PRESS RELEASE freetown, Sierra Leone | may 2026. ONE Campaign and Financing Alliance for Health forge strategic partnership to accelerate sustainable Health Financing reforms in Sierra Leone. ONE Campaign and the Financing Alliance for Health ("FAH) have officially entered a strategic partnership to support the Ministry of Health through the provision of technical expertise and data and evidence-based analyses to support in the strengthening of local health financing systems and accelerating Sierra Leone's journey toward sustainable Universal Health Coverage (UHC). This collaboration comes at a pivotal moment for Sierra Leone, as the Government advances major health financing reforms, including the establishment of the Sierra Leone Agency for Universal Health Coverage (SLAUHC), the expansion of the Free Health Care Initiative (FHCI), and the early implementation of the Sierra Leone Social Health Insurance Scheme (SLeSHI). Through this partnership, the partners are supporting the Ministry of Health by providing technical expertise, delivered through Health Economist Consultant working with the Ministry to support the Directorate of Policy, Planning and Information and the Health Financing Unit, with the aim of strengthening evidence-based decision-making, enhancing fiscal sustainability, and unlocking new domestic financing opportunities for health. "This partnership reflects our shared commitment to ensuring that health financing reforms in Sierra Leone are not only ambitious, but affordable, evidence-driven, and sustainable," said -Dr. William Nii Ayitey Menson, Director, Health Financing at The ONE Campaign. "By working alongside FAH and government partners, we aim to support reforms that deliver real, lasting impact for the people of Sierra Leone." What the partnership will deliver. Through this collaboration, FAH, supported by ONE Campaign, will engage a Health Economist based in Sierra Leone to provide tailored technical assistance to the Ministry of Health, particularly the Health Financing Unit (HFU) and the Directorate of Policy, Planning and Information (DPPI). Key areas of support include: * Health financing diagnostics and system assessments to inform health reform design * Costing, fiscal space, and sustainability analyses to inform Cabinet and parliamentary decision- making processes through the provision of data and evidence-based analysis * Innovative financing options, including domestic resource mobilization and diaspora-linked mechanisms * National health financing dashboards and decision-support tools for real-time monitoring * Policy briefs and evidence packages tailored for senior government leadership and legislators * Capacity strengthening and coordination support across government and partner platforms Together, these efforts will help strengthen budget credibility, improve alignment between policy commitments and financing realities, and reduce long-term dependence on external aid. Supporting government leadership and national priorities. The partnership is designed to support the Government's national priorities and complement ongoing health reforms rather than duplicate efforts. By anchoring technical work within government systems, the collaboration aims to enhance coordination across ministries, development partners, and civil society actors, ensuring reforms are informed, technically sound, and institutionally owned. "FAH is proud to partner with ONE Campaign in support of Sierra Leone's health financing reform agenda," FAH leadership noted-Dr. Kamanga Mpuma "This collaboration will help translate ambitious policy goals into actionable, fiscally responsible solutions that strengthen the health system and protect the most vulnerable." Serah Makka, Executive Director for Africa, ONE Campaign, stated: "Success will be defined not by documents alone, but by real policy movement, institutional adoption, and measurable progress toward universal health coverage in Sierra Leone. This partnership is about translating sound analysis into decisions that strengthen government systems, protect public resources, and expand access to quality health care for all Sierra Leoneans." Dr. Kamanga Mpuma, Lead Health Financing Manager - Anglophone Region, Financing Alliance for Health, expressed appreciation for the partnership, noting: "This Memorandum of Understanding marks a foundational step toward strengthening the implementation of Sierra Leone's health reform agenda. A major focus of our collaboration is building robust health financing data infrastructure - enabling real-time monitoring, informed decision-making, and sustained, evidence-based policy dialogue between government and partners." "This strategic partnership between the ONE Campaign and the Financing Alliance for Health aims to create and implement systems that benefit everyone. By supporting the Government of Sierra Leone in aligning health resources, enhancing accountability in budget execution, and institutionalizing essential public finance management reforms, we will achieve effective service delivery, ensure financial security, and promote health equity for all." - Soleine Scotney, Co-CEO of Financing Alliance for Health. "The collaboration between the Financing Alliance for Health and the ONE Campaign is an inspiring partnership focused on transforming healthcare financing in Sierra Leone. Our goal is to support the Sierra Leone Government in implementing significant health financing reforms to ensure access to essential health services for everyone, ultimately fostering a healthier future for our communities" - Sizwile Sibindi, Co-CEO, Financing Alliance for Health. A shared vision for impact. The partnership underscores a shared belief that sustainable health systems require strong domestic financing, credible data, and informed policy choices. By combining ONE Campaign's global advocacy and technical expertise with FAH's regional leadership and on-the-ground engagement, the collaboration seeks to support Sierra Leone in building a modern, pooled, and resilient health financing system. Both organizations will coordinate closely on all public communications and stakeholder engagements and will work hand-in-hand with the Ministry of Health and other government partners throughout implementation. About ONE Campaign ONE fights for a more just world by demanding the investments needed to create economic opportunities and healthier lives in Africa. About Financing Alliance for Health (FAH) Financing Alliance for Health (FAH) is the only Africa-based, Africa-focused NGO dedicated to strengthening health financing systems to deliver quality, sustainable, and resilient primary and community health services. Financing Alliance partner with governments across Africa to focus financing to improve health for all, with a core mission to strengthen how countries mobilize, allocate, and execute health financing. Financing Alliance is currently embedded within 5 African Countries: Kenya, Zambia, Senegal, Sierra Leone and Tanzania. Its work focuses on primary health care (PHC) and community health, the critical frontlines for achieving Universal Health Coverage (UHC) at the center of financing and public financial management (PFM) reform. Its approach combines deep technical expertise with hands-on institutional support to address the persistent execution gaps that limit the impact of health spending.

ONE Campaign and Clinton Health Access Initiative forge continental Health Financing alliance. Partnership targets structural shift from donor dependency to domestically owned health systems. Abuja, Nigeria: The ONE Campaign and the Clinton Health Access Initiative (CHAI) today announced a strategic partnership to drive health financing reform across Africa, beginning in Nigeria, Senegal, and Sierra Leone: three countries already charting the path of Africa's accelerating transition away from external aid dependency. The partnership pairs CHAI's technical depth in fiscal space analysis and health system costing with ONE's track record in policy development and accountability, a combination designed to move reform from evidence to execution. "This collaboration is an opportunity to demonstrate that health financing reform can be both technically credible and politically actionable," said Dr. William Menson, Director, Health Financing for Africa at ONE. It launches as declining global health funding and rising fiscal pressure are forcing African governments to confront the structural question of how to build health systems that can survive and thrive on domestic resources. African countries must now chart a path toward nationally owned, equitable, and resilient health systems, and doing so requires a new model of collaboration. "The technical case for health financing reform in these countries is clear," said Jibrin Kama, Nigeria Program Director at CHAI. "What this partnership does is make sure that case lands with the people who have the power to act on it." Working within national contexts, the partnership will support governments to identify and quantify resource gaps following the declining donor support, optimize their domestic budgets, expand fiscal space, improve spending efficiency, and advance domestic resource mobilization. This includes supporting countries to advance concrete measures such as earmarked or guaranteed levies, health insurance contribution reforms, and budget reprioritization strategies. At least one pilot will focus on channeling non-ODA resources into priority health services. This includes support through HealthBridge, ONE's existing initiative, developed with the Insurance Development Forum and the Brookings Institution, to transform diaspora remittances from reactive emergency transfers into predictable, pooled health protection for African families. "This is not a temporary disruption. It is a structural shift," said Serah Makka, Africa Executive Director for Africa at ONE. The partnership is designed as a platform, not a bilateral arrangement, positioning governments, civil society, and global partners around a shared architecture for health financing transformation at scale. "At the end of the day, this is about whether a mother in Lagos or Freetown can get the care she needs without it bankrupting her family," said Dr. Olufunke Fasawe, Vice President, Integration, and Regional Director, West and Central Africa at CHAI. "Better government-driven financing systems make that possible - and that's what we're here to build." About ONE Campaign: ONE fights for a more just world by demanding the investments needed to create economic opportunities and healthier lives in Africa. https://www.one.org/Clinton Health Access Initiative, Inc./ About CHAI: The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to saving lives and improving health outcomes in low- and middle-income countries by enabling the government and private sector to strengthen and sustain quality health systems. For more information, please visit: www.clintonhealthaccess.org Media Contact: Lesijolu Eric-Nwabuzor, Sr. Mgr., Communications & Influencer Management, [email protected], +234 810 665 4213

Google has also partnered with the ONE Campaign, a non-profit organization focusing on public health and economic opportunities in Africa, to build the One Data Agent tool.