The Obama administration in the USA, the Cameron government in the UK, and other donors talk almost daily about developing countries owning and directing their health programmes. But are donors ready to do so? And what would that look like? In most cases, donors control exactly how their money will be spent. The donor defines the priorities. We have some ideas to change the dynamic, from the basis of our experience in working closely with ministries of health in six countries. At the Global Health Council annual conference on June 13-17, in Washington, DC, five of those ministries-Ethiopia, Mali, Nepal, Senegal, and Sierra Leone-will issue a call to action that gives practical steps for how to rapidly push forward country ownership of health programmes.
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