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Mastering the Art of Stewardship: Why Building Operational Sovereignty — Not Simply Navigating Funding Cuts — Will Define Africa’s Healthcare Future

In response to drastic cuts in global health financing, African governments are increasingly seeking greater health sovereignty — i.e., the ability to manage their health systems without structural dependence on external actors. But according to Scott Dubin at Logistics Marketplace, limited fiscal space is complicating their efforts to replace the often-fragmented and overlapping support structures that have long been provided by multilateral health funds, international NGOs and other entities. He explores how Africa’s movement toward health sovereignty is revealing deeper capacity gaps in the continent’s health systems, and proposes seven practical ways governments can effectively steward the markets and systems that support public health delivery.

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