Heads of state, government leaders and global health partners adopted a joint declaration in Lyon to reform the global health architecture. The declaration reaffirms commitment to multilateralism and highlights the urgency of reform amid shrinking development aid, demographic and climate pressures, tighter fiscal space, rising health needs, prolonged conflicts, and economic imbalances that threaten health gains. It recognizes past progress and calls for safeguarding, streamlining and reinforcing existing multilateral and regional institutions to preserve global public goods. Reforms aim to shift toward country health sovereignty, strengthen primary health care, protect sexual and reproductive rights, promote equitable access to innovations, and encourage a cross‑sectoral One Health approach. The declaration supports country‑platform models, national health compacts and varied financing tools, and urges the World Health Organization to lead the reform process with inclusive dialogue.
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