When Yvette Raphael walked into a stakeholder meeting in Kigali in 2019 and asked Gilead's lead researcher, "What are you going to do differently?", she was doing her job. As co-founder of Advocacy for Prevention of HIV in Africa and chair of t...

The America First Global Health Strategy promises something African health advocates have demanded for decades: ownership. Through time-bound bilateral compacts, countries co-finance health programs with the US, gradually taking over as America...

2025 was the year the comfortable illusions of global health shattered. The U.S. withdrawal from WHO, the dismantling of USAID, and controversial bilateral agreements exposed uncomfortable truths about power, dependency, and who really benefits...

This is a continuation of our previous episode with Emilie Koum Besson discussing the various forms of aid dependency. In this episode, we focus on the relationship between aid and dependency as well as pragmatic solutions. 

For decades, global health has treated aid dependency as a neutral, technical condition, something to measure and manage. But what if dependency is actually a feature of the system, not a bug? Emilie Koum Besson introduces a "Matrix of Dependen...