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    • The Future of Global Health

    The 'Accra Reset': Time’s up for the legacy aid system

    An effort led by Ghana's president calls for a paradigm shift toward more equitable global cooperation.

    By Sara Jerving // 01 October 2025

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    As the global health architecture struggles to hold steady amid plummeting foreign aid, a group of African leaders, policymakers, and global health experts met in Ghana’s capital city of Accra in August to craft a new path toward health sovereignty — rooted in national ownership and more equitable global cooperation.

    And they reconvened last week during the United Nations General Assembly, alongside leaders of multilateral institutions, philanthropic organizations, business innovators, and civil society to expand this framework beyond health to development more broadly in areas such as climate resilience, food security, and economic growth — and to move beyond the African continent to serve as a global agenda.

    They’ve dubbed it the “Accra Reset,” an effort to declare an end to the era of development-as-usual and to push for the creation of new governance, business, and financing models.

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    More reading:

    ► Recent global funding cuts must be a catalyst for Africa’s prosperity

    ► The investment shift that could reshape African health care

    ► ‘How did we get here?’ — African health experts on ending aid dependence

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    About the author

    • Sara Jerving

      Sara Jervingsarajerving

      Sara Jerving is a Senior Reporter at Devex, where she covers global health. Her work has appeared in The New York Times, the Los Angeles Times, The Wall Street Journal, VICE News, and Bloomberg News among others. Sara holds a master's degree from Columbia University Graduate School of Journalism where she was a Lorana Sullivan fellow. She was a finalist for One World Media's Digital Media Award in 2021; a finalist for the Livingston Award for Young Journalists in 2018; and she was part of a VICE News Tonight on HBO team that received an Emmy nomination in 2018. She received the Philip Greer Memorial Award from Columbia University Graduate School of Journalism in 2014.

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