Unmasking Global Health in 2025: Aid Disruption, Dependency, Sovereignty, and Reform

Unmasking global health

This episode of Global Health Unfiltered examines what the upheavals of 2025 revealed about power, dependency, and accountability in global health. Through reflections from Dr. Luchuo Bain, Dr. Seye Abimbola, Dr. Boghuma Titanji, Dr. Madhu Pai, Dr. Mohamed Aburawi, and Sitawa Wafula, the episode considers the consequences of the United States’ withdrawal from the World Health Organization, the dismantling of USAID, and the emergence of controversial bilateral agreements. The contributors explore the human consequences of abrupt aid cuts, the relationship…

Paying More, Owning Less: Rethinking Authority and Dependency in African Health Financing

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The America First Global Health Strategy presents bilateral, time-bound financing compacts as a pathway toward greater country ownership. Under these arrangements, African governments co-finance health programs with the United States and gradually assume financial responsibility as American funding declines. Yet this episode asks a fundamental question: can countries genuinely own health systems when they bear responsibility for sustaining them but lack the corresponding authority over technology, data, procurement, and the political conditions attached to funding? Nelson Aghogho Evaborhene, a PhD…

Global Health Justice Team’s Statement on the Rapid Support Forces’ Massacre of Civilians in Al-Fasher, Sudan

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Like many of you, we the Global Health Justice (GHJ) team have seen the heart-wrenching images and videos of torture, forced starvation and murder of innocent Sudanese coming out of Al-Fasher over the past few days. The Rapid Support Forces (RSF), who are directly being funded by the United Arab Emirates (UAE), a “Major Defense Partner” of the U.S., have invaded the city after laying siege on it for over 18 months. We’ve seen the videos of young children being…

Art for global health equity

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A July essay in PLOS Global Public Health argues that art and its expression are critically important in the struggle for global health equity.  Reñosa and his colleagues make the case that art can be leveraged to (1) to amplify disenfranchised voices, (2) to advance social justice activism, (3) to strengthen communities and individuals, and (4) to improve global health communication. They argue that art facilitates the inclusion of diverse cultural perspectives and engagement and uplifts marginalized voices. They provide a…

Malawi and Mali Demand Unpaid Taxes and Royalties from Multinationals

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BBC news recently reported that the governments of Malawi and Mali are demanding hundreds of billions of dollars from U.S.- and Australia-based multinationals to compensate for unpaid taxes and royalties over the past 10 years. Charles Gitonga and Andre Lombard report that the Malawi government has accused Colombia Gem House, U.S.-based gemstone company, of not paying fairly for rubies exported over the last 10 years. The government is also demanding $4 billion from French gas giant TotalEnergies in unpaid revenue…

Sudan’s Forgotten War

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Ezzeldin Saleh and colleagues, in the October 2024 Lancet, draw attention to the horrific and unprecedented conflict in Sudan that has caused immense suffering for the Sudanese people since April 2023. Nearly 11 million people have been internally displaced, and 2.3 million have sought refugee status in neighboring countries. The economy has collapsed, and famine is rampant throughout the country, with approximately 53% of the countries 25.6 million people experiencing high levels of food insecurities – and 14 areas experiencing…

Gazan Death Toll Four Times Greater Than Official Estimates, According to Multiple Experts

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In mid-June, the Gazan Ministry of Health reported a cumulative death toll of nearly 39,000 people attributed to the Israeli assault on Gaza, including 15,000 children. However, other credible researchers estimate that the true death toll is likely over four times higher than reported. Susan Abulhawa, a Gazan refugee, scientist, author and human rights activist argues that the currently reported numbers “don’t give an accurate picture at all”. Abulhawa states that the reported numbers only account for individuals going through…

Crisis in Sudan: Urgent Call for De-Escalation in El Fasher

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El Fasher, the capital of North Darfur, is at the epicenter of escalating conflicts in Sudan, now a battleground between the Sudanese army and the paramilitary Rapid Support Forces (RSF). With over a million civilians, many displaced and on the verge of starvation, the situation in El Fasher demands immediate global attention. This violence stems from a broader conflict that ignited in April 2023 in Khartoum, fracturing the nation and thrusting Darfur into chaos. The importance of El Fasher cannot…

Decolonizing must challenge globalized systems of wealth extraction and profiteering.

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The authors of a February 2024 Bulletin of the World Health Organization article call for global health actors to challenge current forms of corporate and financialized colonialism that operate through globalized systems of wealth extraction and profiteering. They note that most of the current narrative on decolonization focuses on correcting power imbalances between health actors in high-income and low-income countries and on challenging ideas and values of some wealthy countries that shape the practice of global health. The authors of…

More years of schooling improves all-cause mortality globally – Lancet

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A systematic review and meta-analysis by the IHME-CHAIN collaborators (Lancet 23 January 2024) demonstrated that increased “years of schooling had a significant and consistent effect on all-cause mortality risk and that the protective effect of education persisted for female and male individuals, across all age groups, and all levels of Socio-demographic Index of the country where the data were collected. These findings are similar to the protective effects of a good diet and physical activity and the harms of risk…