GENEVA — Ghanaian President John Mahama announced new global health reform mechanisms under the Accra Reset initiative during the 79th World Health Assembly in Geneva in May 2025. The announcement came during the Accra Reset High-Level Dialogue on Global Health Architecture, held on the sidelines of the assembly.

Mahama introduced the High-Level Panel on Global Health Architecture and Governance (HLP-GHAG) to propose reforms to global health systems and financing structures. He also launched two new pillars under the Accra Reset Sovereign Health Agenda: the Reform Observatory (RIO) and the Health Investment National Gateways Enabler (HINGE) mechanism. These entities are designed to support implementation, track reforms, and channel investments into locally led health programs.

The High-Level Dialogue was themed “Geneva Clarion Call: Rethinking Power, Financing and Global Health Delivery.” Discussions emphasized lessons from national reform experiences and the importance of domestic financing, regional manufacturing, institutional resilience, and sovereign decision-making in health systems. Global leaders, including heads of state, ministers, multilateral agencies, and health financing institutions, endorsed a country-led approach to healthcare delivery and reform. The Accra Reset initiative, originally launched by Mahama during the 2025 United Nations General Assembly, aims to reshape development and global health systems around national sovereignty, coordinated execution, domestic capacity, and regional cooperation.

“If the Accra Reset can move health commitments into working programmes, it can do so for any sector. Health is the vanguard, the proof of concept, and the moral imperative,” Mahama said. Indonesian Health Minister Budi Sadikin proposed helping all countries develop proper health care financing pathways so health ministers can convince finance ministers and major banks to invest in health. Brazilian Health Minister Alexandre Padilha said countries in the Global South should play a stronger role in shaping international health decisions.