The year 2025 marked the steepest annual decline in official development assistance on record. As a result, an additional 5.4 million preventable deaths of children under five by 2030 are estimated as many low- and middle-income countries struggle to fund Primary Health Care.

This moment represents more than a funding gap—it is a stress test for the solidarity in the global health architecture. In collaboration with the WHO Civil Society Commission, Sustainable Health Financing Working Group, we received inputs from over 270 CSOs from around the world about the most important actions for member states and WHO to commit to at the WHA and ahead of the 2027 UHC High Level meeting. We ask member states to prioritize the following four asks:

1. Protect life-saving services by prioritising primary health care, realizing UHC, and reinvesting in essential services lost to funding cuts;
2. Publicly commit to mobilising domestic resources through equitable taxation, improving public financial management, with clear national health spending targets, while supporting debt relief and addressing illicit flows;
3. Institutionalise meaningful civil society participation in health financing decision-making at all levels in alignment with the resolution on social participation;
4. Strengthen transparency and accountability through timely availability of disaggregated health financing data.