A reaction by the GH CSO Coalition to the Health Inequalities and Social Protection (HISP) Knowledge Hub’s Reflection Process on Global Health Reform, commissioned by the European Commission: analysis, reaction, recommendations
On 19th February 2026, The Health, Inequalities and Social Protection (HISP) Knowledge Hub published its Reflection Process on Global Health Reform. Initiated in June 2025, the process consulted diverse stakeholders through interviews, document reviews and panel discussions, with the aim of enabling 11 EU Member States and five aligned countries’ reflections and actions for advancing global health architecture reform.
This reflection process has been published as a critical moment, as sharply decreasing official development assistance (ODA) budgets, multiple crises and the aftermath of the Covid-19 pandemic have accelerated ongoing and existing discussions around the reform of the global health architecture, such as the Lusaka Agenda, Accra Reset, AU/Africa CDC work, Wellcome Trust regional dialogues, EU/LM Donors’ Reflection Process, HEAR CSO, Sevilla Financing for Development Platform for Action, G7/G20 discussion, and a new WHO-led process that is being shaped according to a resolution of the WHO’s Executive Bureau.
The EU has renewed its political ambition in being a global health actor, through its 2022 EU Global Health Strategy (GHS), which establishes global health as a core pillar of the EU’s external policy, and more recently through the Global Health Resilience Initiative (GHRI) announced during President von der Leyen’s 2025 State of the Union (SOTEU) speech. Therefore, this reflection process is timely and necessary.
The Global Health Civil Society Organisation Coalition was consulted in this process, and was able to communicate its recommendations, contributing to this dialogue. We welcome the effort to advance discussion on global health architecture reform and the emphasis on identifying areas of consensus.
;
