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  • The Campaign for Tobacco-Free Kids established


  • Global Tobacco Control Program established


  • Global Health Advocacy Incubator launched
  • Road Safety program launched

When the Global Health Advocacy Incubator launched:


Number of countries in which GHAI works


Number of programs


Policies enacted

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  • Food Policy Program launched
  • Maternal and Reproductive Health program launched in Tanzania
  • GHAI releases two guides: the Advocacy Action Guide and Media Advocacy Guide


  • More than 170 journalists across the globe participate in the first Road Safety journalism training programs to elevate road safety issues in their countries. 
  • Cardiovascular Health program launched
  • Prevent Epidemics program launched
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  • Drowning Prevention program launched
  • Data for Health program launched


  • Maternal and Reproductive Health program transitioned to the Government of Tanzania
  • Road Safety Program expanded from six to nine countries: Bangladesh, China, Colombia, Ecuador, India, Mexico, Uganda, Ukraine and Vietnam. 
  • Overdose Prevention initiative launched
  • GHAI released two videos: the Power of Advocacy and the Our Global Health Advocacy Story: In the Fight for Global Health
  • Advocacy to Impact Health Disparities GHAI hosted “The Future of Global Health Advocacy Event alongside the UN General Assembly
  • The Prevent Epidemics program launched the Budget Advocacy Toolkit for Epidemic Preparedness, a step-by-step learning resource based on our experience and lessons learned through advocacy for increased epidemic preparedness budgets in Senegal, Nigeria and Ghana
  • The Food Policy Program and Cardiovascular Health program are renamed the Food and Nutrition programs
  • The Prevent Epidemics program launched the Prevent Epidemics Budget Advocacy Facilitator’s Guide a step-by-step course for facilitators to teach epidemic preparedness advocacy techniques to officials in government and civil society organization advocates. 

At the five-year mark, here's where we stand:


Number of countries in which GHAI works


Number of programs


Policies enacted


  • GHAI hosted a series of five #AdvocyInAction Twitter Spaces discussions on topics including: celebrating women advocates, the power of advocacy, how to prevent the next pandemic, celebrating youth advocates, and advocating for women facing gender-based violence
  • Immunization program launched
  • GHAI hosted two events alongside the World Health Assembly: Advocacy for Domestic Resource Mobilization for Health and Using the Power of Taxes to Prevent non-communicable diseases
  • GHAI hosted Advocacy to Impact Health Disparities alongside the UN General Assembly 
  • Capacity Strengthening projects with Special Olympics, Helen Keller and WHO launch


  • The Health Systems Strengthening and Injury Prevention areas of work were created
  • GHAI releases an updated version of the Advocacy Action Guide
  • GHAI redesigns its website to reflect its 10 year anniversary
  • The Prevent Epidemics Program launched the Health Security Budget Advocacy Academy for Civil Society Organizations to strengthen civil society capacity for budget advocacy in the Africa region. The Health Security Budget Advocacy Academy is a comprehensive one-year program which involves hands-on learning and peer exchange to build the capacity of 7-8 civil society organizations across Africa for epidemic preparedness advocacy. 
  • Strict limits on toxic artificial trans-fat in foods approved by the Health Regulatory Agency, Anvisa.
  • Food Safety and Standards Authority of India (FSSAI) issued regulations to limit trans fats in edible refined vegetable oils to 3% by January 2021 and 2% less by January 2022.
  • Regulation to limit trans-fat in foods.
  • Published TFA regulations limiting TFA to 2% of total fat in oils, fats, and foods starting December 31, 2022.
  • Passed an administrative order (AO) to establish a 2% trans fat limit and ban partially hydrogenated oils in fats, oils, processed, and packaged food by July 2023.
  • The Ministry of Justice released regulations that limit trans-fats to 2g per 100g of total fats in all fats, oils and foods, a WHO best practice.
  • Following recommendations from the GHAI legal review together with further legal drafting assistance, Rwanda issued an Administrative Order that authorized health facilities as registration points. This legal and policy change has the potential to greatly increase the accessibility of civil registration and ultimately increase the registration of births and deaths that occur within a health facility. 
  • Following a key recommendation of the GHAI legal review, together with a series of meetings and workshops with inter-departmental agencies highlightling the importance of stillbirth reporting, Thailand Department of Health adopted perinatal reporting guidelines requiring all hospitals (both public and private) to report all stillbirths starting April 2022. This is a critical public health step to recognizing and reducing the incidents of stillbirth. 
  • In July, following 5 years of detailed technical assistance and legal drafting by GHAI legal advisors, Cambodia adopted a law on civil registration, vital statistics and identity management (CRVSID) that establishes an integrated system linking individuals' births and deaths records, identification and residence to a newly created population register. The comprehensive landmark law removes obstacles and disincentives from the process of registering vital events, established a universal right to an ID card for all citizens, and includes important privacy protections for personal data.
  • Following a gender-focused legal review by GHAI, the government of Rajasthan, India committed to facilitate the provision of civil registration services to all members of the community, including LGBTQI individuals. On July 19, the Chief Birth and Death Registrar issued the first birth certificate to a transgender individual.
  • In 2022, we began budget advocacy for CRVS systems in three pilot countries, including Maldives. In August 2023, this program led directly to the Maldives' Ministry of Finance approving the creation of a cadre of local-level civil registrars and committing to creating and funding island-level civil registrars in 2024.
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  • Dong Thap and Yen Bai provinces have successfully integrated drowning prevention program interventions into provincial plans and budgets. These provinces will no longer need outside support and will scale and sustain interventions province wide each year. 
  • 10-Year National Program on child injury prevention 2021-2030 was approved in July 2021. Program supports drowning prevention interventions and provinces instructed to prioritize and fund these interventions.
  • The government approved a three-year child drowning prevention program.
  • In October, the Minster of Education and training signed an historical circular regulating the development and accreditation of safe survival swim and water safety education in school and injury prevention program.
  • The Health Promotion Levy, a tax on sugary drinks, was signed into law.
  • Constitutional Court decision affirmed right to broadcast public health messages.
  • A new health food policy law was adopted in November which aims to reduce deaths from overweight and obesity with comprehensive, evidence-based food policies, including 1) front of package warning labels (FOPL), 2) advertising marketing restrictions, and 3) regulation of food in school environments.
  • A front-of-package warning label law was passed by Congress and signed by the President, requiring the Ministry of Health develop regulations within a year establishing mandatory warning labels based on the best scientific evidence and free of conflict-of-interest. The implementation of this began in June 2023.


  • A sugar sweetened beverage tax is part of the 2022 Finance Act signed into law by President Buhari on December 31.
  • Front-of-package label (FOPL) decree went into effect in February 2021 providing for front-of-package warning labels stating excess of sodium, total sugars, total fats, saturated fats.
  • Prime Minister Mia Mottley announced the country will increase the sugar-sweetened beverage tax from 10% to 20% as of April 1.
  • Two years after approval, implementation of the front-of-package warning labelling (FOPL) regulation began in October.
  • The Colombian government approved a tax on sugary sweeten beverages and ultra-processed products.
  • Brazil increased the budget for the National School Feeding Program (PNAE) in 2023 by 39%, increasing the program’s scalability and sustainability.
  • The city of Niteroi passed Law 3766/2023 which prohibits the sale, marketing, and distribution of ultra-processed products that contribute to childhood obesity in schools. The policy provides the first legal definition of ultra-processed products in Brazil, including qualifying ingredients, additives, production processes, and specific examples of products that should be prohibited. 
  • In July, Rio de Janeiro passed a municipal law prohibiting the sale and offer of Ultra Processed Products in all preschool and elementary public and private schools.
  • The Constitutional Court has ruled in favor of the constitutionality of the sugary drinks tax. Throughout this process, our coalition, backed by global partners and civil society organizations, has staunchly supported the tax, presenting evidence of its fiscal and public health benefits. The tax will be enacted in November.
  • Government approved a 20% tax on SSBs, including fruit juices. The policy will be implemented through the Ghana Revenue Authority. The presidential signature confers authority for the bill to come into force immediately.  The Ghana Revenue Authority confirmed that implementation has begun, starting with the taxing of imported sugar-sweetened beverages and moving to locally produced sugar-sweetened beverages. Full implementation is expected just after January 2024.
  • Approved a sugar-sweetened beverage (SSB) tax, as part of the country's 2023 Supplementary Finance Bill. The new policy increased the existing excise tax on carbonated beverages from 13% to 20% and established a new 10% tax on fruit juices, syrups, and squashes. 
  • Punjab becomes the first state in India to include all three hypertension protocol drugs (Amlodipine, Telmisartan, Chlorthalidone) in its essential drug list (EDL) for primary health care.
  • The government of India launched a plan to get 75M hypertension and diabetes patients under treatment and control by 2025. As part of this effort, the government has integrated that GHAI-supported Indian Hypertension Control Initiative into the nationwide program for prevention of non-communicable diseases.
  • (District: Kigoma): Transition document signed with regional government.
  • The Overdose Prevention Initiative successfully advocated for the Mainstreaming Addiction Treatment (MAT) Act, which would increase access to treatment for opioid use disorder, to be included in the 2022 end-of-year Omnibus spending package. As a result of the Overdose Prevention Initiative's work, the MAT Act was passed with the Omnibus in December 2022 and greatly increased the capacity to treat addiction in the United States overnight. 
  • GHAI assisted Senator Ed Markey (D-MA) in drafting legislation to address the growing number of overdose deaths among service members and their families. The result of those discussions is the Department of Defense Overdose Data (DOD) Act. The DOD Act would require the Department of Defense to report annually on service member and military family overdoses, as well as develop a new standard for the distribution of naloxone or other medication for overdose reversal, opioid disposal materials, fentanyl test strips and other materials to prevent or reduce overdose. The DOD Act was included in the National Defense Authorization Act (NDAA) which was passed by both the House and Senate.
  • Budget increase for Nigeria Centre for Disease Control.
  • The Governor of Kano state increased by 33% funding for the epidemic preparedness and response (EPR) budget line in.
  • The Kano State House of Assembly passed the Public Health Security Bill to ensure greater public health security in the state. 
  • Passage of "Motor Vehicles (Amendment) Bill, 2019."
  • Passage of "An Act Providing for the Special Protection of Child Passengers in Motor Vehicles".
  • The House of Representatives voted 351 - 0 in favor of a constitutional amendment granting the federal government power to legislate on road safety issues.
  • The new Transit Bill contains key road safety measures, including speed reduction and helmet use.
  • Notified the Road Transport Rules 2022 which were pending from 2018 Road Transport Act, strengthening provisions on drink driving, helmets, seat belts, and speed.
  • The General Mobility and Road Safety bill - #LeyMovilidadSegura - became national law in May 2022, which aims to enhance people's safety while using public roads and transportation systems
  • Speed Management Guidelines have been formally approved in the state of West Bengal by Chief Secretary and State Road Safety Council.


  • Official Gazette published on October 10 the National Strategy of Mobility and Road Safety for 2023 – 2042. It addresses the five priority behavioral risk factors, vehicle safety and infrastructure provisions
  • The amended Traffic and Road Safety Act, which now includes speeding, was passed by Parliament and signed into law.
  • Ministry of Works and Transport adopted regulations on child restraints, drink driving, helmets, and seatbelts.
  • CEDEM developed language for the draft speeding law removing the unpunishable 20 km/h threshold and establishing a new list of fines for exceeding the established speed limits by more than 10 km/h.

After 10 years of the Global Health Advocacy Incubator:


Number of countries in which GHAI works


Number of programs


Policies enacted

3 Billion

People reached

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