COVID-19 has demonstrated how woefully unprepared the global health architecture is to manage a pandemic and shown the detrimental consequences of insufficient and fragmented financing for outbreak preparedness, prevention, and response (PPR). Swift action must be taken to accelerate global efforts to ensure adequate funding and governance for global health security, which has been under-resourced and under-prioritized. Building on the recommendations of the G20 High Level Independent Panel, we outline three policy recommendations for the G7 to act upon: (1) Reform and adequately finance WHO; (2) reform and replenish existing global health entities, including for the ongoing COVID-19 response; and (3) establish a pandemic preparedness financial intermediary fund (FIF). Above all, future financing for preparedness must have the mandate and flexibility to allocate across the system and a range of organizations to drive progress.
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