
ACTION started as a group of people working in the TB advocacy space who wanted more priority, resources, and action given to a disease killing millions every year. The group called itself “Advocacy to Control TB Internationally,” or ACTION. Since then, ACTION has expanded across issue areas and geographies, leveraging the power of partnership to drive real change.
Focused on issues like tuberculosis, childhood immunizations, undernutrition, and health inequity in underserved and vulnerable populations, ACTION has partnered with civil society, affected communities, parliamentarians and government officials, and global health leaders to drive progress rooted in evidence, equity, and ambition. Despite challenges such as shrinking civil society space, resistance to multilateralism, and reduced ODA budgets, ACTION remains a leader in advocating for inclusive, locally driven global health approaches.
Read more about our history here.

ACTION’s 20 year history: A timeline

ACTION moment
- Advocacy to Control Tuberculosis Internationally (ACTION) is founded with a grant from the Gates Foundation.
- ACTION has partners in the U.S. (Results Educational Fund), Canada (Results Canada), the UK (Results UK), Japan (RESULTS Japan), Europe (what would later become Global Health Advocates), and India (Æquitas Consulting Pvt. Ltd.), and focuses on increased resources for Tuberculosis (TB) and TB-HIV.
Global Health moment
- Tuberculosis is the leading cause of death from a curable infectious disease and in 2004, there was an estimated 8.9 million new cases of TB worldwide.
- The number of deaths from HIV-related illnesses worldwide reaches its peak, sparking the World Health Organization (WHO) and its partners to declare the treatment gap in antiretroviral therapy a global emergency.

ACTION moment
- ACTION publishes its first “Global Tuberculosis Report Card” that looks at which countries are succeeding and which countries are failing to respond to the TB epidemic.
- $288.40 million for TB (bilateral and multilateral resources, including the Global Fund) is mobilized in ACTION markets.
Global Health moment
- The number of deaths from TB worldwide reaches its peak of 2 million and is declared an emergency in Africa.
- The Global Fund to Fight AIDS, Tuberculosis, and Malaria (The Global Fund) has its first replenishment, garnering a total of $3.73 billion for the 2006–2007 funding period.
ACTION moment
- ACTION releases its first donor report card on the Global Fund to Fight AIDS, Tuberculosis and Malaria that grades major donor countries based on their current pledges compared to their corresponding fair shares.
- ACTION publishes the first “HIV/TB Report Card for 22 High Burden Countries” that shows the 2006 UNAIDS estimated prevalence of HIV in the 22 TB high burden countries and highlights the deadly synergy between the two conditions.
- $324.29 million for TB is mobilized in ACTION markets.
Global Health moment
- The Global Plan to Stop TB launches, calling for coordinated action from advocates, countries, civil society, and community groups to fully implement its strategies, mobilize resources, and support patients in accessing quality TB care.

ACTION moment
- KANCO (Kenya) joins the ACTION Partnership.
- ACTION supports TB-HIV activists to travel to Canada, the UK, and the U.S. to raise awareness about Africa’s TB emergency for the first time.
- The Global Fund’s second Replenishment garners $423.92 million for TB in ACTION markets.
Global Health moment
- Development assistance for health reaches nearly $22 billion, quadrupling between 1990 and 2007.
ACTION moment
- ACTION and allies mobilize 85,000 letters and postcards to health leaders across the globe, including U.S. Presidential candidates, demanding action on TB and HIV/AIDS.
- ACTION markets mobilize $456.86 million for TB, including $68 million to the Global Fund.
Global Health moment
- A new outbreak of polio spreads from Nigeria to West Africa. Polio eradication becomes the World Health Organization’s “top operational priority.”
- First Lancet series draws attention to the importance of maternal and child nutrition and the first 1,000 days.
ACTION moment
- ACTION founders Joanne Carter (U.S.) and Dr. Bobby John (India) are appointed to the Global Fund Board NGO Delegation.
- Global Health Advocates in France creates the TB Europe coalition, whose mission is to support civil society to drive the TB response.
Global Health moment
- The UNAIDS Outcome Framework recommends a specific strategy on preventing people living with HIV from dying of TB.
- The H1N1 outbreak signals the need for joint collaboration in tackling global health challenges.
- The Affordable Medicines Facility – Malaria (AMFm) is launched by the Global Fund to significantly increase access to effective anti-malarial drugs.

ACTION moment
- ACTION publishes “Women and Tuberculosis: Taking a Look at a Neglected Issue” and “PEPFAR Advocacy Case Study,” bringing attention to neglected diseases and the path to change.

- ACTION publishes “Aid without Impact: How the World Bank and Development Partners are Failing to Improve Health Through SWAps,” which assesses the efforts of the World Bank to address TB in sub-Saharan Africa through sector-wide approaches (SWAps).
Global Health moment
- Polio infections are at an all-time low.
- The UN Declaration of Commitment on HIV/AIDS is published, which sets out a series of national targets and global actions to reverse the epidemic.
- The first rapid molecular test for detection of TB is deployed, which helps detect TB — and the need for treatment — early.
- The United Nations Secretary-General launches the Scaling Up Nutrition (SUN) Movement, which brings a new level of collaborative effort to combat malnutrition globally.
- The UN launches the Global Strategy for Women’s and Children’s Health, providing a road-map to ending all preventable deaths of women, children and adolescents.
- The global health community declares 2011–2020 to be the Decade of Vaccines.

ACTION moment
- Results International (Australia) joins ACTION.

- The European Parliament adopts an ACTION- and TB Vaccine Initiative (TBVI)-developed resolution urging the European Commission and member states to pursue innovative financing to support vaccine research in developing countries.

- ACTION partners with the Stop TB Partnership to launch the Save A Million Lives Initiative (SAML) at the United Nations High-Level Meeting (UNHLM) on HIV/AIDS, where influential leaders called for urgent action against TB-HIV, resulting in commitments to reduce HIV-associated TB deaths by 50% by 2015. Additionally, ACTION plays a key role in shaping the outcome document, drafts speech content for grammy award winner Alicia Keys, and helps to secure support for TB-HIV through funding and policy commitments from major donors.
- ACTION publishes “Children and Tuberculosis: A Hidden Epidemic” analyzing the link between the burden of TB and the world’s most vulnerable children — those who are malnourished, orphans, or living with HIV — to shed light on a neglected epidemic.
- At the first Gavi, the Vaccine Alliance (Gavi) replenishment campaign, ACTION Partners help persuade leaders to pledge $2.1 billion to Gavi, including $100 million from the U.S.
- ACTION Partners GHA, Results UK, KANCO, and RESULTS Japan drive a global push for a Financial Transaction Tax (FTT) by mobilizing support from French and EU leaders and rallying civil society at high-profile events like the G8, while also organizing a large demonstration at the G20 summit to highlight the urgent need for an FTT to fund global health and development.
- Results Australia builds strong coalitions with UNICEF and Save the Children Australia, coordinating a health worker and vaccine exhibit at the Commonwealth Heads of Government Meeting and leading a call to eradicate polio, culminating in Australia’s Prime Minister announcing a A$50 million pledge over four years to the Global Polio Eradication Initiative (GPEI).
Global Health moment
- The last case of wild poliovirus is reported in India.

ACTION moment
- CITAMPlus joins ACTION.

- ACTION expands its focus from specific funding campaigns, like the Global Fund replenishment, to broader global health advocacy, starting with its involvement in the Gavi replenishment, leading to an expanded advocacy agenda that includes child health, nutrition, and polio, while also growing its partnerships and securing new funding sources.
Global Health moment
- The UN Commission on Life-Saving Commodities for Women and Children is launched to ensure women and children have essential medicines, medical devices, and health supplies to prevent avoidable causes of death during pregnancy, childbirth and childhood.

- HIV infections drop by 50% or more in 25 low- and middle-income countries since 2001, leading to celebrations and a call for continued political and financial support to strengthen efforts to end epidemics globally.

- Over 60 countries begin using Xpert MTB/RIF, improving TB case detection rates and enabling earlier and more effective treatment, especially for multidrug-resistant TB (MDR-TB) and TB-HIV co-infection

- New TB drugs (bedaquiline, delamanid, linezolid, and clofazimine) are introduced to more successfully treat drug-resistant TB.
- The World Health Assembly (WHA) adopts 6 targets on reducing stunting, wasting, anemia, low birth weight, and childhood obesity to prevent childhood deaths and other adverse effects of poor nutrition.
- The Global Vaccine Action Plan 2011–2020 (GVAP) is unanimously endorsed by the WHA and provides a framework to prevent millions of deaths by 2020 through more equitable access to existing vaccines for people in all communities.

ACTION moment
- ACTION Partners help persuade leaders in their markets to pledge $3 billion to scale up the global response to undernutrition at the first Nutrition For Growth summit in London.
- ACTION publishes the “Gavi Donor Immunization Record,” which tracks the progress of donor’s delivering on their Gavi pledge commitments.
- ACTION begins conducting accountability work in Australia, Canada, Japan, and the UK to ensure GPEI pledges from these markets are fulfilled.
Global Health moment
- The WHO Global Tuberculosis Report 2013 shows that TB incidence and mortality continue to decline globally. Between 1995 and 2013, an estimated 22 million lives were saved due to improved TB detection and treatment.
- The first ever Global Vaccine Summit takes place in Abu Dhabi and garners $4 billion for the GPEI.

ACTION moment
- WACI Health joins ACTION.
- ACTION publishes “From Rhetoric to Reality: An Analysis of Donor and Implementing Country Efforts to Scale Up the TB-HIV Response,” calling on key stakeholders, including the Global Fund and PEPFAR, to enhance their commitment to and funding for effective TB-HIV integration in high-burden countries.
Global Health moment
- WHA Resolution on Universal Health Coverage (UHC) calls for increased commitments to primary health care access.
- According to the WHO, between 2000 and 2013, 37 million lives were saved through TB diagnosis and treatment, and malaria mortality rates have fallen by 47% globally since 2000.
- The Global Nutrition Report is established as an accountability mechanism to track nutrition targets and commitments.
- The WHO Region of South-East Asia is declared polio free by the World Health Organization.

ACTION moment
- ACTION launches “Following the Funding: Nutrition for Growth,” its first N4G scorecard, which describes progress on financing global nutrition needs, gaps in resources, and recommendations to donors.
- ACTION publishes “Following the Funding: Gavi, the Vaccine Alliance,” a scorecard of the 2015 Gavi replenishment which details the ambition of donor pledges and sets the stage to track pledge delivery as advocates can determine whether donors are contributing their fair share to Gavi.
- ACTION serves on a committee that launches the Global Financing Facility (GFF); ACTION member Joanne Carter becomes one of the first CSO representatives in the GFF Investors Group.

- ACTION positions itself across key markets, utilizing media engagement strategies — such as journalist delegations to Tanzania and Indonesia, grassroots outreach, and training health workers and advocates from Africa and Asia — to amplify support for Gavi. These efforts help generate over 200 media pieces, including coverage in major outlets like The New York Times and BBC, contributing to $4.52 billion in commitments for Gavi through high-impact advocacy in the U.S. and UK.
Global Health moment
- United Nations Member States adopt the 2030 Agenda for Sustainable Development (the Sustainable Development Goals, SDGs).
- TB surpasses HIV/AIDS as the world’s leading cause of death from an infectious disease.
- WHO launches its Global Action Plan on Antimicrobial Resistance (AMR) that aims to improve awareness of AMR, reduce the incidence of AMR infections, and develop the investment case.
- WHO launches its End TB Strategy, an effort to “achieve a world free of TB, with zero deaths, disease and suffering due to the disease.”

ACTION moment
- ACTION publishes “From Policy to Practice: How the TB-HIV Response Is Working” which amplifies the “deadly duo” impact of TB-HIV.
- The $75 billion IDA18 Replenishment leads to a 50% increase in pledges from IDA17, which ACTION helped to raise.

- ACTION Partners help mobilize $9.9 billion in new resources for the Global Fund at the fifth Global Fund replenishment, making up 77% of the world’s pledges.
- ACTION helps to ensure that perspectives and expertise of civil society advocates and Members of Parliament from across Africa are included in the AU-endorsed Addis Declaration on Immunization during the Ministerial Conference on Immunization in Africa.
Global Health moment
- The UN General Assembly (UNGA) holds a High-Level Meeting on Antimicrobial Resistance (AMR), calling for initiatives like an increase in affordable and accessible antimicrobial medicines and vaccines.
- UNGA declares the UN Decade of Action on Nutrition (2016–2025), marking a new ambition and direction in global nutrition action.

ACTION moment
- HDT joins the ACTION Partnership.

- ACTION launches a new Strategic Framework outlining advocacy goals for 2017–2021 and commits to enhancing its impact, influence, and partnership to galvanize political will and achieve the ambitious sustainable development agenda.
- ACTION publishes “Progress in Peril? The Changing Landscape of Global Health Financing,” which examines the risks of transition in health care financing in low-income countries experiencing economic growth.

- ACTION publishes its GPEI scorecard that analyzes donor performance in delivering on 2013 pledges and provides recommendations for pledges to the GPEI in the June 2017 pledging conference.
- Italian CSOs, led by ACTION Italy, continue to work closely with Italian leadership to push for a successful Global Nutrition Summit in Milan. Results UK’s advocacy helps to connect Indian philanthropy Tata Trusts to DFID, ultimately leading to Tata Trusts’ commitment of $50 million at the Milan Summit, and unlocking matched funding from DFID.
Global Health moment
- CEPI – or the Coalition for Epidemic Preparedness Innovations – is launched at Davos.

ACTION moment
- ACTION publishes “Where are the Missing Millions?” TB accountability tool that provides six actions that governments, civil society, affected communities, and the private sector can take to better find and diagnose TB.
- ACTION Africa is established and publishes their “Priority Frame,” which serves as a strategic guide for coordinating advocacy efforts across the continent.
- ACTION publishes “Investing in the Early Years to Build Human Capital: Practical Solutions and Tools for Parliamentarians,” supporting parliamentarians to advocate for increased investments in human capital with their government and the World Bank.
- ACTION Africa launches the “GFF We Want” campaign, which focuses the voices of implementing countries in efforts around GFF replenishments and policy changes.

- ACTION works to ensure high-level political and affected-community engagement at the first ever UN High-Level Meeting on TB, resulting in a declaration endorsed by UN member states that includes ambitious targets on finding and diagnosing people with TB, and robust financial targets.

- ACTION feeds recommendations into the Human Capital Index, which is launched by the World Bank to measure progress on investments in people (including health and nutrition).

- Carol Nawina Kachenga of CITAMPlus delivers a powerful call to action at the 22nd International AIDS Conference, urging governments of high-burden countries to increase financing and implement integrated TB-HIV strategies, following President Bill Clinton’s keynote address on the critical need to sustain global efforts against HIV/AIDS and tuberculosis.
Global Health moment
- The GFF’s first replenishment garners over $1 billion in additional financing to support RMNCAH.
ACTION moment
- ACTION publishes its fifth edition of the N4G scorecard that presents an analysis of the 12 largest N4G donors and an “ask” for each for the Tokyo N4G Summit 2020.
- $10.3 billion for the Global Fund 6th replenishment is mobilized in ACTION markets.
- ACTION co-chairs the Tokyo N4G Accountability Working Group, drafting the accountability section of the N4G Commitment-Making Guide and helping to develop the working group’s final paper.
Global Health moment
- The WHO launches its five-year strategic plan to ensure “1 billion more people benefit from access to universal health coverage, 1 billion more people are protected from health emergencies and 1 billion more people enjoy better health and well-being.”
- All Gavi-supported countries have introduced the first dose of inactivated polio vaccine (IPV1) into their routine immunization schedules.
- The UN Secretary-General launches a Decade of Action to deliver the Global Goals (2020–2030).

ACTION moment
- ASAPSU (Côte d’Ivoire) and Focus Equality (Italy) join ACTION.

- ACTION publishes “Delivering on the Promise of Immunization: How Far Have We Come? Gavi at 20 Years” and “Seizing the Opportunity: Recommendations for Gavi 5.0” with Save the Children that focused on the progress and challenges of Gavi.
- ACTION helps mobilize unprecedented resources for the fight against COVID-19 through the Access to COVID-19 Tool Accelerator (ACT-A), the Global Fund COVID-19 Response Mechanism (C19RM), the COVAX AMC, and other mechanisms. ACTION helps to inform the creation of these new funding streams and highlights the potential for Gavi and the Global Fund to be pivotal in the COVID-19 response.
- ACTION markets help secure $5.18 billion for Gavi at the virtual Global Vaccines Summit in June 2020, where world leaders pledged a historic $8.8 billion for the next five years to advance immunization efforts.
Global Health moment
- COVID-19 pandemic breaks out and the COVID-19 vaccine is developed.
- The COVAX Facility, co-led by WHO, Gavi, and CEPI, is launched to ensure equitable access to COVID-19 vaccines globally.
- The Immunization Agenda 2030 is created, striving to maintain immunization progress.

ACTION moment
- ACTION’s IDA20 Recommendations result in Human Capital being a “special theme” for the first time.
- ACTION publishes the report “The Impact of COVID-19 on the TB Epidemic: A Community Perspective,” which identifies gaps and needs in TB services from the viewpoint of affected communities. This important work earned recognition from the Stop TB Partnership, culminating in the award of the Kochon Prize to ACTION and its TB/COVID Working Group for their outstanding contributions.
- ACTION markets help garner $11.25 billion for ACT-A, including $8.1 billion for COVAX; $258 million for the GFF; and $17.1 billion for N4G (both nutrition-specific and nutrition-sensitive).
Global Health moment
- Malaria vaccine for children is developed.

- Tokyo N4G Summit mobilizes $27 billion.
- IDA20 Replenishment secures $93 billion.

ACTION moment
- ACTION publishes “Eradicating Polio: In-country Case Studies on the Final Phase of Polio Eradication,” with a focus on Nigeria, Pakistan, and Papua New Guinea.
- ACTION helps to secure $92.35 million from the UK and Australia for the GPEI.
- ACTION supports CEPI’s first-ever resource mobilization campaign, garnering $784 million in ACTION markets.
- ACTION Partners lead critical advocacy with the Global Fund to set an ambitious resource mobilization target for the 7th replenishment, asking donors to increase their 6th replenishment pledges by at least 30%. Of the historic $15.7 billion pledged, $11.87 billion was mobilized in ACTION markets.
Global Health moment
- GPEI partners mobilize a coordinated response to a wild poliovirus type 1 outbreak in Malawi, launching a 2-year campaign to vaccinate more than 50 million children in southern Africa.
ACTION moment
- ACTION publishes “Discussion Paper on Advancing African Regional Manufacturing of Vaccines and Other Medical Countermeasures,” which demands greater capacity to manufacture vaccines, diagnostics, therapeutics, and other medical countermeasures locally on the African continent.

Global Health moment
- The Second UN High-Level Meeting on TB is held to review progress in the fight to end TB and garner new political commitments to end TB.
- The first UN High-Level Meeting on Pandemic Preparedness, Prevention and Response is held, which focuses on how to better meet global health challenges.
- The WHO launches the “Big Catch-Up” to reverse the backsliding of routine immunization caused by the COVID-19 pandemic.

ACTION moment
- ACTION celebrates its 20th anniversary!
- ACTION publishes “Equitable Access and Product Development Partnerships Discussion Paper: A Deep Dive on CEPI” and “A Different Kind of Gap,” which analyzes funding gaps in TB needs.
- RESULTS Educational Fund (REF) works with the White House, resulting in President Biden’s budget including US$30 million in new funding for the GFF — the first time the GFF was featured in a White House budget.
- REF plays a key role in securing the U.S. pledge of at least $1.58 billion for Gavi over the next five years, announced at the IO launch, by advising Gavi’s U.S. team and leading high-impact strategies. Global Health Advocates in France contributes significantly to France’s support, helping build momentum as the host of the Gavi IO launch and securing a French pledge.
- Results Canada helps secure a renewed pledge by the Canadian government to the GPEI of C$151 million, putting Canada over the C$1 billion threshold of its historic contribution to polio eradication through the GPEI.
- ACTION engages in the IDA21 replenishment process by meeting with World Bank senior management and collaborating with a coalition of CSOs to produce a “Call to Action” document highlighting key health, nutrition, and pandemic preparedness priorities for inclusion in IDA21.
Global Health moment
- IDA21 Replenishment is in full swing, which is the World Bank’s commitment to “Ending Poverty on a Livable Planet” through a renewed focus on delivering impact with urgency and ambition, incorporating reforms such as a new scorecard to enhance accountability and outcomes, and a simplified operational approach to address the pressing needs of low-income countries amid global challenges.
- The WHO declares mpox (formerly known as monkeypox) a public health emergency of international concern in August, and Gavi ships 15k doses of the mpox vaccine to the DRC.
- The Rwandan Ministry of Health confirms the country’s first outbreak of Marburg virus disease (MVD) in September.
- 15 African countries are expected to introduce malaria vaccines with Gavi support by the end of 2024.
