On the margins of the One Health Summit in Lyon, France, we, Heads of State and Government, leaders of regional and international organizations, global health actors, representatives of civil society REAFFIRM our commitment to multilateralism in order to achieve global health outcomes UNDERLINE that we stand at a defining moment for global health, faced with rapid and unprecedented challenges unfolding amid decreasin...
On the margins of the One Health Summit in Lyon, France, we, Heads of State and Government, leaders of regional and international organizations, global health actors, representatives of civil society REAFFIRM our commitment to multilateralism in order to achieve global health outcomes UNDERLINE that we stand at a defining moment for global health, faced with rapid and unprecedented challenges unfolding amid decreasing development aid, escalating demographic and climate impacts, tighter fiscal space, increased health needs, prolonged conflicts, and economic imbalances, which threaten to overturn hard-won health and human gains. RECOGNIZE the remarkable progress accomplished by the global health community over the past decades and reaffirm our responsibility to sustain these achievements by safeguarding, streamlining and where necessary reinforcing the essential functions of existing multilateral and regional health institutions and partnerships, and by preserving the health-related global public goods they help provide. At the same time, we acknowledge the complexity and fragmentation of the global health architecture which must be urgently adapted and strengthened, so that it can rapidly and effectively respond to emerging health needs and challenges. WELCOME the ongoing discussions on the reform of the global health architecture to make it more efficient, collaborative, sustainable, fit for purpose, country-driven and accountable, including through regional and global initiatives. AFFIRM that reforms must, among other objectives, enable a fundamental shift towards country health sovereignty ; outline concrete transition strategies in support of countries’ self-reliance ; place primary health care at the heart of resilient national health systems ; safeguard sexual and reproductive health and rights ; promote to advance equitable and affordable access to health and innovations and promote inclusive governance ; incentivize a cross-sectoral One Health approach to strengthen health outcomes ; advance meaningful and comprehensive civil society and community engagement. We commit to ensuring to promote that advances in science, in a reformed global health architecture, are increasingly accessible globally to ensure health for all, rooted in an evidence-based approach. Further RECOGNIZE the leadership demonstrated by countries on the need for reform and that the reform of the global health architecture should embrace the ongoing reflections on the evolution of the multilateral development system and global financial architecture and the UN80 process, as well as evolving national and regional dynamics related to health sovereignty. SUPPORT the development of country-platform like approaches as key driver for optimizing coordination between actors and alignment on national strategies, while ensuring the efficient use and mobilization of domestic and complementary external resources in order to increase efficiency and integration. WELCOME to that end the National Health Compacts and similar approaches. SUPPORT the development of a variety of financing tools for health, taking into account the French G7 presidency deliverables and the proposals made by the African Union, among others, and the mobilization of domestic resources as an integral part of increasing health sovereignty. COMMEND the central role of World Health Organization (WHO) as the coordinating and norms and standard-setting authority on international health work, and express our shared determination to actively engage in the joint process supporting the reform of the global health architecture hosted by the WHO. This process should build upon existing global and regional reflections and initiatives, fostering inclusive dialogue, information-sharing and seeking areas of consensus with a strong operational focus. Within an ambitious timeframe, it should lead to a set of recommendations, jointly developed by the actors in global health, and contribute to a strong, efficient and equitable global health ecosystem. REITERATE our commitment to strengthen equitable partnerships, to continue working towards the goal of universal health coverage and the protection of the right to health, to foster constructive dialogue between low-, middle- and high-income countries and to drive synergies amongst global health actors. WELCOME continued high-level political dialogue among interested countries and key global health stakeholders. On the margins of the One Health Summit in Lyon, France, we, Heads of State and Government, leaders of regional and international organizations, global health actors, representatives of civil society REAFFIRM our commitment to multilateralism in order to achieve global health outcomes UNDERLINE that we stand at a defining moment for global health, faced with rapid and unprecedented challenges unfolding amid decreasing development aid, escalating demographic and climate impacts, tighter fiscal space, increased health needs, prolonged conflicts, and economic imbalances, which threaten to overturn hard-won health and human gains. RECOGNIZE the remarkable progress accomplished by the global health community over the past decades and reaffirm our responsibility to sustain these achievements by safeguarding, streamlining and where necessary reinforcing the essential functions of existing multilateral and regional health institutions and partnerships, and by preserving the health-related global public goods they help provide. At the same time, we acknowledge the complexity and fragmentation of the global health architecture which must be urgently adapted and strengthened, so that it can rapidly and effectively respond to emerging health needs and challenges. WELCOME the ongoing discussions on the reform of the global health architecture to make it more efficient, collaborative, sustainable, fit for purpose, country-driven and accountable, including through regional and global initiatives. AFFIRM that reforms must, among other objectives, enable a fundamental shift towards country health sovereignty ; outline concrete transition strategies in support of countries’ self-reliance ; place primary health care at the heart of resilient national health systems ; safeguard sexual and reproductive health and rights ; promote to advance equitable and affordable access to health and innovations and promote inclusive governance ; incentivize a cross-sectoral One Health approach to strengthen health outcomes ; advance meaningful and comprehensive civil society and community engagement. We commit to ensuring to promote that advances in science, in a reformed global health architecture, are increasingly accessible globally to ensure health for all, rooted in an evidence-based approach. Further RECOGNIZE the leadership demonstrated by countries on the need for reform and that the reform of the global health architecture should embrace the ongoing reflections on the evolution of the multilateral development system and global financial architecture and the UN80 process, as well as evolving national and regional dynamics related to health sovereignty. SUPPORT the development of country-platform like approaches as key driver for optimizing coordination between actors and alignment on national strategies, while ensuring the efficient use and mobilization of domestic and complementary external resources in order to increase efficiency and integration. WELCOME to that end the National Health Compacts and similar approaches. SUPPORT the development of a variety of financing tools for health, taking into account the French G7 presidency deliverables and the proposals made by the African Union, among others, and the mobilization of domestic resources as an integral part of increasing health sovereignty. COMMEND the central role of World Health Organization (WHO) as the coordinating and norms and standard-setting authority on international health work, and express our shared determination to actively engage in the joint process supporting the reform of the global health architecture hosted by the WHO. This process should build upon existing global and regional reflections and initiatives, fostering inclusive dialogue, information-sharing and seeking areas of consensus with a strong operational focus. Within an ambitious timeframe, it should lead to a set of recommendations, jointly developed by the actors in global health, and contribute to a strong, efficient and equitable global health ecosystem. REITERATE our commitment to strengthen equitable partnerships, to continue working towards the goal of universal health coverage and the protection of the right to health, to foster constructive dialogue between low-, middle- and high-income countries and to drive synergies amongst global health actors. WELCOME continued high-level political dialogue among interested countries and key global health stakeholders. Adopted in Lyon, France, 7 April 2026 by the representatives or Heads of State and Government of Armenia, Australia, Botswana, Cambodia, Canada, Cyprus, France, Germany, Ghana, Guinea, Japan, Kenya, Norway, Singapore, South Africa, Spain, Sweden, Tunisia, United-Kingdom, And by Africa Center for Diseases Control and Prevention, Gavi- the vaccine alliance, Global Fund to Fight AIDS, Tuberculosis and Malaria, Pandemic Fund, the Joint United Nations Programme on HIV/AIDS, United Nations Development Programme, the United Nations International Children's Emergency Fund, Unitaid, World Health Organization; Wellcome Trust, Pact for Prosperity, People and the Planet (4P); HEAR CSO (Health Architecture Reimagined – Civil Society); Global Health Advocates & Impact Santé Afrique – Co-chairs of the 2026 C7 Global Health Working Group; With the presence of the African Union Commission, the European Commission, the Organisation for Economic Cooperation and Development (OECD) and the World Bank. Adopted in Lyon, France, 7 April 2026 by the representatives or Heads of State and Government of Armenia, Australia, Botswana, Cambodia, Canada, Cyprus, France, Germany, Ghana, Guinea, Japan, Kenya, Norway, Singapore, South Africa, Spain, Sweden, Tunisia, United-Kingdom, And by Africa Center for Diseases Control and Prevention, Gavi- the vaccine alliance, Global Fund to Fight AIDS, Tuberculosis and Malaria, Pandemic Fund, the Joint United Nations Programme on HIV/AIDS, United Nations Development Programme, the United Nations International Children's Emergency Fund, Unitaid, World Health Organization; Wellcome Trust, Pact for Prosperity, People and the Planet (4P); HEAR CSO (Health Architecture Reimagined – Civil Society); Global Health Advocates & Impact Santé Afrique – Co-chairs of the 2026 C7 Global Health Working Group; With the presence of the African Union Commission, the European Commission, the Organisation for Economic Cooperation and Development (OECD) and the World Bank. 7 avril 2026 One Health Summit : pour une meilleure santé du vivant et de la planète. 11 février 2026 Compte rendu du conseil des ministres du 11 février 2026. 1 avril 2026 Déclaration conjointe franco-japonaise sur la santé mondiale. 7 avril 2026 One Health & Beyond: A Multi-Stakeholder Declaration.
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