Over those years, civil society groups in Africa have emerged as core actors in strengthening health systems and financing thereof, a noticeable contrast from just two decades ago, when this was virtually absent. CSO have   gradually emerged as key stakeholders in the implementation process of continental policies and strategies. The engagement of CSO as critical stakeholders, is therefore fundamental to advancing advocacy for increasing domestic resources for health and reorienting health systems in Africa.

Recognizing these efforts, the African Union (AU) has made a strong commitment to work in partnership with civil society and other partners in the implementation of continental policy frameworks.