Adapting to the Aid Transition: South–South Collaboration and Catalytic Investment in a Fragmented World
As traditional development aid declines sharply—with cuts exceeding 70% from major donors between 2021 and 2025—African and Asian countries are navigating an unprecedented transition that demands new approaches to achieving universal health coverage. This article examines how South-South collaboration and catalytic investment mechanisms are emerging as critical strategies for sustaining health system progress in the post-aid era. Drawing on global experiences, including from the Joint Learning Network for Universal Health Coverage (JLN) and its Joint Learning Fund (JLF), we share how countries are leveraging peer-to-peer learning to mobilize domestic resources, and innovative financing to build resilient, country-owned health systems that limit the dependence on unpredictable flows of external assistance.










