In most countries with a high burden of tuberculosis, domestic health budgets and traditional donor funds have been used to fund TB care and prevention. Going forward, a new approach to financing health and therefore TB care and prevention is needed. To keep our citizens healthy and productive, we must pivot to increases in domestic funding, and innovative, domestically anchored financing models that are resilient, equitable, efficient, and scalable.
The global health financing architecture is undergoing a profound transformation, marked by a steady decline in traditional donor assistance, and this change presents a significant challenge but also a strategic opportunity to show ownership, strengthen national health systems, and to contribute to changes into multilateral engagement.
In a world full of conflicts as well as competing political and economic crises, health must be prioritized and invested in, by countries themselves and through global solidarity across nations and across public and private entities. Within health, prioritizing the fight against TB is a good way of ensuring that we care about the health of the poor and those that are most disadvantaged.
About the authors
Budi Gunadi Sadikin
Budi Gunadi Sadikin was appointed as the minister of health of the Republic of Indonesia on Dec. 23, 2020. His assignments include leading the COVID-19 vaccination program for the nation and improving health services in Indonesia.His leadership has been characterized by clear vision, swift action, and inclusive collaboration to confront some of the toughest challenges of the time, such as addressing TB and pandemic prevention, preparedness, and response.
Dr. Muhammed Ali Pate
Muhammad Ali Pate is a Nigerian physician and the current minister of health and social welfare of Nigeria. Until recently he was a professor of the practice of public health leadership in the Department of Global Health and Population at Harvard University. He formerly served as the global director for health, nutrition and population, and director of the Global Financing Facility for Women, Children and Adolescents at the World Bank Group. Pate is also the former minister of state for health in Nigeria. Pate was conferred with the high honor in Nigeria of Commander of the Order of the Niger, or CON.
Dr. Teodoro Javier Herbosa
Dr. Teodoro Javier Herbosa is a Filipino physician currently serving as the secretary of health since June 2023. He is a distinguished trauma surgeon and emergency medicine physician, recognized both locally and internationally for his expertise in health care systems and public health.
Dr. Pakishe Aaron Motsoaledi
Dr. Pakishe Aaron Motsoaledi currently serves as the minister of health of South Africa since his appointment in June 2024. He was the minister of home affairs from May 30, 2019, and before that, the minister of health from May 26, 2014. He is also a member of the African National Congress National Executive Committee. Motsoaledi holds a Bachelor of Medicine and Surgery from the University of Natal. He attended high school at Setotolwane High School.
