The Latin America & the Caribbean (LAC) Dialogue on Reforming the Global Health Architecture brings together more than 100 regional leaders to build alignment and prioritize reforms. The process is coordinated by a regional academic consortium and funded by the Wellcome Trust. It is part of parallel dialogues in other regions and aims to inform reforms to be debated from 2026 onward.
The global health architecture is facing multiple strains. Declining international cooperation funding and shifting geopolitics have exposed structural problems. In response, the Wellcome Trust is convening five simultaneous regional dialogues—Latin America & the Caribbean, Africa, Asia-Pacific, Europe/North America, and the Middle East/Central Asia—to center the perspectives of the communities most affected, especially across the Global South.
The Latin America & the Caribbean Dialogue seeks to forge regional consensus on priority reforms, bringing in multisector stakeholders with deep knowledge of regional realities.
The 2025 process will define sector-specific commitments and implementation pathways to be presented in global decision-making forums.
Since August 2025, the academic consortium has led a systematic consultation process that integrates diverse perspectives across the regional health ecosystem. More than 60 interviews with key actors were conducted to assess the system, propose reforms, and define enabling conditions and implementation pathways.
The Dialogue is driven by a regional academic consortium made up of Tecnológico de Monterrey (Mexico), Universidad Mayor (Chile), the Institute for Clinical Effectiveness and Health Policy (IECS) (Argentina), and The University of the West Indies (Jamaica).
The consortium offers a working forum to identify LAC priorities and proposals to strengthen governance and equity in the global health architecture.
