Global health is entering a period of profound upheaval. As governments reassess foreign aid, donors rethink decades-old models, and African leaders push for greater ownership of their health systems, one question looms over the sector: Who should hold the power to shape global health? Dr. Ebere Okereke is a prominent voice in that conversation. She joins Theory of Change for a wide-ranging conversation with Devex Senior Reporter Michael Igoe about the risks and opportunities of this massive global health shakeup. "Everything's about power. Everything is about politics. But it's also about understanding what power you have," Okereke says. She reflects on the consequences of the dismantling of the U.S. Agency for International Development, the rise of bilateral health agreements, the promise of the Accra Reset, and why African governments must play a far greater role in defining and financing their own priorities. At the same time — with disease outbreaks still testing national response systems — she cautions against retreating from global collaboration, arguing instead for a model that is "locally owned, regionally anchored, but remain[s] part of a global architecture."
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