Over the past 25 years, global health institutions have helped save tens of millions of lives. Each institution has specific roles to play, and many have done so with great success. Together, however, they have grown into a crowded ecosystem, with overlapping mandates and parallel mechanisms that place a heavy administrative load on the countries they serve.
The funding environment has now shifted sharply. Official development assistance fell by 23% in 2025, its largest drop on record. Implementing countries are rightly pushing for sovereignty over their health systems, while funders and institutions face hard choices about what to protect and how the system should be organised for the decade ahead.
This has opened a rare window for reform. Multiple processes and institutions are now rethinking how the global health ecosystem should work. Ideas range from collaboration to devolution and consolidation, but they share a common aim: a simpler system that gives countries greater control over their health futures, while reinforcing the global public goods on which every country depends.
From 2024, Camber has been engaged by a major global health funder to help clarify its priorities for global health reform and identify how it can contribute to a more coordinated and effective system.
Camber began by helping the client make sense of a complex and fast-moving reform landscape. Working closely with cross-functional teams, we mapped the institutions and processes in play and identified where reform could matter most for the client’s objectives.
We then helped translate those priorities into agendas. We built analytical frameworks to assess reform options on their merits and worked through the trade-offs between them. We supported a senior cross-department workshop to align on approaches, and we developed concept papers for internal and external audiences setting out the client’s thinking. Throughout, we started from the functions the global health system needs to perform, and only then asked which institutions are best placed to perform them.
Today, we support our client as they engage with partners around the world. We prepare senior leaders for high-level discussions and facilitate internal alignment and continue to provide analysis on the emerging issues that will shape the future of global health cooperation.
Camber has served as a strategic adviser to the client throughout its global health reform work, helping the team navigate complex institutional choices and testing reform proposals against their likely effect on health outcomes. That rigor has let the client engage constructively in reform discussions, bringing a technical, outcomes-focused lens to questions often framed in purely political terms.
The frameworks and analysis developed with Camber have reached beyond internal use, shaping wider discussions on the future of global health architecture and keeping the focus on what reform actually means for health outcomes.
Camber continues to advise the client as reform moves from diagnosis toward decisions, a pivotal phase that will shape global health cooperation for years to come.
We work with changemakers across the social sector—from local non-profits to global multilaterals—to drive measurable impact.
