GFO Issue 466, Article Number: 7
ABSTRACT
This article summarizes the key points of L'Initiative's 2024 activity report, reflecting on an exceptional year in terms of commitments and actions. Despite the challenging global context, L'Initiative has distinguished itself through concrete interventions aimed at strengthening health systems in the most vulnerable countries and accelerating the fight against HIV, tuberculosis, and malaria. The report also reflects L'Initiative's commitment to integrating health into a framework of social justice, equity, and sustainability.
Context
The Initiative is a French initiative implemented by Expertise France , a public agency specialising in international technical cooperation. Established in 2011 and funded by the Ministry for Europe and Foreign Affairs, the Initiative supports partner countries in their efforts to combat pandemics such as HIV/AIDS, tuberculosis, and malaria. It also contributes to the sustainable strengthening of health systems.
Led by France, the Initiative forms part of a global effort alongside the Global Fund to Fight AIDS, Tuberculosis and Malaria. The Initiative's ambitious goal is to eliminate the three diseases by 2030 in 40 partner countries, in line with the United Nations' Sustainable Development Goals (SDGs).
The Initiative is distinguished by its essential role in providing technical and strategic support to the most vulnerable countries. It helps them maximise the impact of Global Fund grants by ensuring that health programmes are implemented effectively, equitably and sustainably. By strengthening national capacities and local health systems, the Initiative ensures that progress is sustainable and contributes to structural transformation.
In 2024, the Initiative made commitments to support the most vulnerable.
In a global context marked by multiple crises, including health, climate, social and political crises, L'Initiative confirmed its central role in strengthening health systems and combatting HIV, tuberculosis and malaria in 2024. In line with the French global health strategy and in complementarity with the Global Fund, L'Initiative supported 160 new interventions in 40 countries, mobilising €115 million — a 20% increase in funding compared to 2023. The majority of these funds were dedicated to the least developed countries, particularly those in sub-Saharan Africa.
L'Initiative's actions in 2024 were based on expertise, listening and solidarity, supported by its institutional, scientific, civil society and Ministry of Foreign Affairs partners. These actions combined multi-year projects, technical assistance and operational research to meet the needs of countries.
Below are some key examples of projects produced by L'Initiative in 2024:
In Rwanda, the Initiative supported a €5 million project with the aim of quadrupling the number of primary care workers within four years. As part of the project, it provided scholarships to 500 students and equipped the University of Rwanda. This approach enabled the integration of a gender equality perspective.
In Chad, the Initiative supported a €7 million programme to modernise paramedical training and establish new specialties, including anaesthesia, paediatrics, and gynaecology. The Initiative also introduced modules on gender-based violence.
In Guinea, the Initiative provided €5 million in support to restructure hospital emergency services, creating emergency medicine diplomas and improving referral channels through continuing education.
In Lomé, a regional master's degree in field epidemiology was created with places for 30 students from 10 countries. In Bordeaux, the Initiative awarded scholarships to 10 young professionals to pursue a diploma in public health.
These investments have helped to strengthen local capacity, improve the quality of care, and move towards universal health coverage while preparing health systems for future crises.
For the Initiative, strengthening human resources for health (HRH) is fundamental to building strong, accessible, people-centred health systems.
According to Sarah Respaut, Head of the Initiative's Accelerator, 'The Initiative's objective is to improve the accessibility and quality of care for all and to move towards universal health coverage.'
The development of human resources for health was a priority area for the Initiative in 2024. This represented 48% of commitments, with particular attention paid to reducing gender inequalities in order to build more equitable, robust and accessible health systems centred on people.
Figure 1: A year of unprecedented engagement
The Accelerator: a response to neglected challenges
In 2024, the Accelerator played a pivotal role in bolstering fragile health systems and tackling persistent pandemics. With a budget of €34.6 million, it addressed issues that are often neglected, such as malaria, children's health, and HPV- and HIV-related cancers, as well as the 'triple elimination' of HIV, syphilis, and hepatitis B.
The Accelerator prioritised training and supporting health teams to enable them to provide sustainable responses, investing 40% of the budget in cross-cutting systems strengthening actions. Sub-Saharan Africa was prioritised, receiving 59% of the funding, the majority of which was dedicated to the 25 least developed countries. Several countries, including Guinea, Madagascar, the Democratic Republic of the Congo, Senegal, Chad, Cameroon and Rwanda, received increased support. The Accelerator continues to strengthen health systems adapted to local needs.
Engagement by geographic area
Pandemic Commitments
Key events held:
In 2024, the Initiative reinforced its regional cooperation strategy to speed up the fight against pandemics and bolster health systems, especially in the most vulnerable regions and situations.
According to Adeline Lautissier, Head of the Southeast Asia and Ukraine Unit at the Initiative,
‘’In the face of health challenges, regional cooperation is essential to accelerating the fight against pandemics.'’
In June, the Initiative brought together all its Southeast Asian partners for the first time at Partnership Days in Bangkok. This dialogue forum enabled ministries, NGOs, researchers and experts to share experiences, strengthen cooperation and develop locally relevant solutions. Over the past ten years, more than €50 million has been invested in 37 projects in the Greater Mekong region.
At the AFRAVIH 2024 conference in Yaoundé, Africa, the Initiative contributed to symposia and advocated for integrated health services, including HIV, comorbidities, and sexual and reproductive health. The Initiative also supported the launch of Phase II of the SUCCESS programme, which is dedicated to cervical cancer prevention.
During the AIDS2024 conference in Munich, L'Initiative co-financed the France stand and led discussions on the sexual and reproductive rights of people living with HIV, sex workers, and people with disabilities. These discussions highlighted the importance of inclusion and intersectoral collaboration.
In areas affected by humanitarian crises, L'Initiative has adapted its interventions to maintain access to essential care, strengthen the resilience of health systems, and address the needs of the most vulnerable populations.
From emergency responses to sustainable health system solutions
In 2024, the Initiative stepped up its efforts to ensure access to care in crisis contexts while bolstering the resilience of health systems.
In Ukraine, in the face of war and its consequences for vulnerable populations, including people living with HIV, LGBTQIA+ communities, prisoners, and drug users, the Initiative mobilised an emergency fund of €5 million to support seven projects, five of which are led by civil society. Six technical assistance projects aimed at preserving the healthcare chain were also implemented.
In Ethiopia, which is facing multiple crises, the Initiative supported innovative projects to improve diagnosis and access to care in response to an increase in HIV and malaria cases.
In Lebanon, the Initiative supported local organisations to facilitate access to sexual and reproductive health, particularly for the most marginalised populations, raising awareness of human rights in the process.
In Rwanda, the Initiative deployed international expertise to support the fight against the Marburg virus epidemic. Thanks to a rapid and coordinated response, the epidemic was brought under control within three months, achieving the lowest case fatality rate on the continent.
L'Initiative supports civil society, which is a driving force for social and health transformation
Recognising the pivotal role of civil society organisations (CSOs) in tackling pandemics, safeguarding rights, and bolstering health systems, especially for the most marginalised communities, L’Initiative has established SOFIA: a technical, financial, and strategic support mechanism endowed with €6 million.
In 2024, eleven new CSOs in Gabon, the Central African Republic, Congo and Chad received 15 months of renewable support. A total of twenty CSOs from eight French-speaking African countries have been involved since 2023.
L’Initiative has adopted a coordinated approach at the national level. For instance, eight CSOs in Cameroon that are active in the fight against HIV, human rights, and community health have benefited from an organisational diagnosis and an individualised strengthening plan.
Furthermore, the Initiative has advocated, and continues to advocate, for communities to have better access to the Global Fund's Country Coordinating Mechanisms (CCMs). The Riposte 2 project, conducted in Burkina Faso, Burundi and Mauritius, has trained community leaders to influence health policies and programmes.
Promoting human rights is a cross-cutting commitment of L'Initiative
In 2024, L'Initiative prioritised human rights, inclusion, equality and social justice in its interventions. The Initiative's actions aimed to remove the social, legal and cultural barriers that hinder access to care for the most vulnerable people, including sex workers, LGBTQIA+ individuals, people who use drugs and those exposed to gender-based violence.
Some of the actions taken to defend fundamental rights are outlined below:
The Initiative supported projects that contributed to protecting rights and improving the living conditions of marginalised populations.
In Côte d'Ivoire, in response to the anti-woubi crisis, it supported legal training and community awareness-raising initiatives. As part of the POUVOIR project, led by Solthis, over 4,700 sex workers were educated, 29 peer educators were trained, and 644 consultations were conducted. The REVU-Trans project, in partnership with UNAIDS, provided 71 transgender people with legal assistance, emergency accommodation, and access to healthcare.
The Initiative has also supported initiatives such as the anti-homophobia workshop organised by Coalition PLUS, which encourages dialogue between civil society, public authorities, and LGBTQIA+ communities on human rights and health.
Strengthening community advocacy
In recognition of the pivotal role communities play in pandemic response, L'Initiative is collaborating with L'Atelier des Luttes, Coalition PLUS, and Sidaction to professionalise advocacy through dialogue creation. Four training centres have been established in Burundi, Cameroon, Côte d'Ivoire and Mauritius, where new leaders are being trained and advocates are being equipped to influence healthcare access policies.
An integrated approach to gender
Gender inequalities were addressed in 76% of the projects supported by L'Initiative. L'Initiative's work is aligned with the Global Fund's 2023–2028 strategy, supporting projects such as PluriElles in Madagascar, which is developing a community-based sexual and reproductive health service.
In Ghana, the Initiative funded an innovative project integrating psychological care into maternal and sexual health services to ensure comprehensive and appropriate follow-up for women living with HIV, whose mental health is all too often neglected.
The Initiative has a lasting impact beyond indicators.
The Initiative's effectiveness is measured not only by quantitative results, but also by its ability to strengthen existing systems, change practices and build more equitable, resilient and human rights-respecting responses. The Initiative ensures that its actions align with the shared principles of its partners, Team France and the Global Fund, to contribute to more inclusive health governance.
Inclusion of children and adolescents
The Initiative has prioritised a paediatric response by 2024, with the aim of ensuring that children and adolescents are no longer 'blind spots' in the fight against pandemics. Children pay a heavy price: without treatment, more than half of those born with HIV die before the age of two, tuberculosis kills 200,000 young children each year, and malaria remains the leading cause of death among children under five in sub-Saharan Africa.
To better support young people living with HIV, the Initiative has backed the EVA network, which operates in 12 French-speaking African countries. The network is piloting projects to support these young people as they transition to adult services, focusing on mental health, caregiver training and community integration.
The Initiative has developed practical tools to help frontline clinicians and caregivers improve the quality of care for advanced forms of HIV, which account for over half of all HIV-related deaths.
In Cameroon, the Initiative supported a pilot project to improve the diagnosis and care of children by mobilising caregivers, community representatives and hospitals.
In Côte d'Ivoire and Mozambique, the eHealth4ChildTB project uses artificial intelligence and tele-expertise to implement WHO recommendations and ensure better remote monitoring.
In Chad, L'Initiative supported the INTEGREVAC project, which evaluates integrating the R21/Matrix-M vaccine into seasonal chemoprevention campaigns to inform vaccination policy in areas of seasonal transmission.
L'Initiative will continue to act in this way, providing more inclusive responses that are adapted to the realities faced by children and adolescents, while also contributing to the strengthening of local skills and the efficiency of health policies.
Integrating harm reduction into national health systems
The Initiative promotes a public health-based approach to harm reduction, focusing on human rights and the empowerment of people who use drugs and are particularly exposed to HIV and other health risks.
The Initiative has supported projects such as Tubiteho in Rwanda, which integrated harm reduction into the health system, and Ya-Fohi in the Ivory Coast, which reduced HIV prevalence among beneficiaries from 9.8% to 2%.
In West Africa, a regional programme in Benin and Togo focuses on female drug users. The Initiative has also worked internationally to promote inclusive policies, for example through the Asia-Pacific Chemsex Symposium.
In 2024, 21 projects dedicated to drug users demonstrated our commitment to integrating harm reduction sustainably into health policies.
Challenges and prospects
Challenges:
In 2024, the Initiative has established itself as an essential tool for French global health cooperation in a context marked by geopolitical instability, climate change and persistent pandemics. True to its values of human rights, gender equality and scientific rigour, the Initiative continues to support initiatives that are grounded in local realities and serve the most vulnerable populations.
In response to climate and health challenges, the Initiative has adopted a One Health approach, linking human, animal, and environmental health in order to address emergencies and the effects of climate change more effectively. Notably, it has implemented the AMARETi project in Senegal and the TrapNet study in Côte d'Ivoire to drive innovation in prevention.
To address surveillance challenges, the Initiative has bolstered malaria sequencing and molecular monitoring capabilities in Djibouti and provided training to national stakeholders in Rwanda.
Future prospects and commitments
According to Anne-Claire Amprou and Jérémie Pellet, the Initiative must continue to play a central role, particularly in light of American disengagement from global health initiatives. Its model of combining financing, technical support and proximity to local stakeholders remains relevant for strengthening health systems sustainably and amplifying the impact of French and multilateral actions.
Regarding future commitments, there is consideration being given to better structuring the health systems of partner countries, strengthening caregiver training and community relay capacities, in line with the priorities of the French global health strategy.
Context
The Initiative is a French initiative implemented by Expertise France , a public agency specialising in international technical cooperation. Established in 2011 and funded by the Ministry for Europe and Foreign Affairs, the Initiative supports partner countries in their efforts to combat pandemics such as HIV/AIDS, tuberculosis, and malaria. It also contributes to the sustainable strengthening of health systems.
Led by France, the Initiative forms part of a global effort alongside the Global Fund to Fight AIDS, Tuberculosis and Malaria. The Initiative's ambitious goal is to eliminate the three diseases by 2030 in 40 partner countries, in line with the United Nations' Sustainable Development Goals (SDGs).
The Initiative is distinguished by its essential role in providing technical and strategic support to the most vulnerable countries. It helps them maximise the impact of Global Fund grants by ensuring that health programmes are implemented effectively, equitably and sustainably. By strengthening national capacities and local health systems, the Initiative ensures that progress is sustainable and contributes to structural transformation.
In 2024, the Initiative made commitments to support the most vulnerable.
In a global context marked by multiple crises, including health, climate, social and political crises, L'Initiative confirmed its central role in strengthening health systems and combatting HIV, tuberculosis and malaria in 2024. In line with the French global health strategy and in complementarity with the Global Fund, L'Initiative supported 160 new interventions in 40 countries, mobilising €115 million — a 20% increase in funding compared to 2023. The majority of these funds were dedicated to the least developed countries, particularly those in sub-Saharan Africa.
L'Initiative's actions in 2024 were based on expertise, listening and solidarity, supported by its institutional, scientific, civil society and Ministry of Foreign Affairs partners. These actions combined multi-year projects, technical assistance and operational research to meet the needs of countries.
Below are some key examples of projects produced by L'Initiative in 2024:
In Rwanda, the Initiative supported a €5 million project with the aim of quadrupling the number of primary care workers within four years. As part of the project, it provided scholarships to 500 students and equipped the University of Rwanda. This approach enabled the integration of a gender equality perspective.
In Chad, the Initiative supported a €7 million programme to modernise paramedical training and establish new specialties, including anaesthesia, paediatrics, and gynaecology. The Initiative also introduced modules on gender-based violence.
In Guinea, the Initiative provided €5 million in support to restructure hospital emergency services, creating emergency medicine diplomas and improving referral channels through continuing education.
In Lomé, a regional master's degree in field epidemiology was created with places for 30 students from 10 countries. In Bordeaux, the Initiative awarded scholarships to 10 young professionals to pursue a diploma in public health.
These investments have helped to strengthen local capacity, improve the quality of care, and move towards universal health coverage while preparing health systems for future crises.
For the Initiative, strengthening human resources for health (HRH) is fundamental to building strong, accessible, people-centred health systems.
According to Sarah Respaut, Head of the Initiative's Accelerator, 'The Initiative's objective is to improve the accessibility and quality of care for all and to move towards universal health coverage.'
The development of human resources for health was a priority area for the Initiative in 2024. This represented 48% of commitments, with particular attention paid to reducing gender inequalities in order to build more equitable, robust and accessible health systems centred on people.
Figure 1: A year of unprecedented engagement
The Accelerator: a response to neglected challenges
In 2024, the Accelerator played a pivotal role in bolstering fragile health systems and tackling persistent pandemics. With a budget of €34.6 million, it addressed issues that are often neglected, such as malaria, children's health, and HPV- and HIV-related cancers, as well as the 'triple elimination' of HIV, syphilis, and hepatitis B.
The Accelerator prioritised training and supporting health teams to enable them to provide sustainable responses, investing 40% of the budget in cross-cutting systems strengthening actions. Sub-Saharan Africa was prioritised, receiving 59% of the funding, the majority of which was dedicated to the 25 least developed countries. Several countries, including Guinea, Madagascar, the Democratic Republic of the Congo, Senegal, Chad, Cameroon and Rwanda, received increased support. The Accelerator continues to strengthen health systems adapted to local needs.
Engagement by geographic area
Pandemic Commitments
Key events held:
In 2024, the Initiative reinforced its regional cooperation strategy to speed up the fight against pandemics and bolster health systems, especially in the most vulnerable regions and situations.
According to Adeline Lautissier, Head of the Southeast Asia and Ukraine Unit at the Initiative,
‘’In the face of health challenges, regional cooperation is essential to accelerating the fight against pandemics.'’
In June, the Initiative brought together all its Southeast Asian partners for the first time at Partnership Days in Bangkok. This dialogue forum enabled ministries, NGOs, researchers and experts to share experiences, strengthen cooperation and develop locally relevant solutions. Over the past ten years, more than €50 million has been invested in 37 projects in the Greater Mekong region.
At the AFRAVIH 2024 conference in Yaoundé, Africa, the Initiative contributed to symposia and advocated for integrated health services, including HIV, comorbidities, and sexual and reproductive health. The Initiative also supported the launch of Phase II of the SUCCESS programme, which is dedicated to cervical cancer prevention.
During the AIDS2024 conference in Munich, L'Initiative co-financed the France stand and led discussions on the sexual and reproductive rights of people living with HIV, sex workers, and people with disabilities. These discussions highlighted the importance of inclusion and intersectoral collaboration.
In areas affected by humanitarian crises, L'Initiative has adapted its interventions to maintain access to essential care, strengthen the resilience of health systems, and address the needs of the most vulnerable populations.
From emergency responses to sustainable health system solutions
In 2024, the Initiative stepped up its efforts to ensure access to care in crisis contexts while bolstering the resilience of health systems.
In Ukraine, in the face of war and its consequences for vulnerable populations, including people living with HIV, LGBTQIA+ communities, prisoners, and drug users, the Initiative mobilised an emergency fund of €5 million to support seven projects, five of which are led by civil society. Six technical assistance projects aimed at preserving the healthcare chain were also implemented.
In Ethiopia, which is facing multiple crises, the Initiative supported innovative projects to improve diagnosis and access to care in response to an increase in HIV and malaria cases.
In Lebanon, the Initiative supported local organisations to facilitate access to sexual and reproductive health, particularly for the most marginalised populations, raising awareness of human rights in the process.
In Rwanda, the Initiative deployed international expertise to support the fight against the Marburg virus epidemic. Thanks to a rapid and coordinated response, the epidemic was brought under control within three months, achieving the lowest case fatality rate on the continent.
L'Initiative supports civil society, which is a driving force for social and health transformation
Recognising the pivotal role of civil society organisations (CSOs) in tackling pandemics, safeguarding rights, and bolstering health systems, especially for the most marginalised communities, L’Initiative has established SOFIA: a technical, financial, and strategic support mechanism endowed with €6 million.
In 2024, eleven new CSOs in Gabon, the Central African Republic, Congo and Chad received 15 months of renewable support. A total of twenty CSOs from eight French-speaking African countries have been involved since 2023.
L’Initiative has adopted a coordinated approach at the national level. For instance, eight CSOs in Cameroon that are active in the fight against HIV, human rights, and community health have benefited from an organisational diagnosis and an individualised strengthening plan.
Furthermore, the Initiative has advocated, and continues to advocate, for communities to have better access to the Global Fund's Country Coordinating Mechanisms (CCMs). The Riposte 2 project, conducted in Burkina Faso, Burundi and Mauritius, has trained community leaders to influence health policies and programmes.
Promoting human rights is a cross-cutting commitment of L'Initiative
In 2024, L'Initiative prioritised human rights, inclusion, equality and social justice in its interventions. The Initiative's actions aimed to remove the social, legal and cultural barriers that hinder access to care for the most vulnerable people, including sex workers, LGBTQIA+ individuals, people who use drugs and those exposed to gender-based violence.
Some of the actions taken to defend fundamental rights are outlined below:
The Initiative supported projects that contributed to protecting rights and improving the living conditions of marginalised populations.
In Côte d'Ivoire, in response to the anti-woubi crisis, it supported legal training and community awareness-raising initiatives. As part of the POUVOIR project, led by Solthis, over 4,700 sex workers were educated, 29 peer educators were trained, and 644 consultations were conducted. The REVU-Trans project, in partnership with UNAIDS, provided 71 transgender people with legal assistance, emergency accommodation, and access to healthcare.
The Initiative has also supported initiatives such as the anti-homophobia workshop organised by Coalition PLUS, which encourages dialogue between civil society, public authorities, and LGBTQIA+ communities on human rights and health.
Strengthening community advocacy
In recognition of the pivotal role communities play in pandemic response, L'Initiative is collaborating with L'Atelier des Luttes, Coalition PLUS, and Sidaction to professionalise advocacy through dialogue creation. Four training centres have been established in Burundi, Cameroon, Côte d'Ivoire and Mauritius, where new leaders are being trained and advocates are being equipped to influence healthcare access policies.
An integrated approach to gender
Gender inequalities were addressed in 76% of the projects supported by L'Initiative. L'Initiative's work is aligned with the Global Fund's 2023–2028 strategy, supporting projects such as PluriElles in Madagascar, which is developing a community-based sexual and reproductive health service.
In Ghana, the Initiative funded an innovative project integrating psychological care into maternal and sexual health services to ensure comprehensive and appropriate follow-up for women living with HIV, whose mental health is all too often neglected.
The Initiative has a lasting impact beyond indicators.
The Initiative's effectiveness is measured not only by quantitative results, but also by its ability to strengthen existing systems, change practices and build more equitable, resilient and human rights-respecting responses. The Initiative ensures that its actions align with the shared principles of its partners, Team France and the Global Fund, to contribute to more inclusive health governance.
Inclusion of children and adolescents
The Initiative has prioritised a paediatric response by 2024, with the aim of ensuring that children and adolescents are no longer 'blind spots' in the fight against pandemics. Children pay a heavy price: without treatment, more than half of those born with HIV die before the age of two, tuberculosis kills 200,000 young children each year, and malaria remains the leading cause of death among children under five in sub-Saharan Africa.
To better support young people living with HIV, the Initiative has backed the EVA network, which operates in 12 French-speaking African countries. The network is piloting projects to support these young people as they transition to adult services, focusing on mental health, caregiver training and community integration.
The Initiative has developed practical tools to help frontline clinicians and caregivers improve the quality of care for advanced forms of HIV, which account for over half of all HIV-related deaths.
In Cameroon, the Initiative supported a pilot project to improve the diagnosis and care of children by mobilising caregivers, community representatives and hospitals.
In Côte d'Ivoire and Mozambique, the eHealth4ChildTB project uses artificial intelligence and tele-expertise to implement WHO recommendations and ensure better remote monitoring.
In Chad, L'Initiative supported the INTEGREVAC project, which evaluates integrating the R21/Matrix-M vaccine into seasonal chemoprevention campaigns to inform vaccination policy in areas of seasonal transmission.
L'Initiative will continue to act in this way, providing more inclusive responses that are adapted to the realities faced by children and adolescents, while also contributing to the strengthening of local skills and the efficiency of health policies.
Integrating harm reduction into national health systems
The Initiative promotes a public health-based approach to harm reduction, focusing on human rights and the empowerment of people who use drugs and are particularly exposed to HIV and other health risks.
The Initiative has supported projects such as Tubiteho in Rwanda, which integrated harm reduction into the health system, and Ya-Fohi in the Ivory Coast, which reduced HIV prevalence among beneficiaries from 9.8% to 2%.
In West Africa, a regional programme in Benin and Togo focuses on female drug users. The Initiative has also worked internationally to promote inclusive policies, for example through the Asia-Pacific Chemsex Symposium.
In 2024, 21 projects dedicated to drug users demonstrated our commitment to integrating harm reduction sustainably into health policies.
Challenges and prospects
Challenges:
In 2024, the Initiative has established itself as an essential tool for French global health cooperation in a context marked by geopolitical instability, climate change and persistent pandemics. True to its values of human rights, gender equality and scientific rigour, the Initiative continues to support initiatives that are grounded in local realities and serve the most vulnerable populations.
In response to climate and health challenges, the Initiative has adopted a One Health approach, linking human, animal, and environmental health in order to address emergencies and the effects of climate change more effectively. Notably, it has implemented the AMARETi project in Senegal and the TrapNet study in Côte d'Ivoire to drive innovation in prevention.
To address surveillance challenges, the Initiative has bolstered malaria sequencing and molecular monitoring capabilities in Djibouti and provided training to national stakeholders in Rwanda.
Future prospects and commitments
According to Anne-Claire Amprou and Jérémie Pellet, the Initiative must continue to play a central role, particularly in light of American disengagement from global health initiatives. Its model of combining financing, technical support and proximity to local stakeholders remains relevant for strengthening health systems sustainably and amplifying the impact of French and multilateral actions.
Regarding future commitments, there is consideration being given to better structuring the health systems of partner countries, strengthening caregiver training and community relay capacities, in line with the priorities of the French global health strategy.
