Africa faces a persistent challenge in financing healthcare, often characterised by limited public spending, high out-of-pocket payments, low domestic funding, and fragmented donor and funding flows. To tackle these challenges, countries are turning to Strategic Health Purchasing (SHP)—a smarter approach to delivering better health outcomes for every dollar spent, ensuring more equitable and accountable use of both domestic and donor resources. "Strategic Health Purchasing can improve how a health system uses information on population health needs and provider performance to more effectively allocate resources to health providers—even in fragile settings." - Boniface Mbuthia, Technical Director, Health Financing, Amref Health Africa