# From crisis response to country control: Restoring agency and sustainability in global health

**Authors:** Ebere Okereke

PMC · DOI: 10.1371/journal.pmed.1004961 · PLOS Medicine · 2026-03-03

## TL;DR

The paper argues that global health needs to shift from crisis-driven approaches to sustainable systems that empower countries and ensure long-term progress.

## Contribution

The paper proposes a new direction for global health by emphasizing country agency and sustainable financing.

## Key findings

- Crisis-driven global health models have created fragility and dependence.
- Restoring country agency and strengthening institutions are key for sustainable progress.
- Predictable health financing is essential for long-term success.

## Abstract

Global health is at a structural inflection point. Crisis-driven architectures saved lives but entrenched fragility and dependence. Sustaining progress now requires restoring country agency, strengthening national institutions, and securing predictable, sustainable health financing.

Global health architecture as we know it is at a structural inflection point. In this Perspective, Ebere Okereke discusses priorities for sustainable progress, including restoring country agency, strengthening national institutions, and securing predictable, sustainable health financing.

## Full-text entities

- **Diseases:** Ebola (MESH:D019142), AIDS (MESH:D000163), COVID-19 (MESH:D000086382), HIV (MESH:D015658), malaria (MESH:D008288), polio (MESH:D011051)

## Full text

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## References

14 references — full list in the complete paper: https://tomesphere.com/paper/PMC12956096/full.md

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Source: https://tomesphere.com/paper/PMC12956096