The Future of Global Health Initiatives (FGHI) process is an ongoing multi-stakeholder exercise to explore how Global Health Initiatives (GHIs) can effectively accelerate country-led progress towards Universal Health Coverage (UHC) and the broader Sustainable Development Goals (SDGs) 2030 Agenda. The process, which started in 2022, aims to make recommendations on how GHIs can be more efficient, effective and equitable and to catalyse collective action to ensure that they are fit for purpose through 2030 and beyond. The work presented here forms an input to that process. This report and its annexes present findings from a rapid scoping review and extensive individual and group consultations at country, regional and global levels to gather views on how GHIs could evolve to support this process over the next 20 years.

The process is focused on six GHIs, as identified by FGHI, which differ in form and function: the Global Fund to Fight AIDS, Tuberculosis, and Malaria (GFATM), Gavi, the Vaccine Alliance (Gavi), the Global Financing Facility for Women, Children, and Adolescents (GFF), Unitaid, the Foundation for Innovative New Diagnostics (FIND), and the Coalition for Epidemic Preparedness Innovations (CEPI). Importantly, the work presented in this report is not an evaluation of any individual GHI, but rather a review of how this aspect of the global health system as a whole is serving, and could better serve, country needs.