Newsletter · Q2 2026

After the aid cuts, what government partners are asking for

Hi Friend,

More than a year after major foreign aid cuts, what do government health leaders actually want from their partners? In her first months as CEO, Danielle Bayer put that question to Ministries of Health in Zambia and Uganda.

Three themes came up again and again:

1

Sustainability matters. Governments want programs integrated into their own systems — ones they can sustain themselves after other support ends.

2

Ambitions haven't narrowed. Governments still need national-scale solutions for health needs; the funding shock only reduced what they have to deliver them with.

3

Cost-effectiveness counts. Partners want low-cost, evidence-based work with visible results.

That's a close match for how we already work. As one government official told her, "Evidence Action is not the loudest, but your impact really speaks for itself."

Here's how those themes — cost-effectiveness, evidence, and working through government systems — showed up across our work in the second quarter of 2026.

Deworm the World

Nigeria

After a decade of deworming, Cross River cut worm infections nearly in half

A Federal Ministry of Health assessment found worm infections down 48.5% and schistosomiasis down 76%. The results from the program — which grew from under 500,000 to 6.5 million children a year — were strong enough that the governor committed state funding on the spot, moving the program from donor-supported to government-sustained.

Read the story →

Safe Water Now

In-line chlorination

Closing the gap between a tap and a safe glass of water

India has given more than 150 million rural households a tap — but a tap isn't the same as safe water. Andhra Pradesh has became one of the first states to commit to closing that gap for every village it can: treating water at the source so what flows from the tap is safe to drink.

Read the story →

Chlorine Bhavani
For fifteen years, Bhavani chlorinated her village's water tank by hand. Now a device doses it at the source, and neighbors who once avoided the tank drink from it.
Watch her story →

Narayanaamma, a trusted voice in Mantada
This ASHA worker went door to door telling families the smell of chlorine is the smell of safety. Reported waterborne illness in the homes she covers fell from 32 in a year to zero.
Watch her story →

Syphilis-Free Start

Maternal syphilis screening at an antenatal clinic

Global Fund GC8 · 2027–2029

A new toolkit to help countries fund syphilis screening — at a pivotal moment

Governments are drafting the Global Fund applications that will shape health systems through 2029. Our GC8 Syphilis Toolkit equips country teams to get syphilis screening into those plans, closing a gap that harms 390,000+ babies a year, most in mothers already receiving prenatal care.

Explore the toolkit →

New, peer-reviewed: what it took to scale dual HIV/syphilis testing
Co-authored by Evidence Action, a new analysis traces a 10-fold rise in dual tests procured (now 78 countries) and documents prenatal syphilis screening in Liberia climbing from single digits to near-universal coverage in just 3.5 years.

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What the World Cup revealed about global health inequality
Talent is everywhere, but the conditions to develop it aren't. Of the eleven countries where we work, only Côte d'Ivoire reached this summer's tournament. It's also the newest country in our Syphilis-Free Start program, which expanded there this year with the aim of reaching 3.6 million pregnant women and preventing 17,000+ adverse birth outcomes.

→

Equal Vitamin Access

India

India's iron supplementation, working at scale — and the harder gap that remains

Our evaluation of progress from 2022 to 2024 reveals both significant gains and the complexity of health systems transformation.

IFA Full Coverage · 2022 vs. 2024

2022 Baseline

2024 Endline

School-Aged (5–19)

30%

65%

Children Under 5

21%

43%

26M

children and adolescents now receiving full IFA coverage, up from 13 million in 2022

These coverage gains have contributed to averting an estimated 3.5 million cases of anemia and roughly 140,000 disability-adjusted life years (DALYs) at less than $100 per DALY averted.

Read the story →

In the Nigerian Tribune: in Oyo State, mothers on a single daily prenatal vitamin (MMS) felt stronger — and at some clinics, monthly antenatal sign-ups more than doubled.

→

The UN warns 2026 could be Nigeria's worst lean season on record — up to 35 million people acutely food-insecure. We're helping the government deliver SQ-LNS to young children and MMS to pregnant women, building delivery that holds for the seasons ahead.

→

Accelerator

Adapting a landmark vaccine trial for Nigeria's 2.1 million zero-dose children

Nigeria has 2.1 million children who've had no routine vaccine at all — 15% of the global burden — and often the supply is there; demand is what's missing. Our Accelerator is adapting a landmark India trial, which raised immunization roughly six-fold, into a Nigeria pilot. Read more →

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AI Access Initiative

Could AI medical-triage chatbots cut deadly delays in care?
The AI Access Initiative — incubated at Evidence Action, now led by Kanika Bahl — published an opportunity analysis on direct-to-consumer health chatbots. Triage over WhatsApp or voice could cut deadly delays in care, and the analysis makes the case for the evidence to do it safely.

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In India, AI monsoon forecasts now reach farmers over WhatsApp
With 2AI's support, Telangana is the first Indian state to send AI monsoon forecasts to farmers over WhatsApp, in local-language text and voice — helping them decide what to plant, how much, and when.

→

Thanks for reading .

Every update above is a proven solution delivered through government systems built to last. Your support makes the next one possible.

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