Comments for Results for Development

Comment on Strengthening country-led health systems through technical support partnerships and platforms by Dr. Ahiaba Monday Clement

Dr. Ahiaba Monday Clement — Mon, 05 Oct 2026 13:53:49 +0000

This is a timely and thought-provoking contribution to the future of health systems strengthening, particularly in low- and middle-income countries like Nigeria. As development assistance declines, the need to transition from donor-driven technical assistance to country-led, demand-driven partnerships has become increasingly urgent. However, genuine country ownership must go beyond governments setting priorities; it must also involve sustained investment in local expertise, domestic institutions, and mechanisms that enable countries to finance and implement their own health sector reforms.

From a health financing perspective, I believe this transition presents a significant opportunity to strengthen domestic resource mobilization, improve the efficiency of health expenditure, and institutionalize evidence-informed decision-making. In Nigeria, technical support partnerships should prioritize areas such as health financing policy, public expenditure tracking, strategic purchasing, health economics modelling, and value-for-money analysis. Equally important is the deliberate engagement of local health economists, researchers, and technical experts who understand the country’s health system and can provide context-specific solutions while strengthening government capacity.

Ultimately, the success of these partnerships should not be measured merely by the number of technical experts deployed or the volume of funding mobilized, but by the extent to which they build sustainable local capacity, improve health system performance, and deliver measurable health outcomes. Nigeria’s emerging model offers an important opportunity to demonstrate how coordinated technical assistance can support health sector reforms while reducing long-term dependence on external expertise. The real test of country-led technical support is whether it leaves countries with stronger institutions, better financing systems, and the capacity to sustain progress long after external funding ends.

Comment on What it takes to embed nurturing care in primary health care by Racheal Makena

Racheal Makena — Thu, 01 Oct 2026 04:58:29 +0000

This is very timely

Comment on Community pharmacies don’t need to prove their value. They need a place in the system. by Joe Kaiwood

Joe Kaiwood — Thu, 24 Sep 2026 19:26:02 +0000

Liberia can benefit enormously from the insights shared in Dr. Odhiambo’s presentation because Liberia faces the exact same structural gaps—high reliance on community pharmacies, weak integration into the formal health system, limited financing, inconsistent scopes of practice, and absence of reporting systems.
Liberia’s Health System Mirrors the Challenges Highlighted in the Agora Session. This means Liberia is currently underutilizing one of its most accessible health assets.
The barriers Kenya faced, and Liberia faces them even more acutely. Liberia does not need to reinvent the wheel. Countries like Kenya, Ghana, Rwanda, and the UK (“Pharmacy First”) offer models Liberia can adapt.
But Liberia needs a technical anchor institution to translate global lessons into local implementation.

Comment on Strengthening country-led health systems through technical support partnerships and platforms by Cheryl Cashin

Cheryl Cashin — Fri, 18 Sep 2026 18:15:27 +0000

In reply to Israel David Imaerele. Thanks so much David for that important comment. I do agree that one of the most important things for governments to figure out is what expertise they need to have in-house and what is most efficient to outsource. That balance will change over time as institutional capacity increases, so I appreciate your point about making capacity transfer and local innovation explicit components of technical-support partnerships. Thank you very much for contributing to this discussion!

Comment on Strengthening country-led health systems through technical support partnerships and platforms by Israel David Imaerele

Israel David Imaerele — Fri, 18 Sep 2026 17:07:49 +0000

A very timely perspective on strengthening country-led health systems. I would add that Research Units within health programmes and government institutions can serve as important platforms for developing local technical expertise and innovation. Beyond producing research, they can identify technical gaps, generate context-specific evidence, mentor local teams, document implementation lessons, and translate evidence into policy and programme improvements.

Making capacity transfer and local innovation explicit components of technical-support partnerships could help ensure that external expertise leaves behind stronger local institutions and sustainable technical capacity.

Comment on 5 lessons in mobilizing domestic financing for NTDs by Bakari Mbwana

Bakari Mbwana — Sat, 29 Aug 2026 07:26:58 +0000

Influential people and Political figures are very crucial and drivers in domestic financing in the issuie of Advocacy and Lobbying for the continuum NTDs services in the districts .

Comment on Translating an ambitious vision into realistic health system progress: Insights from a global convening by Ekeke Monono Martin

Ekeke Monono Martin — Thu, 13 Aug 2026 11:28:55 +0000

Very useful collection of experience in the field..A must read for all engaged in improving health systems and services.

Comment on Kenya’s Primary Health Care Bill: Another step forward but missing the link to other legislation by Kibira Francis

Kibira Francis — Mon, 04 May 2026 03:21:07 +0000

Very insightful and comprehensive in acknowledging the intent and merits of the Bill and also highlighting a key challenge easily ignored issue on Finance sourcing and utilization .

Comment on Realistic by design: How Argentina aligned health reform ambition with reality by Norberto Delfino

Norberto Delfino — Mon, 27 Apr 2026 18:40:31 +0000

Execelente artículo, que describe con claridad un programa ambicioso, con resultados excelentes. Nació de una necesidad, bajo un gobierno que priorizó vencer a la inequidad en salud. Tuve la suerte de ser testigo privilegiado del suceso del SUMAR, y de conocer en persona a su líder, Martín Sabignoso.

Comment on Meeting the moment: Six ways IDIA is shaping the pathway to impact at scale in our new world order by Deneke Abebe

Deneke Abebe — Fri, 24 Apr 2026 06:09:13 +0000

Thank you very much teams and actors in the ecosystem.
Highly appreciated to have such regular updates on global experiences in the context of countries to be adopted/adapted and scaled accordingly.