In an era of unprecedented global challenges—from climate-related disasters to pandemics and political conflicts—health systems worldwide are under immense strain. Sustainable and strategic financing arrangements are essential for building resilient, people-centered primary health care (PHC) systems that can maintain essential functions during these crises. Yet countries face persistent financing challenges: budgeting remains largely input-based, allocations are not made directly to PHC facilities, sub-national actors often lack flexibility to reallocate funds to respond to emergency needs, funds are unpredictable and usage rates are low given rigid public financial management processes