Clinton Health Access Initiative

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CHAI's mission is to save lives and improve health outcomes in low- and middle-income countries by enabling the government and private sector to strengthen and sustain quality health systems.

Behind every wheelchair is a child who can now move through the world differently. Behind every child is a system that m...
06/04/2026

Behind every wheelchair is a child who can now move through the world differently. Behind every child is a system that made it possible.

This , we are sharing our progress: 300 children fitted with a wheelchair through CHAI's work with governments in Ethiopia, Liberia, Nigeria, Rwanda, and Sierra Leone. By the end of August, we expect to more than double that number.

But the story isn't the wheelchair. It's what's underneath:

Assistive products are now a permanent line item in national health supply chains. Providers have been trained to assess, fit, and follow up with each child. And in Rwanda, local governments are covering the cost of transport to and from health facilities, so that getting to a fitting appointment isn't the barrier between a child and a wheelchair.

This is what it looks like when governments own the pathway from screening to provision, and AT moves from one-off support to routine public health care.

Full program results follow in September. In Nairobi? Come meet with us this week at the inABLE Inclusive Africa and IAPB IN SIGHT Conferences taking place in the city.

Today at , six countries — Ethiopia, Ghana, Honduras, Nigeria, Senegal, and Zambia — pledged over US$185 million to exp...
05/22/2026

Today at , six countries — Ethiopia, Ghana, Honduras, Nigeria, Senegal, and Zambia — pledged over US$185 million to expand access to contraceptives and life-saving maternal and newborn health supplies.

It's one of the largest recent government financing commitments for reproductive and maternal health and it's not a coincidence that the number matches the US$185 million gap in contraceptive funding that aid cuts are projected to leave in 2026 alone.

Alongside these commitments, CHAI, Unitaid, and UNFPA are launching a new market-shaping partnership to expand access to the calibrated drape, a low-cost device that helps health workers detect postpartum hemorrhage early and trigger timely treatment. Postpartum hemorrhage is a leading cause of maternal death worldwide.

https://ow.ly/Ovw250Z3bX0

, a twice-yearly injectable HIV prevention drug, is now reaching people in low- and middle-income countries. A new flas...
05/22/2026

, a twice-yearly injectable HIV prevention drug, is now reaching people in low- and middle-income countries. A new flash market update tracks where rollout stands and what comes next.

• Eight African countries have introduced lenacapavir for PrEP
• More than 11,000 people initiated so far
• Across all ten early adopter countries, more than 600,000 people are projected to start lenacapavir this year
• Fourteen more countries are planning launches by end of 2026 or early 2027

The report also tracks progress toward generic market entry — which will be critical to bring costs down and reach the people who need it most. https://ow.ly/BE1550Z2onB

Wits RHI, Unitaid

Last week in Phnom Penh, Cambodia's Ministry of Health, with WHO, UNICEF, CHAI, and Gavi, launched a new national Health...
05/22/2026

Last week in Phnom Penh, Cambodia's Ministry of Health, with WHO, UNICEF, CHAI, and Gavi, launched a new national Health Management Information System built on DHIS2. It will be implemented across all 25 provinces, supporting everything from routine immunization to primary care and disease surveillance.

Health workers will be able to enter and access data quickly and easily. Managers will be able to see trends, track performance, and make data-driven decisions on how to best meet the health needs of the Cambodian people.

"As a globally proven open-source tool, DHIS2 means Cambodia benefits from continuous innovation and learning across a worldwide community, while retaining full national ownership of its data. The result is a health system better equipped to turn real-time information into decisions that save lives." — Ben Zinner, CHAI Cambodia Country Director

Thanks to the Ministry of Health, World Health Organization (WHO) Cambodia, UNICEF Cambodia - ដើម្បីកុមារគ្រប់រូប, Gavi, the Vaccine Alliance, the Government of Japan, and HISP Vietnam for the partnership.

https://ow.ly/HU3F50Z2k6U

Congratulations to Martin Edlund, Peter Chernin, and the BillionScale Health team on this week’s launch. CHAI CEO Buddy ...
05/21/2026

Congratulations to Martin Edlund, Peter Chernin, and the BillionScale Health team on this week’s launch. CHAI CEO Buddy Shah serves on BillionScale's steering committee, and we're glad to support this work. The model they're building, blended finance, market shaping, country ownership, is exactly the kind of thinking global health needs right now.
https://ow.ly/i0Ne50Z2jQ3

At this week, the Livelihood Impact Fund launched the Global Vision Impact Award — a new funding opportunity for gover...
05/20/2026

At this week, the Livelihood Impact Fund launched the Global Vision Impact Award — a new funding opportunity for governments ready to build national near-vision programs and get reading glasses to the people who need them.

The award will provide up-front technical assistance, policy design support, and catalytic funding for 15 governments to establish the supply chains, training, and policy frameworks needed to deliver glasses at scale.

Over 1.8 billion people worldwide struggle to see up close as they age. 800 million don't have access to reading glasses. The fix costs under US$1 per person to produce.

Governments can register interest now. https://ow.ly/8ZRN50Z2iXt

Congratulations to Livelihood Impact Fund on the launch, and to partners Vital Strategies, World Health Organization (WHO), VISION 2020/IAPB, Last Mile Health, and Lwala Community Alliance.

As WHA discussions continue in Geneva, one question deserves more attention: not just who makes vaccines, but whether re...
05/20/2026

As WHA discussions continue in Geneva, one question deserves more attention: not just who makes vaccines, but whether regional manufacturers can stay in business long enough to deliver those vaccines.

Both Latin America and Southeast Asia have established vaccine manufacturers and made meaningful progress. Yet several challenges are weakening the regional manufacturing base. Technology transfer agreements often cap where products can be sold, demand signals across countries remain fragmented, and regulatory systems create friction for supply moving across borders. The hard part of regional vaccine manufacturing isn't building the capacity. It's making sure manufacturing is "fit-for-purpose."

Our two new whitepapers lay out what that requires:

Latin America: https://ow.ly/jlt750Z0m87

Southeast Asia: https://ow.ly/z7HW50Z0m85

Latin America went from sourcing less than 1% of its vaccines regionally to 23% in five years. That's a real shift.But b...
05/18/2026

Latin America went from sourcing less than 1% of its vaccines regionally to 23% in five years. That's a real shift.

But building capacity and sustaining it are two different challenges.

New research from CHAI and RVMC finds that most regional manufacturers are still confined to their home markets, and government purchasing commitments remain limited, making it difficult for manufacturers to plan and invest with confidence.

As global health leaders gather in Geneva this week, we're publishing new findings on what it actually takes to make regional vaccine manufacturing sustainable — and what needs to change to get there.

https://ow.ly/HxwP50Z0lIW

Southeast Asia has several vaccine manufacturers, a strong track-record of investments, and political will behind region...
05/18/2026

Southeast Asia has several vaccine manufacturers, a strong track-record of investments, and political will behind regional vaccine production. What it doesn't yet have is the market conditions to make that capacity commercially sustainable.

An estimated 60–90% of the region's manufacturing capacity sits with a single producer. Most others supply primarily to their domestic market. And different national regulatory systems make cross-border supply slow and costly, even where the capacity exists.

New research from CHAI and RVMC maps the structural risks and sets out a practical path forward. Published today as global health leaders convene at WHA.

https://ow.ly/BiV750Z0m1o

🌍 Africa's health systems are at an inflection point. As global health funding declines, African governments are chartin...
05/06/2026

🌍 Africa's health systems are at an inflection point. As global health funding declines, African governments are charting a new path: building health systems that thrive on their own resources. Today, ONE and CHAI announced a partnership to support this work. We're bringing technical expertise in health financing and political advocacy to help governments in Nigeria, Senegal, and Sierra Leone lead their own reform. Because a mother in Lagos or Freetown shouldn't have to bankrupt her family to access care. And African governments are building the systems to make that possible.
https://ow.ly/vtAk50YVaWC

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