The Lusaka Agenda – launched on UHC day 12 December 2023 – marks the culmination of a 14-month process of engagement that has included multi-stakeholder dialogues in Addis Ababa, Ethiopia (14 June), Wilton Park, UK (4-6 October) and Lusaka, Zambia (26 November). Building from existing efforts, it captures consensus around five key shifts for the long-term evolution of GHIs – and the wider health ecosystem – and highlights a number of near-term priorities to catalyse action towards the five shifts.

The Lusaka Agenda provides a foundation for coordinated action to support these shifts, and a path towards a joint long-term vision of domestically financed health systems and UHC that leaves no one behind. The realization of the shifts requires united and collective effort across stakeholder groups, underpinned by mutual accountability.