The Future is Collective Case Studies of Collective Social Innovation 2025

Collective action activities Capability Activities Building movementsCreating a shared narrative: FAH is creating a shared narrative that primary and community health systems are cost-effective, scalable and essential for achieving universal health coverage on the African continent. Expanding the stakeholder base: Prior to FAH, primary and community health stakeholders were fragmented and operating in isolation. FAH brings together governments, donors, NGOs and communities to develop collective strategies for primary and community health. Organizing field-level convenings: AFF brings together government ministers, funders, CHWs and other stakeholders for dialogues and roundtables during significant global convenings throughout the year. Centring lived experience: FAH strives to be representative of its constituency base. Its leadership is 100% African and 75% female with 50% representing a younger demographic. Celebrating key milestones: FAH hosted a five-year celebration in 2022, bringing together key stakeholders and marking their key accomplishments since inception. Strengthening data systemsCreating shared definitions: FAH is working to harmonize language used by governments and donors to strengthen policy-making and financing for primary and community health systems. Collecting, analysing and sharing data: FAH enables governments and partners to share data through cross-country communities of practice. Influencing institutionsDeveloping policy recommendations: FAH works with health and finance ministries to co- develop primary and community health strategies, investment cases and financing policy briefs. Specifically, FAH advocates for budget line items for CHWs so that they are formally included in the government payroll system. Developing government data systems: FAH provides technical assistance to governments on primary and community health data systems, if needed. Augmenting government staffing: FAH works at the country level by embedding teams directly into government ministries. FAH also collaborates with ministries of health in key countries through the Health Systems Accelerator Fellowship Program, a one-year programme for government professionals to fortify technical expertise and leadership within primary healthcare departments. Hosting learning communities and building capacityCodifying a methodology: FAH aspires to create a “roadmap” for primary and community health financing sustainability, which will be used by governments to strengthen their primary and community health systems. Capturing and disseminating learnings: FAH has codified the Community Health Financing Assessment Toolkit, an evidence-based self-assessment tool to aid stakeholders in developing innovative and equitable financing strategies for community health. FAH is also building a global knowledge hub that elevates and amplifies primary and community health evidence, thought leadership and frontline stories. Hosting communities of practice: FAH hosts communities of practice where governments can share learnings from their countries and learn from the experience of other health and finance leaders. Consulting, coaching and training: FAH creates training and capacity-building programmes for government employees and health financing stakeholders. To date, FAH has trained more than 4,000 stakeholders. The Future is Collective: Case Studies of Collective Social Innovation 23