Clinton Health Access Initiative

04/13/2026

We worked with governments in 14 countries to document why health money doesn't reach the frontline.

The problem often isn't how much money is available. It's whether the systems exist to move it.

In Malawi 🇲🇼, a burnt-out light bulb can shut down a maternity ward for months — because replacing it requires district approval, and the systems to process it move slowly. It's not a funding problem. It's a systems problem.

In South Africa 🇿🇦, procurement lead times run over 400 days against a 90-day target — meaning medicines and supplies that should take three months to procure take more than a year. The budget exists. The system can't move it fast enough.

We're having an intense global conversation right now about resource constraints in health. That conversation is necessary. But it's incomplete without talking about this too.

New report from CHAI and eGovernments Foundation: https://ow.ly/eoRw50YHc1R

Join us to discuss the report findings:
📅 April 14 — 09:00 Abuja / 11:00 Nairobi / 3:00 PM Bangkok
https://ow.ly/TV1S50YHc1Q
📅 April 16 — 9:00 AM Seattle / 12:00 PM DC / 5:00 PM Abuja
https://ow.ly/rBjE50YHc1O


Gates Foundation, World Health Organization (WHO), UNICEF

04/09/2026

We're living through a moment of painful trade-offs in global health — aid cuts, tighter budgets, difficult decisions about what to protect.

But some challenges aren't just about how much money exists. They're about whether strong systems exist to move that money. Shared digital infrastructure — the kind that connects payment systems, identity databases, and financial records — is already fixing this in countries across Africa and Asia.

🇮🇳 In India, creating a digital platform that linked existing systems cut worker payment times from 144 days to 12.

🇳🇬 In Nigeria, cross-checking government payroll against biometric data and bank verification numbers cut 23K ghost workers from the system, saving US$11.5M every month.🌍 Across 20+ countries, WHO-supported mobile money payments now reach polio campaign workers within 10 days of campaign completion.

CHAI and eGovernments Foundation's new report shows how governments, implementers, and funders can apply this approach, and what it takes to make it stick.

Join us to discuss the report:
📅 April 14 — 09:00 Abuja / 11:00 Nairobi / 3:00 PM Bangkok
https://ow.ly/c73w50YG00T

📅 April 16 — 9:00 AM Seattle / 12:00 PM DC / 5:00 PM Abuja
https://ow.ly/23li50YG00U

➡️ Read the report: https://ow.ly/Ejjg50YG00R



Gates Foundation, UNICEF, World Health Organization (WHO)

04/06/2026

Every year, hundreds of thousands of infants are born with HIV, syphilis, or hepatitis B - infections that are preventable when pregnant women are screened and linked to care. Integrated screening for HIV, syphilis, and hepatitis B during antenatal care is a critical first step toward eliminating vertical transmission. Across 16 countries in Africa and Asia, countries have made real strides — but progress remains uneven.

A new generation of triple combination tests could help close the gaps — enabling comprehensive screening for all three infections at once. But in a constrained financing environment, whether these tests advance or hinder progress toward triple elimination will depend on achieving an optimal price point across the market.

CHAI's new market memo explores what's working, what's at risk, and why price will be decisive in determining whether triple tests strengthen or strain screening programs.

https://ow.ly/SoUH50YEsz6

World Health Organization (WHO) | PATH | World Hepatitis Alliance | Evidence Action | Unitaid | The Global Fund | Gates Foundation | Children's Investment Fund Foundation | Elizabeth Glaser Pediatric AIDS Foundation | Abbott

CHAI's latest market memo examines integrated HIV, syphilis, and hepatitis B screening in antenatal care in 16 countries and what it means for triple elimination.

03/27/2026

This week at , CHAI and partners shared results from Rwanda, Ethiopia, Uganda, India and beyond — each session a different answer to the same question: how do we make sure proven solutions actually reach the women and babies who need them?

Today, we turn that question into a workplan.

SECURE — CHAI's consortium under the SUPREME initiative, funded by Unitaid officially kicks off in Nairobi. Working alongside the Concept Foundation, WACI Health, The Aurum Institute and Burnet Institute, CHAI will focus on the upstream work that determines whether a lifesaving product ever reaches a patient: validating diagnostics, shaping markets, negotiating prices, and integrating products into national supply chains so they stay there.

The work spans preeclampsia and maternal anemia across Ghana, Kenya, Malawi, Senegal, and Tanzania — with select activities in Nigeria and South Africa — covering more than ten diagnostic and treatment tools.

Proud to be getting started with an extraordinary group of partners.

https://ow.ly/48Ul50YzgVm

03/26/2026

A better treatment for anemia in pregnancy exists. But most women who need it can't access it.

CHAI's new landscape report, released today at , spans 15 countries in sub-Saharan Africa and Asia and maps why ferric carboxymaltose (FCM) remains out of reach for the majority of pregnant women in low- and middle-income countries. As well as what it will take to change that.

Key findings:

▶️Only 5 of 15 countries recommend FCM in their maternal anemia guidelines
▶️Where available, it's almost exclusively in the private sector
▶️End-user prices vary widely — from $10 to $70 per dose — signalling a fragmented market
▶️Projected demand by 2031 will still fall short of clinical need today

The report is designed for ministries of health, donors, manufacturers, and implementing partners. It includes country-specific analyses, demand forecasts, and a framework for introduction, scale-up, and market shaping.

These findings are already shaping SUPREME — Unitaid's $52.5M initiative implemented by CHAI and Amref — which will support FCM introduction and anemia diagnostics work across six countries. The window for action is open. What's needed now is coordinated effort to make sure FCM reaches the women who need it most.

Read the findings 👇🏾
https://ow.ly/xbNX50Yz0gF

Unitaid Gates Foundation Amref Health Africa

FCM outperforms standard oral iron for anemia in pregnancy but is out of reach for most women in low- and middle-income countries. CHAI's 15-country landscape report maps why, and what it will take to change it.

03/24/2026

What does integrated TB screening actually look like in practice?

In Kenya, it means one visit where a patient with a cough gets checked for TB, asthma, and COPD — instead of being sent home with a negative test and no answers. Over a million people screened. Thousands of hidden diagnoses found.

In Nigeria, it means mobile teams driving integrated screening directly into displacement camps — no clinic required. Over 13% of TB cases they found were in people with no symptoms at all.

More diagnoses. Faster treatment. Fewer people falling through the cracks.

See how both countries are making it happen 👇🏿 https://ow.ly/rpXf50Yxypx


Gates Foundation, GSK, The Ministry of Health, National Tuberculosis and Leprosy Control Programme

03/23/2026

starts today in Nairobi—and our message is simple: the tools to save mothers and babies already exist. What’s missing is the system to get them to everyone who needs them.

Nearly 260,000 women die in pregnancy or childbirth every year. Half a million newborns are lost to preeclampsia alone. Anemia affects 4 in 10 pregnant women globally. These are not unsolvable problems.

This week, CHAI presents lessons from Ethiopia, India, Rwanda, Uganda and beyond—sharing what it looks like when countries close that gap, session by session, system by system. ▶️https://ow.ly/KcZ250Yxi6s

And today, we're proud to be part of launching SUPREME—a US$52.5M initiative funded by Unitaid with additional support from the Gates Foundation, to scale up lifesaving tools for preeclampsia and anemia across sub-Saharan Africa. CHAI leads the SECURE consortium alongside Concept Foundation, WACI Health, Aurum Institute Ghana and Burnet Institute. Amref Health Africa leads the LIFELINES consortium alongside Jhpiego, Solthis and Market Access Africa. ▶️https://ow.ly/QO8x50Yxi6r

Follow along all week.

03/20/2026

AI that could help a community health worker diagnose and treat with the confidence of a world-class primary care doctor — that's the future CHAI CEO Buddy Shah sees coming.

"The average person in many low-income countries will never even see a medical doctor over the course of their life. Out of that necessity is born a real eye for innovation."

From AI clinical co-pilots that help frontline health workers diagnose and triage, to algorithms that can read chest X-rays for TB and ultrasounds for high-risk pregnancies in rural clinics — the tools are nearly there. The question isn't whether the technology is possible. It’s whether we build it for and scale it to the communities that need it most, from the very start, rather than as an afterthought.

🎙️ Full conversation with Anubha Rawat on Philanthropod:

Philanthropod · Episode

03/19/2026

Every year, preeclampsia and anemia claim the lives of tens of thousands of pregnant women and half a million newborns — from complications we already know how to prevent and treat.

Today, we’re proud to announce the launch of the SUPREME initiative — Sustained Uptake of Products for Pre-Eclampsia and Maternal Anemia — backed by a US$52.5 million investment from Unitaid.

CHAI is leading SUPREME Secure alongside the Concept Foundation, WACI Health, the Aurum Institute, and the Burnet Institute to ensure that high-quality diagnostics and treatments are rigorously tested, reliably supplied, and priced within reach.

From magnesium sulfate that costs less than $1 a dose, to blood pressure monitors, low-dose aspirin, anemia diagnostics, and IV iron — these tools exist. Our job is making sure they’re on the shelf when a woman walks through the door.

SUPREME will focus on Ghana, Kenya, Malawi, Senegal, and Tanzania, with select activities in Nigeria and South Africa — working alongside Amref Health Africa and ministries of health to strengthen antenatal care where it’s needed most.

Because no woman should die from a complication we know how to treat.

https://ow.ly/KpXE50YvZjv

03/18/2026

Heading to ? Don't miss CHAI's side events and oral presentations on life-saving maternal and newborn health.

🌍 At our two side events, hear from government representatives and get a first look at new CHAI multi-country research — including a landscaping of ferric carboxymaltose (FCM) access and readiness, and a mapping of financing gaps and system bottlenecks for MNCH commodities .

➡️ Pre-registration required — save your spot:
🔹 Closing the Gap → https://ow.ly/aWX350YuIRG

🔹 Unlocking Access to IV Iron → https://ow.ly/fkOU50YuIRH

We hope to see you there!

03/17/2026

Twenty years ago, the experts said it couldn't be done. Treating HIV in low-income countries was too expensive, too complicated.

CHAI believed otherwise — and got to work. Through market shaping, we and our partners helped bring the price of HIV drugs from US$10,000 to less than US$40 today. And that was just the start.

Today, thanks to generous support from Renaissance Philanthropy, we're sharing the playbook behind 150+ market shaping deals that have generated billions in savings for health systems and touched hundreds of millions of lives. As the world reimagines how global health gets funded and delivered, these evolving strategies are more relevant than ever.

Download CHAI's first-ever market shaping guidebook:
https://ow.ly/GpVf50YuMYg

03/16/2026

Thank you to Anubha Rawat and the team at Philanthropod for having our CEO Buddy Shah on for such a rich conversation.

Anubha and Buddy explored what the global health landscape really looks like right now — the disruption, yes, but more importantly, the opportunity.

From how governments across Africa are stepping up and taking ownership of their health systems, to what it actually takes to translate a scientific breakthrough into affordable access for the people who need it most, to the role AI could play in reimagining healthcare delivery at the last mile.

If you work in global health, development, or philanthropy — this one is worth your full attention.

🎙️

Philanthropod · Episode