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This is a continuation of our previous episode with Emilie Koum Besson discussing the various forms of aid dependency. In this episode, we focus on the relationship between aid and dependency as well as pragmatic solutions.

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For decades, global health has treated aid dependency as a neutral, technical condition, something to measure and manage. But what if dependency is actually a feature of the system, not a bug? Emilie Koum Besson introduces a "Matrix of Dependency Dimensions," revealing eight distinct forms, ranging from historical and epistemic to what she calls "hidden co-dependency," in which elites in both the North and the South benefit from the status quo. She challenges the sustainability-versus-dependency binary, explains when aid shifts from catalytic to excessive, and argues that 2025's rhetorical shift toward sovereignty won't matter without dismantling the actual architecture of global health financing.

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In this conversation, Dr. John Nkengasong of the Mastercard Foundation and former PEPFAR and Africa CDC lead, discusses the evolution of public health in Africa, highlighting Rwanda's leadership in health financing and his own journey through various roles in public health. He emphasizes the need for a new public health order in Africa, focusing on domestic financing, the importance of political will, and the role of young people in shaping the future of health on the continent. The discussion also addresses the challenges facing global health financing and the interconnectedness of health, economics, and security.

Support Dr. Amoako's Pediatric Cancer Project in Ghana: https://www.gofundme.com/f/help-ghanaian-children-fight-cancer-close-to-home

To support us, consider becoming a paid subscriber on Patreon or making a one-time donation via PayPal.

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Follow us on X (@unfiltered_gh), LinkedIn, Instagram, and TikTok.