Azura Sankofa Advisory

Azura Sankofa Advisory is an impact-driven advisory practice embedded within Management Sciences for Health (MSH), drawing on more than 50 years of partnership with governments worldwide.

We partner with governments to navigate an evolving global health financing environment shaped by constrained fiscal space, rising accountability requirements, and increasing reliance on country systems. Our expertise combines systems thinking, deep knowledge of donor policy and governance, fiduciary and audit insight, and strategic and digital design—so national priorities are clearly articulated, credibly financed, and sustained through domestic institutions.

Facing new realities in health financing

Governments are advancing complex health and development agendas amid shifting external financing landscapes, heightened expectations for transparency and accountability, and growing demand for sustainable, systems-based solutions. Azura Sankofa Advisory works at this intersection—centered on government leadership, institutional credibility, and durable systems.

Built for a new era of country-led leadership

For more than five decades, MSH has partnered with governments to strengthen health systems that deliver results. Through Azura Sankofa Advisory, we extend this legacy with a model designed for today’s realities—where government leadership, aligned partners, and accountable systems are central to sustainable progress.

Azura Sankofa Advisory brings together clarity of purpose (Azura) and the wisdom of experience (Sankofa) to help ministries and oversight institutions negotiate effectively, mobilize financing, and deliver lasting impact. 

How we support governments to succeed

• Negotiation readiness and donor engagement: We work alongside ministries of health, finance, budget and economy, national regulators, and subnational governments to strengthen negotiation readiness with bilateral, multilateral, philanthropic, and private-sector partners—ensuring financing agreements align with national priorities and partner expectations.
• Policy-aligned solution design and fundraising: We translate national priorities into high-quality investment cases, concept notes, and financing strategies that meet donor and investor standards.
• Fiduciary and accountability strengthening: We partner with Offices of the Auditor General and other accountability institutions to reinforce fiduciary systems and assurance processes, strengthening transparency, credibility, and confidence in the use of country systems.
• Strategic use of blended financing and digital health: We advise on integrated financing models, including blended public, donor, and catalytic resources, and on deploying interoperable digital solutions that enhance service delivery, financial tracking, performance monitoring, and data-driven decision-making.
• Systems alignment and institutional sustainability: We support governments to embed reforms within national systems and budgets, prioritizing stewardship, interoperability, and locally anchored solutions.

Our approach is grounded in listening, institutional alignment, and strategic design that meets the expectations of governments and development partners alike.

Engagement models

From short, focused engagements to long-term transformation, our approach grows with your priorities. Across every model, we emphasize flexibility, government leadership, and continuous learning—so solutions remain relevant as contexts evolve.