Network level A subset of these countries is united in the AFF initiative, which brings governments into partnership with donors and high-level political champions to advocate for increased funding and support for community health systems.Action level FAH has worked with 22 national and sub-national governments to increase financing for primary and community health systems and integrate them into the overall public health system.Supporting level The FAH team was the sole seed financial investor in the ideation of AFF, and currently acts as a fiscal sponsor to AFF. It supports governments individually and through the AFF partnership network. Vision: FAH envisions a new reality where domestic and international funders prioritize primary and community health as a key contributor to achieving universal health coverage. In this vision, funders recognize primary and community health as a critical investment rather than a cost to society. Method: FAH describes itself as a “systems orchestrator” focused on strengthening African public sector ecosystems for primary and community health financing. To this end, FAH focuses on the following principles: 1) multistakeholder alignment: align multiple stakeholders towards a common vision; 2) comprehensive strategies: co-develop effective primary and community health strategies and less fragmented modalities to finance them; 3) more and better funding: advocate for the prioritization and greater effectiveness of primary and community health financing; and 4) greater government capacity: build the health financing capabilities of government and global health stakeholders to ensure evidence-based resource allocation. Principles: To create strong ecosystems, FAH is guided by four essential pillars in its current five-year strategy (2023-2027): 1) the money: increase the amount, mix and alignment of community health funding to reduce the annual $4.4 billion funding gap in Sub-Saharan Africa; 2) the policies: demonstrate practical paths to achieving sustainable primary and community health financing while driving inclusion of community health systems into the primary health and global health agendas; 3) the skills: expand the uptake and delivery of training curricula for CHWs while upskilling policy-makers and health leaders on public finance management, and strengthen cross- country learning through communities of practice; and 4) the people: build partnerships and collaboration that bring together multiple stakeholders to strengthen and sustain primary and community health strategies. Practices: FAH designs and implements innovative financing mechanisms that channel private- and public- sector funding to primary and community health systems. FAH also builds long-term partnerships with national and sub-national ministries of health and finance to steward their health systems towards scale and sustainability. Finally, FAH advocates at the local, national and global levels to showcase the evidence for primary and community health and build momentum at all levels.Collective architecture The collective pathway The Future is Collective: Case Studies of Collective Social Innovation 22

The Future is Collective Case Studies of Collective Social Innovation 2025