS, TB and Malaria.

Brussels, 24 August 2019

By stepping up its support to the Global Fund, the EU has heeded the call by communities to Get Back on Track to End the Epidemics. With this pledge, the EU also demonstrates its commitment to accelerate progress toward SDG3 on achieving health for all.

The 6th replenishment of the Global Fund will culminate on 10 October 2019 in Lyon. Under the patronage of French President Emmanuel Macron, the Global Fund seeks to raise at least USD 14 billion to help save 16 million lives, avert 234 million infections and help the world get back on track to end AIDS, TB and Malaria.

Mark Vermeulen, Director of Aidsfonds on the news, “We are delighted that the European Commission has made such a bold early pledge, which represents an increase of nearly 16% compared to current commitments. Leadership is instrumental in ending the three diseases by 2030, and this pledge sends a loud and clear message to other European donors who have yet to pledge.”

Patrick Bertrand, Director of Global Health Advocates, added, “With this pledge, the Global Fund will be able to scale up its critical support to reducing gender- and human rights-related barriers to health services, strengthen community and health systems and leverage domestic resources. However, there is still a way to go to fully close the financing gap in ending the three diseases, which can be achieved only if others follow the example of the EC.”

Friederike Röder, EU and France Director at ONE, said: “Today, about 1,000 young women will be infected with HIV but thanks to the EU’s support for the Global Fund’s lifesaving work, we are one step closer to reaching the Global Fund replenishment target and put an end to pandemics like HIV, TB or malaria. This year could be a turning point in the fight against AIDS, tuberculosis and malaria but this will only possible if all donors get together to go the extra mile ahead of the Global Fund’s replenishment conference in Lyon. We need to move fast to put an end to the diseases for good. The EU’s commitment sends a clear message to other  donors in Biarritz to step up the fight now.”

Advocates estimate that up to USD 18 billion should be channelled through the Fund in order to refuel the momentum to end the 3 epidemics by 2030. 

Civil Society Campaign to Ensure Future EU Commissioners Deliver for People

As EU countries put forward their nominations for European Commissioners for the 2019-2024 term, GHA has joined forces with civil society organisation from different fields to outline the ideal profile of commissioner candidates to ensure a just transition towards a sustainable economy and society for all.

Among others, future EU Commissioners are expected to serve people in the  EU and beyond by ensuring a high level of protection of human health and well-being in all EU policies, developing a needs-driven and responsible research and innovation policy and ensuring meaningful public participation in EU policy-making processes.

The full description of the ideal profile of EU Commissioner candidates can be found here. 


Civil Society Developed a Guide & Phonebook for a Healthy Europe for New MEPs

Civil society organisations from across sectors, such as health, development, environment, food, agriculture, social affairs, trade, have developed a Guide & Phonebook on how newly elected Members of the European Parliament (MEPs) can improve people’s health in Europe and beyond by ensuring the implementation of a Health in All Policies approach.

In the last legislature, health and social justice issues significantly fell down the EU political agenda. This resulted in missed opportunities to decrease health inequalities, to increase the years people spend in good health, and to reduce societal costs related to ill-health.

New MEPs will have the unique opportunity to take a strategic leadership role in putting people’s physical and mental health and their well-being at the center of EU policy-making. By doing so, you will restore confidence in the European project at a crucial time of unprecedented change in political and public life.

To  ensure health in all policies, MEPs can:

  • Support strong governance to ensure the implementation of health in all policies
  • Make health a strategic priority in the next EU 2019-2024 strategic agenda and legislature
  • Introduce a health impact assessment mechanism
  • Ensure a high level of health protection and promotion in all EU policies

More information and concrete recommendations can be found in the Guide which also contains a phonebook with contact details of different organisations and individuals for thematic expertise.

New Civil society guide & phonebook on EU Research & Innovation Policies for new MEPs

3 July 2019

Further to the May EU elections, new MEPs will sit in the Industry, Research and Energy (ITRE) Committee  of the European Parliament. Those MEPs will have a key role to play in ensuring the EU’s R&I policies deliver real benefits for people and the planet throughout the 2019-2024 legislature. Civil society organisations have developed this guide for MEPs to set out key opportunities and risks in the EU’s next research and innovation programme.

Horizon 2020 will end in 2020 and will be replaced with Horizon Europe, which will cover the period 2021- 2027. Horizon Europe will be a major opportunity to bring real benefits for citizens and the planet and to deliver on our international commitments by 2030.

Civil society (NGOs and citizens) are not traditionally seen as stakeholders in Research & Innovation (R&I), unlike scientists, researchers and industry. Yet R&I is deeply relevant and important for society beyond institutional or commercial priorities. It is one of the key policy areas that can help us deliver a better future for EU citizens. R&I is integral to addressing the many challenges faced by society, including in health and wellbeing, food and farming systems, climate change, energy, democracy and digitalisation.

Civil society organisations have identified opportunities and challenges in the next R&I programme Horizon Europe. Together with concrete recommendations for new MEPs the guide on EU R&I policies also features a phonebook with contact details of different organisations for thematic expertise

G7 santé : réaction de la société civile

A l’issue de deux jours de rencontres les 16 et 17 mai, les Ministres de la santé des pays membres du G7 ont adopté une déclaration réitérant leur engagement en faveur d’une action inclusive et durable pour la santé mondiale, une déclaration de bonnes intentions, sans véritable engagement financier où les droits et la santé sexuels et reproductifs sont aux abonnés absents.


Les associations des 7 pays membres réunies autour du C7 (Civil 7) et du W7 (Women 7) se félicitent de l’engagement du G7 de maintenir la santé mondiale comme priorité politique au plus haut niveau et de soutenir le succès financier de la Conférence de reconstitution des ressources du Fonds mondial de lutte contre le VIH, la tuberculose et le paludisme qui se tiendra le 10 octobre prochain à Lyon.

« Alors que les pays du G7 représentent près de 80% des ressources totales du Fonds mondial, aucun pays n’a saisi l’occasion de cette réunion pour annoncer un engagement financier précis et anticipé. Cela aurait permis d’envoyer un signal politique fort aux autres donateurs et de mobiliser l’ensemble de la communauté internationale en faveur de la lutte contre les pandémies et de l’accès aux soins pour tous et toutes. », déplore Bruno Rivalan, directeur exécutif adjoint d’Action Santé Mondiale et représentant du C7.

Nos associations déplorent également que les Ministres de la santé du G7 aient évité les sujets qui fâchent, notamment les droits et la santé sexuels et reproductifs. C’est pourtant l’un des outils clés des soins de santé primaires et de lutte contre les inégalités en santé, qui était déjà le grand absent de la Ministérielle genre la semaine dernière. « Comment parler d’égalité femmes-hommes sans s’engager sur les droits fondamentaux des femmes et des filles à disposer de leur corps ? » alerte Aurélie Gal-Régniez, directrice exécutive d’Equipop et représentante du W7. « L’actualité souligne le fait que l’accès à l’avortement recule dans de nombreux États. Les États du G7 qui, comme la France, ont une position diplomatique forte d’un point de vue rhétorique, doivent désormais dégager des financements supplémentaires pour défendre concrètement les DSSR des femmes – dans le cadre du G7 ou en dehors ».

Nos associations saluent la priorité donnée aux soins de santé primaires, l’outil le plus efficace pour lutter contre les inégalités de santé, notamment liées au genre, et pour assurer à chacun.e la réalisation de son droit à la santé.  Mais aujourd’hui les patient.e.s paient plus pour les soins de santé primaires que les bailleurs et les gouvernements combinés. Il faut aller au-delà d’une plateforme de partage d’expérience, et s’assurer que les pays du G7 augmentent leurs financements en faveur des soins de santé primaires et ciblent en priorité les populations exclues et vulnérables.


Les associations du C7 et du W7 appellent les chef.fe.s d’État et de gouvernement à prendre des engagements politiques et financiers concrets et ambitieux en faveur de l’accélération de l’atteinte de l’ODD 3 lors du Sommet G7 à Biarritz en août. Au-delà des déclarations politiques, l’atteinte de l’ODD 3 visant à assurer la bonne santé et le bien-être de tous.tes nécessitera des efforts financiers ambitieux de chaque pays. En tant que principaux donateurs de l’aide au développement en santé, les pays du G7 ont ici un rôle crucial à jouer, notamment dans les pays à faible et moyen revenu.


Notes aux éditeurs

  • Le C7 (Civil 7) est un groupe d’engagement du G7 rassemblant quelques 170 organisations de la société civile et associations des pays membres du G7. En 2019, lors de la présidence française, il a pour chef de file Coordination SUD et ses travaux visent à promouvoir ses recommandations auprès des décideurs du G7 sur la lutte contre les inégalités à travers l’égalité femmes-hommes, le climat et l’environnement, l’éducation, la santé, la sécurité alimentaire, l’agriculture et la nutrition, la paix et la sécurité, le financement du développement et la justice fiscale.
  • Le W7 (Women 7) rassemble des organisations féministes des pays du G7 et du monde entier. Sa mission principale est de s’assurer que les pays du G7 prennent des engagements tant financiers que politiques en 2019 et au-delà, qui permettront d’avoir un impact concret et durable sur la vie des femmes et des filles partout dans le monde. Pour en savoir plus :


Contacts presse

  • Bénédicte Bimoko, chargée de communication, Coordination SUD – /,
  • Margot Jaymond, chargée de plaidoyer, Action Santé Mondiale pour le C7 – /,
  • Nicolas Rainaud, responsable plaidoyer, Equipop pour le W7 –,