Regional health progress requires efficient cooperation

Too often, well-intentioned organisations work side by side, but not together. The result is duplication in some areas and gaps in others—exactly what fragile health systems cannot afford.

Regional health progress requires efficient cooperation

Across the Middle East region, health systems are under relentless pressure. Conflict, displacement, climate shocks, disease outbreaks and financial constraints increasingly overlap—often in the same countries, at the same time. These challenges do not sit neatly within institutional mandates, and they cannot be solved in isolation.

Too often, well-intentioned organisations work side by side, but not together. The result is duplication in some areas and gaps in others—exactly what fragile health systems cannot afford. In today’s health landscape, progress depends on organisations pulling in the same direction. Without that, even the strongest efforts fall short. In a region under constant strain, coordination is the only way to turn effort into impact.

One year ago, the Regional Health Alliance (RHA) brought together 18 United Nations agencies for a strategic dialogue aimed at changing how we work—moving from parallel initiatives to coordinated action.Convened by the World Health Organisation, the meeting reaffirmed a shared commitment to align priorities, resources and delivery around country needs. Over the past year, that commitment has translated into tangible results.

The Regional Health Alliance provides a practical framework for collective action on health across the UN system. Its strength lies in its diversity—health, development and humanitarian agencies working side by side—and in its focus on outcomes. WHO serves as the Alliance’s secretariat, but more importantly, as its driver: convening partners, grounding collaboration in evidence, and keeping country impact at the centre. This approach has already made a difference.

Conflict, displacement, climate shocks, disease outbreaks and financial constraints increasingly overlap

Action plan

In response to substance use, a growing public health challenge across the region, WHO brought together UNODC, UNESCO, UNICEF and UNRWA under a shared 2025–2026 action plan. This coordinated effort supported policy reform in Lebanon, informed the development of a national strategy in Iraq, expanded treatment services in Afghanistan, Egypt and Pakistan, and mobilised a joint recovery-to-resilience proposal in Kuwait. Each agency contributed its expertise, but it was the shared framework—and sustained coordination—that enabled progress.

The same model has guided collaboration on maternal, newborn and child health and on sustaining polio eradication. By aligning the work of the WHO, UNICEF and UNFPA, six high-burden countries accelerated MNCH plans, supported by global platforms such as Every Woman Every Newborn Everywhere and the Child Survival Action Plan. A high-level ministerial meeting helped elevate MNCH as a political priority while reinforcing the urgency of universal immunisation and ending polio.

Inter-agency collaboration has also been essential in addressing gaps in access to medical products. In December, the Alliance focused on strengthening regulatory systems, pooled procurement and local production of medical products—areas where fragmented approaches have often hindered timely availability, affordability and quality assurance.

We are working with UNDP and the World Bank to enhance regulatory systems in Sudan, Syria, and Morocco

Coordinated engagement

Through coordinated engagement, partners are advancing regulatory convergence and reliance, improving demand forecasting and procurement efficiency, and reducing supply vulnerabilities to support more equitable, sustainable access to priority essential medicines and health technologies. We are working with UNDP to enhance regulatory systems in Sudan and Syria, and with the World Bank to strengthen Morocco's national regulatory authority.

Another priority is the health workforce. Across the Region, shortages, uneven distribution and retention challenges threaten service delivery. Through WHO-led collaboration, countries including Afghanistan, Djibouti, Iraq, Jordan, Pakistan, Syria, Tunisia, UAE and Yemen are working with partners to better understand their health labour markets and plan strategically for the future. Dialogue with the International Organisation for Migration and the League of Arab States is addressing health worker mobility and diaspora engagement, while partnerships with academic institutions and professional councils are strengthening education and regulation.

Looking ahead to 2026, the case for working together is stronger than ever. Ongoing emergencies demand faster, more integrated responses. Climate change, noncommunicable diseases and persistent infectious threats require solutions that cut across sectors. Women, children, migrants and displaced populations must remain at the centre of every strategy.

WHO will continue to drive this agenda—using its convening power, technical leadership and country presence to turn collective commitment into collective action. One year on, the lesson is clear: when organisations move together, health systems are stronger, responses are faster, and progress becomes possible—even in the most challenging settings.

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