Conference on Public Health in Africa (CPHIA) 2025
Civil Society at the Crossroads: Steps towards Shaping Collaborative Engagement aligned with the Lusaka Agenda
Event Details
Join the Conversation
This is a pivotal moment for civil society in Africa. Be part of shaping the future of collaborative engagement in global health.
Background
Global Health Initiatives (GHIs) such as Gavi, the Global Fund, GFF, Unitaid, alongside UN partners such as the World Health Organisation (WHO) and UNICEF are entering a critical period of evolution. Each is recalibrating strategies to respond to shifting health priorities, embed immunisation and other vertical programmes more firmly within primary health care, and navigate the shrinking fiscal space that is reshaping how health is financed.
Civil society organisations (CSOs) are at a crossroads. They are increasingly called upon to address multiple priorities – reaching zero-dose children, strengthening accountability, drive demand for health services, advocacy for health financing and bringing lived community realities into governance of GHIs among many other roles. At the same time, they must show efficiency and effectiveness, alignment with government priorities, and demonstrate value for money in an era of constrained resources.
The Lusaka Agenda, adopted by African leaders in 2023, provides a framework for this shift. It calls for greater country ownership, reduced transaction costs, and stronger accountability and collaboration across all actors, including CSOs. For civil society, this is an opportunity to ensure their role is recognised not only as implementers but also as advocates and accountability partners, working hand-in-hand with governments and global partners to advance universal health coverage and health security.
For the African Union and Africa CDC, this presents a unique opportunity to drive coherence between global health initiatives, ensure alignment with continental priorities, and safeguard African sovereignty in health decision-making. Their leadership is critical to ensure reforms are not only technically sound but also politically grounded in Africa’s own vision for universal health coverage, health security and domestic resource mobilisation.
CPHIA 2025 provides a timely platform for CSOs, GHIs, and continental partners to examine the changing dynamics of global health initiatives. Aligned with the conference theme — “Moving Towards Self-reliance to Achieve Universal Health Coverage and Health Security in Africa” — the discussion will highlight how CSOs can retain their critical role in building resilient systems, maximise local ownership, and ensure their engagement with GHIs contributes not only to immediate programme needs, but also to the long-term sustainability of health systems and health security across Africa.
Objectives
Build a collective understanding of civil society's evolving role within global health initiatives (GHIs)
Explore how CSOs can align their governance, delivery, and accountability roles with the Lusaka Agenda
Develop concrete steps for collective advocacy and institutional action before engaging governments, GHIs, and donors
Strengthen solidarity between African CSOs across national, regional, and continental levels
Discussion Themes
Financing Realities
- Implications of shrinking fiscal space for sustained CSO engagement and innovation.
- Strategies to diversify resources, sustain advocacy, and align financing discussions with broader self-reliance goals.
- Identify the challenges and opportunities in relation to emerging regional agenda, e.g. political will, availability of domestic resources, establishment of pooled procurement mechanisms for African countries and the move to manufacture local vaccine supplies.
Solidarity in Action
- What CSOs must do—through working groups, boards, and advocacy blocks—to push their institutions towards a shared vision of engagement under the Lusaka Agenda. (A snapshot of the Africa Regional Immunization Advocacy Strategy)
- The importance of platforms and constituencies such as the Gavi CSO Constituency, PMNCH, CiSPHA, and other health networks in building strong peer-learning spaces and coordinated action.
- Opportunities for CSOs to support one another across regions and sectors, amplifying collective advocacy at AU, Africa CDC, WHO AFRO, and beyond.
Frameworks and Evolving Engagement Models
- How CSOs across the different GHIs (Global Fund, Gavi and GFF) are interpreting and engaging with the Lusaka Agenda as they develop their internal governance, delivery, and accountability structures.
- Whether CSOs can agree on a collective vision for short-, medium-, and long-term institutional action under the Lusaka Agenda.
- Specific links to GHI strategies and the Lusaka Agenda, highlighting reforms that prioritise country ownership, accountability, and reduced transaction costs.
- Reflections on what GHIs are getting right (or wrong) in implementing the Lusaka Agenda, and what CSOs envisioned it would look like in practice.
Event Agenda
Networking
Welcome & Framing the Conversation
Director, Partnerships, Village Reach | Gavi CSO Board Representative
- Opening reflection on CSOs at a crossroads
- Scene-setting on Lusaka Agenda and its implications
- Reminder: CSO-first space to shape collective vision
Updates from the Field: CSO Consultations & Working Groups
Insights from consultations: progress, challenges, and institutional memory.
WACI Health Liaison to the AU | Coordinator, CiSPHA
- Overview of ongoing CSO and Africa CDC engagement on the Lusaka Agenda.
Panel: Civil Society Perspectives on Governance, Accountability & Delivery
Desta Lakew
Group Director of Partnerships and External Affairs, Amref Health Africa
Co-Chair of the FGHI Lusaka Agenda Working Group
Cecilia Lodonu-Senoo
Executive Director, Hope For Future Generations Ghana
Deogratias Agaba
Senior Program Manager, Civil Society Engagements, PATH
John Mwangi
Chair, Kenya Malaria Youth Corps
Defining Collective CSO Action
Interactive Mentimeter session identifying 3-4 immediate steps across short-term (2025-2026), medium-term, and long-term timeframes.
Closing & Next Steps
- Host wrap-up
- Debrief dinner with panellists & hosts
- Written report with recommendations
- Ongoing mobilisation through Gavi CSO Constituency
Featured Speakers & Panelists
Meet the experts leading our discussions
Bvudzai Magadzire was elected as the Civil Society Constituency Board Member in January 2024, after serving as Alternate Board Member from 2021 to 2023. During her tenure, she has contributed to several committees, including the Evaluation Advisory Committee, the Audit and Finance Committee, and as an observer to the VIS Steering Committee.
She is the Director of Partnerships at VillageReach, leading evidence generation and impact measurement initiatives in Mozambique, DRC, Liberia, and Malawi. Her work focuses on collaborating with Ministries of Health and partners to inform policy, strengthen systems, and transition donor-funded programs to government ownership. She also engages in global immunization advocacy through groups like the Pandemic Action Network.
Previously, she spent six years at the University of the Western Cape’s School of Public Health, where she earned her PhD and researched access to medicines under an EU-funded multi-country project. Her earlier experience includes global health consulting across Sub-Saharan Africa.
Bvudzai also serves on the Scientific Committee for the Global Symposia on Health Systems Research and has received multiple awards and fellowships, including the Obama Africa Leaders and Skoll Emerging Leaders programs. Throughout her career, she has remained committed to amplifying the voices of local communities and frontline health workers to strengthen last-mile health delivery.

Cecilia Senoo is a Public Health Nurse, a Midwife, a researcher, and gender advocate with over 20 years experience in global health, NGO management and civil society leadership. Cecilia serves on the board of the Global Fund to fight HIV, TB and Malaria, and the board of Roll Back Malaria Partnership (RBM) respectively, representing Developing Country NGOs Delegation. She is an advocate for women and youth empowerment.
She is the founder and the Executive Director of Hope of Future Generations, a Ghanaian community -based health and advocacy organization with focus on women, children and youth. Built on the principles of partnerships, equity, diversity, human right, and Primary Health Care.
Cecilia Senoo holds MPhil Sociology and Social Work, certificate in Project Management and Health System Strengthening. She is currently pursuing a PhD in Public Health at the University of Health and Allied Sciences, Ho, Ghana.

Deogratias Agaba is a Ugandan-based public health, social/behavior change and policy advocacy specialist, with 20 years of combined experience working in the health and development sector, both at local and international level.
He currently works with PATH in Uganda as the Senior Program Manager, overseeing the Gavi-funded CSO engagement portfolio, where PATH is the Fund Manager. So far, 25 Ugandan CSOs are receiving subgrants from this fund that is currently valued at US$ 2.1 million, to promote immunization demand, social accountability and reach zero-dose and under-immunized children.
At regional level, he has championed efforts to establish CSO coalitions in Zambia, Malawi and India, to advance advocacy for increased access to medical oxygen. As such, he has been an active member of the medical oxygen advocacy and demand generation working group, under the Global Oxygen Alliance.
Lastly, Deogratias is also an active member of the Gavi CSO Constituency, supporting its engagement activities, and often acting as a direct linkage between the Gavi-funded Ugandan CSOs and the secretariat, to ensure the CSOs are constantly updated and engaged in the Gavi CSO constituency business. He is a proud father of three fully-immunized children; one son and two daughters.
Desta Lakew is the Group Director of Partnerships and External Affairs at Amref Health Africa, where she leads strategic engagement, advocacy, and global partnerships to advance health equity across the continent. She has over 20 years of experience in public health, philanthropy, and international development, having worked with organizations including UNDP and major foundations in New York. Desta is the founder of the Africa Health Agenda International Conference (AHAIC), a leading platform for dialogue on Universal Health Coverage and health innovation in Africa. She holds a Master’s in Public Health from the State University of New York and serves on advisory boards that shape Africa’s health and development agenda.
Dr. Richard Mihigo is the Senior Director for Programmatic and Strategic Engagement at Gavi, the Vaccine Alliance, where he leads partnerships with the African Union and Africa CDC. A medical doctor and public health specialist with over 25 years of experience, he previously served as WHO Africa’s Regional Coordinator for Immunization and Vaccine Development. Dr. Mihigo has played a key role in advancing equitable vaccine access and strengthening immunization systems across Africa. He holds a Master’s in Public Health from Boston University and an MD from the University of Kisangani.

I currently work with WACI Health as the Liaison Manager to the African Union Commission (AUC) and coordinates the African Civil Society Platform for Health (CiSPHA). I also represent WACI Health in different technical working groups; i.e., the Specialized Technical Committee for health, the African Leadership Meeting (ALM) advocacy and communication and private sector engagement subcommittees, hepatitis TWG, RMNCH taskforce, member of Health, Nutrition and Population partnership which are Technical Working Groups for health within the African Union. Fitsum also represents WACI Health in the Coalition of Advocates for Global Health and Pandemic Preparedness and has convened African CSOs towards the UN-HLM political declaration on Pandemic Preparedness and Response. In addition, I have facilitated the first conveying of the “One Africa TB Summit” which resulted in the first Africa CSOs Common Position on TB as a response to the UN-HLM TB Political Declaration and to guide Africa’s response on TB. Currently, I am consulting the Global Fund’s Country Coordinating Mechanism of Ethiopia (CCM/E) Positioning into existing Health Governance Structures of Ethiopia and by which I have conducted a mapping of the Health Governance Structure, facilitated a national workshop to document roles and responsibilities of the different constituencies withing the Health Governance Structures to effectively support the transition of CCM/E.
In addition, I was a member of a steering group of CSOs and Local authorities for the 6th AU-EU Summit which then evolved to an Advisory Group for CSOs in the AU-EU Partnerships. I also have coordinated a working group of CSOs under Economic Social and Cultural Council (ECOSOCC) of the AU which has produced a policy booklet on 2022 theme of the year “Year of Nutrition”. Currently, I serve as a CSO focal point for Africa CDC and CSOs regular engagement and I serve as an “Alternate Member” Ports2arms (P2A) Community Reference Group for Eastern Africa.
I have a rich experience in research; which was demonstrated in the numerous researches, evaluations, need assessments at Regional and National level on Education, Livelihood, Health and Agriculture. Furthermore, I have consulted the United Nations Economic Commission for Africa (UNECA) in documenting good practices on “school-to-work transition” in three (3) AU member states.
Additionally, I was a member of the C-20 Health working group and has served as a technical youth advisor for the Women and Youth TWG of the African Green Revolution Forum (AGRF) 2015/16.
John Mwangi is a passionate Malaria Youth Champion and the Chairperson of the Advisory Council of the Kenya Malaria Youth Corps (KeMYC), the first youth-led malaria movement in Kenya and a model for similar initiatives nationwide. In this capacity, he provides strategic direction for the Corps and is deeply committed to moulding the next generation of youth leaders in malaria elimination and broader public health.
Previously the inaugural Country Lead of KeMYC, John helped establish the foundation that empowers over 600 young people to meaningfully contribute to malaria and neglected tropical diseases (NTDs) initiatives.
Guided by the philosophy “Zero Malaria Starts With Me,” John is a creative thinker who integrates innovation and inclusion in his daily work as a Social and Behaviour Change (SBC) Specialist. His efforts focus on mobilizing communities, strengthening youth engagement, and advancing equitable health outcomes.
John is currently pursuing a Master of Science in Health Systems Management and Development, driven by his commitment to building inclusive health systems where people from all walks of life can contribute to better health outcomes.

Oyeyemi Pitan is a passionate advocate for young people’s empowerment, health equity, and social impact. She serves as the Executive Director of Gem Hub Initiative, a non-profit organization dedicated to nurturing the potential of young people, whom the organization sees as precious stones. Through her leadership, Gem Hub Initiative has championed innovative programs such as the Teens Mom Project, which equips pregnant adolescents, teenage, and young mothers with economic resilience and cybersecurity awareness, alongside addressing their sexual and reproductive health and rights (SRHR) and maternal, newborn, and child health (MNCH) needs.
Beyond her role at Gem Hub Initiative, Oyeyemi is deeply involved in health systems strengthening, universal health coverage (UHC), and advocacy for equitable access to healthcare. She has contributed to policy dialogues and accountability frameworks, particularly within the Lusaka Agenda, ensuring that financing mechanisms prioritize primary health care, sustainable domestic health financing, and equity in health outcomes. Her expertise spans across advocacy, policy engagement, and collaborative strategies that drive meaningful reforms in health governance.
Oyeyemi’s impact extends to global and national platforms. She is a Civil Society Organization (CSO) representative on a global financing mechanism and has been invited as a panelist and moderator for high-level discussions, including at the Education Summit and World Population Day events. She has actively carried out high level advocacies, including to Nigeria’s National and State Assemblies, demanding for effective policies and oversight function of the legislators in delivering quality, affordable and assessable healthcare for Nigerians.
With a strong commitment to social transformation, policy influence, and youth empowerment, Oyeyemi continues to drive change at the intersection of health, education, and economic empowerment, ensuring that no young person is left behind.
Expected Outcome
A collective understanding of the evolving role of CSOs in shaping governance, accountability, and delivery within global health initiatives
A common understanding and pathway for action on how CSOs, GHIs, and continental partners can strengthen collaboration, streamline engagement, and align with existing frameworks
Target Audience
- Active CSOs from across Africa engaged in Lusaka Agenda
- Regional CSO networks (PMNCH, CiSPHA, etc.)
- Global Health Initiatives (Gavi, Global Fund, GFF, etc.)
- UN Partners (WHO AFRO & UNICEF)
- African Union & Africa CDC
- Policy and advocacy partners
Event Management
Coordinator
Mũtana Wanjĩra
Advocacy & Communications Lead, Gavi CSO Constituency
Hosted by
Amref Health Africa
Support
- Full logistical and communications support
- Event coordination via Eventify Mobile App
- Zoom livestream ("Community Call – Morning Coffee Session")
- Visual recording and graphic facilitation
- Roll-up banners and event materials
Join Our Collective Voice
Join our constituency today and be part of a community committed to making difference. Your voice matters, let's build a stronger future together!
Join our ConstituencyCo-financing policy
Co-financing means that countries contribute to the cost of Gavi-supported vaccines by financing some of the required vaccine doses.
Download PDFFramework for Gavi Funding to Countries
The purpose of this document is to set out the objectives, principles and approach for Gavi funding to eligible countries.
Download PDF