The Accra Reset: A New Global Development Framework

Fragmented institutions, overlapping mandates, and volatile financing continue to place a heavy burden on the very countries the global health system is meant to serve. At the same time, unequal access to health technologies, geopolitical tensions, and persistent financing gaps have exposed structural imbalances in global health governance and intensified calls for a more equitable and coordinated international system.

The Accra Reset is a Head-of-State–anchored initiative and evolving political platform that seeks to address the challenge of “practical sovereignty” — particularly for countries that continue to face dependence on external financing, limited influence in global decision-making, and constraints in implementing long-term national priorities. Rather than rejecting global cooperation, the Accra Reset aims to reset the terms of cooperation, enabling countries to engage with greater clarity, coordination, and confidence.

This session will explore how health sovereignty, sustainable financing, regional manufacturing, innovation, and equitable access can contribute to a more balanced and resilient global health architecture. It will further examine how current and former Heads of State, multilateral organizations, civil society, academia, and the private sector can help shape politically actionable solutions that strengthen country ownership while reinforcing international cooperation.

The discussion aims to identify practical pathways toward a more inclusive, equitable, and sustainable future for global health governance.