07/30/2026
Knowing where health money was supposed to go is only half the story. Knowing why it did not get there is the harder, more useful half.
Last week in Nairobi, we brought together 30 civil society partners from 17 countries for a peer learning exchange on health expenditure monitoring.
This work sits within our "Collaborating for Open and Accountable Budgeting"(COAB) programme, supported by the European Commission, and our emerging health budget work with the Gates Foundation. Over three days, partners applied a problem driven approach, starting from a concrete health service delivery failure and tracing it back to the specific public finance management bottleneck behind it.
We also introduced our new OBS health budget credibility module, which diagnoses how far health spending strays from what was planned, and how well governments explain those gaps. It will be piloted across these countries this year.
Thank you to every partner who leaned in and dug deep - Shamseya, Bajeti Hub, de Integridade Pública, Freedomforum Nepal, International Budget Partnership Nigeria, IBP Afrique Francophone, Transparency International Rwanda, Verité Research, Uganda Debt Network (UDN), AfroLeadership Osc, NGO Coalition on Child Rights and others, and to the European Commission and the Gates Foundation for their continued support. Later this year we turn to peer exchanges on subnational budget transparency and public participation. Follow our page as that work unfolds.