In this post in the Ministerial Leadership Initiative for Global Health’s (MLI) “Leading Global Health” blog, MLI Director Rosann Wisman examines how a new, country-led development approach under the Global Health Initiative (GHI) — which focuses on “[funding] the priorities of developing countries rather than solely the priorities of the donors” — is “gaining steam.” She writes, “I believe there are two reasons for this. One is that developing countries, having gained a foothold in funding their own priorities, are showing stronger results when they are in the driver’s seat. Second, the tough economic times have caused several developing countries to internally face up to a key question: What do we do if our traditional donors no longer support our health programs?” (3/20).