Azura Sankofa Advisory

Facing new realities?

Governments are leading bold health and development reforms amid shifting donor priorities, expanding private sector engagement, and increased pressure to deliver results.

You’re not alone in asking:

• How can we secure and align external financing with national priorities? 
• How do we strengthen systems while meeting donor expectations? 
• How can we build transparency and trust that attract sustained investment? 

Built for a new era of country-led action

For more than 50 years, Management Sciences for Health (MSH) has partnered with governments to strengthen systems that save lives. Through Azura Sankofa Advisory, we are extending that legacy with an adaptive model designed for today’s realities—where governments lead, development partners align, and accountability drives sustainability. 

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 augment ministries’ capacity to lead funding negotiations with partners, including The Gates Foundation, The World Bank, philanthropic foundations, and the private sector, ensuring agreements reflect both donor requirements and national priorities. 
• Policy-aligned solution design and fundraising: We support governments in translating national strategies into high-quality concept notes and investment cases that attract financing from diverse partners and funding mechanisms.
• Fiduciary and accountability strengthening: We equip Offices of the Auditor General and internal audit teams to navigate donor policies and meet international assurance and reporting standards that reinforce donor confidence and public trust. 
• Partnership facilitation and systems alignment: We convene government, civil society, donors, and investors to design integrated approaches that strengthen governance, improve efficiency, and sustain results. 
• Financing strategies for sustainability. From domestic revenue mobilization to blended finance, we design diversified financing models that support the long-term delivery of essential services. 

Azura Sankofa Advisory at MSH is redefining how governments engage development partners by turning national ambition into bankable strategies, strengthening accountability, and building systems that last. 

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.