Montreux Collaborative on
Fiscal Space, Public Financial Management and Health Financing
The Montreux Collaborative is a platform for collaboration between countries and development partners with the aim of generating and disseminating global and country evidence on how to make budgets work for health, with a specific focus on transforming budget formulation and execution practices to make them more agile and responsive to health sector needs
Origins
The Montreux Collaborative started in 2014, when WHO convened the first meeting in Montreux, Switzerland. Since then, biennial meetings bring together more than 2,000 experts and partners interested in the critical relationship between fiscal space, public financial management (PFM) and health financing towards the goal of universal health coverage (UHC).
Objective
The aim of the Montreux Collaborative is to raise the profile of public finance towards achieving UHC, to generate and exchange ideas and lessons to support the implementation of tailored reforms in health, and to consolidate and broaden the network of experts and partners interested in public finance issues for health.
Partnership
The Montreux Collaborative was established by WHO in 2014 as a network of experts working at the intersection of health financing and PFM. Over the years, this community has expanded to include new partners. Since 2025, the Montreux Collaborative has evolved into a platform of six organizations—WHO, the World Bank, GFF, UNICEF, the Global Fund, and Gavi, the Vaccine Alliance—committed to coordinating support for PFM reforms in health.
Resource Hub
WHO has collated key resources to raise awareness and strengthen understanding of the importance of PFM in the health sector. The repository contains various types of materials (e.g. books, working papers, policy briefs, journal articles, blogs, audio files, videos, etc.) produced by a range of partners and experts. The materials are all available on-line and easy-to-use for self-learning. This hub will be regularly updated with new resources.
Events
The first Montreux Collaborative meeting was organized by WHO in 2014, followed by subsequent meetings in 2016, 2017, 2019, 2021 (held virtually), and 2023 in Montreux. Since 2025, the Collaborative has included six partner organizations—WHO, the World Bank, GFF, UNICEF, the Global Fund, and Gavi, the Vaccine Alliance—that jointly co-organize Montreux Collaborative events and related products and activities.
WHO work on fiscal space, PFM and health financing
WHO provides support to its Member States to assess and strengthen public finance systems in support of reforms towards reaching UHC. WHO provides guidance on how to formulate, implement and account for health budgets based on a number of tools and guidelines including PFM bottleneck assessment, analysis of budget structure and assessment of health budget execution practices.