New health challenges demand bold, innovative solutions. As Western aid shrinks—most notably U.S. funding cuts—low- and middle-income countries must embrace self-reliance and global partnerships. One promising tool is Social Impact Bonds (SIBs), which blend private capital with public goals to drive measurable health outcomes. From India’s maternal health gains to Cameroon’s cataract surgeries, SIBs prove that performance-based financing can transform healthcare.

Seeking innovative health financing strategies for Africa is important and we need to find a solution urgently