ACT-SDF Project

As donor funding declines, many African countries face growing health financing gaps that threaten essential services and national health priorities. Building sustainable domestic funding systems has become critical to ensure continuity, resilience, and country ownership of health programs.

• The African Consortium for Sustainable Domestic Funding (ACT-SDF), led by Hecta Consulting, supports countries in strengthening health financing systems and reducing reliance on external aid.
• Operating in Zambia, Tanzania, and Senegal, the consortium works closely with Ministries of Health to conduct situation analyses to identify technical assistance needs.
• Facilitate country dialogues to validate findings and co-develop technical roadmaps aligned with government priorities.
• Promote resource reprogramming and efficiency gains in the short term.
• Strengthen long-term strategies for expanding fiscal space, pooling budgets and harmonizing planning.