Across Africa, community health systems face chronic underfunding, with an estimated $2 billion annual gap leaving rural clinics without essential supplies, health workers unpaid, and millions of families lacking reliable access to care. This systemic challenge drives Dr. Angela Nyambura Gichaga, a Kenyan physician who shifted her focus from treating individual patients to transforming the broader structures that underpin healthcare delivery.
Gichaga began her medical career after earning her Bachelor of Medicine and Bachelor of Surgery degree and served as a district medical officer in Meru and Garbatulla, Kenya. Leading a 150-member team, she managed strategic planning, resource mobilisation, and service delivery, witnessing firsthand the frustrations caused by under-resourced facilities and overworked staff. These experiences inspired her to pursue a Master’s in Health Economics and Policy and a Fellowship in Public Sector Management, equipping her to bridge clinical expertise with health policy and finance.
Her career extended beyond frontline care when she joined the Kenya Ministry of Health headquarters, co-developing key national strategies including the Universal Health Care Roadmap and redesigning the Free Maternity Services program, policies that continue to expand access to care for millions of Kenyans. Later, she joined McKinsey & Company’s Africa Delivery Hub, addressing socio-economic and development issues across nearly 20 countries, from South Africa and Ethiopia to the United States, gaining a global perspective on health systems and financing.
In 2016, Gichaga became CEO of the Financing Alliance for Health (FAH), a global African-led organisation partnering with governments to strengthen and sustainably finance primary and community health systems. Under her leadership, FAH has mobilised over $38.5 million in domestic health budgets across Southern Africa and catalysed an additional $100 million for community health initiatives. Her model emphasizes collaboration between ministries of finance and health, framing healthcare as an investment in national development rather than an expense, while supporting community health workers—mostly women and youth—who form the backbone of healthcare delivery.
Angela Gichaga also serves as co-Executive Director of Africa Frontline First, a partnership with Last Mile Health and the Community Health Impact Coalition, which mobilises large-scale financing to strengthen frontline health systems. She advocates for Africa-driven solutions that are politically owned, programmatically sound, and financially sustainable, moving away from dependence on short-term donor cycles.
Beyond her technical roles, Gichaga is committed to gender and youth empowerment, mentoring women through the African Women in Leadership Network and running Pathway to Parity, a program to elevate women and young professionals in leadership. Her work has earned global recognition, including being named one of Fortune’s World’s Greatest Leaders (2018), a Mandela Washington Fellow (2014), an Archbishop Tutu Leadership Fellow (2019), and a Skoll Award for Social Entrepreneurship winner (2022).
Her leadership exemplifies a strategic approach to transforming Africa’s healthcare landscape, focusing on sustainable financing, empowered frontline workers, and inclusive, system-wide solutions that strengthen community health across the continent.
