Domestic Health Financing
Advocating for stronger domestic investment, accountable public resources and sustainable financing for health in Zambia.
Where Zambia Stands
Zambia's 2026 health-sector allocation remains below the 15% commitment under the Abuja Declaration.
5.3 percentage points below the targetWhy Domestic Health Financing Matters
Sustainable domestic financing is essential for ensuring that communities can access quality health services and that Zambia can strengthen its health system over the long term.
At Alliance for Accountability Advocates Zambia (AAAZ), we advocate for increased domestic investment in health while promoting transparency, accountability and evidence-based decision-making around public resources.
What We Do
We use evidence, advocacy and public accountability to promote stronger and more sustainable domestic financing for health.
Budget Tracking
We track and analyse public resources allocated to the health sector to identify financing trends, gaps and opportunities for improved accountability.
Policy Advocacy
We engage policy and decision-makers and make evidence-based submissions to promote stronger domestic investment in health.
Community Health Needs
We advocate for public resources, including CDF, to respond to identified health needs within communities.
Reproductive Health
We advocate for sustainable financing for reproductive health and related services, particularly where financing gaps persist.
Medicines & Supplies
We promote stronger domestic financing and accountability to support reliable access to medicines and medical supplies.
Accountability
We promote stronger oversight and follow-up on public resource management to improve value for money in health.
From Evidence to Action
Our approach connects evidence with advocacy and accountability to support better health financing decisions.
Research
Generate evidence and examine financing trends.
Track
Monitor public resources and budget allocations.
Advocate
Engage decision-makers through evidence-based advocacy.
Account
Promote transparency, oversight and value for money.
Our Advocacy Priorities
Explore the issues at the centre of our domestic health-financing advocacy.
We advocate for government to increase the share of domestic resources allocated to health and work towards meeting the 15% Abuja Declaration target.
We advocate for mechanisms such as the Constituency Development Fund to respond to identified health needs within communities, while recognising the limitations of CDF as a standalone financing solution.
We support approaches that strengthen sustainable domestic health financing, including increased health insurance contributions and dedicated revenue measures for reproductive health.
We promote stronger oversight of public resources and follow-up on resource management to improve transparency, accountability and value for money in the health sector.
Explore Our Health Financing Work
Access budget submissions, research, analysis and other resources related to health financing and accountability.