Investing in Impact

Global Health Financing - Who's Filling the Gap?


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Who's filling the gap when donor funding exits, and what will it take to build markets that don't need permission to grow?

In this second episode of Investing in Impact, host Moses Waweru sits down with David Saunders and Efosa Ojomo to tackle a question reshaping the continent's health innovation landscape: as donor capital retreats, who steps in and on what terms?

Together, they explore how shifting capital flows are forcing a reckoning with an uncomfortable truth: not all investment fits every context, and solutions built on dependency rarely survive the transition. The conversation moves from diagnosis to design, unpacking what it actually takes to build health innovations that generate real demand, attract the right capital, and grow on their own terms.

The big takeaway? The question was never who funds the solution. It's whether the solution creates enough value to fund itself.

In this episode:• Who steps in when donor funding exits, and what that means for health innovation• Why not all capital fits every context, and how to find the right fit• What it takes to build markets that grow without permission• How to design for demand, not dependency

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Investing in ImpactBy Villgro Africa