The Save the Children Fund

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Meeting: 

79th WHA Constituency Statements

Agenda Item: 
20.1 Reform of the global health architecture and the UN80 Initiative
Statement: 

We support WHO’s leadership in shaping the Global Health Architecture (GHA) by bringing initiatives together for systemic change that protects the rights, health, and well-being of all, including children.

Meaningful reform of the GHA—given its scale and diversity of stakeholders—will only be achieved if all perspectives are heard, particularly those delivering essential health and nutrition services in humanitarian and development contexts and those underrepresented in decision-making. Discussions must address the root causes of inequity within the current system and the barriers to equal participation.

We call on Member States to:
- Adopt a human- and child rights-based approach, ensuring that GHA reform advances the right to health for all through UHC and PHC.
- Recognize that humanitarian settings—driven by conflict and climate change—experience prolonged crises, bear an increasing burden of maternal and child mortality, and are severely affected by aid cuts.
- Ensure transparent, inclusive and accessible engagement of people with lived experience, civil society, and humanitarian actors, in discussions at all levels, including the joint task force on GHA reform, and prioritize their participation in Global Health Initiatives governance mechanisms.
- Address structural drivers of inequality, and sustainable domestic health financing, including debt relief, and access to essential commodities and medicines, in alignment with UN processes for sustainable solutions.
- Ensure accountability to communities the GHA serves and prioritize health, nutrition and the humanitarian response in UN80.