Africa must be in the room where tomorrow’s economic architecture is designed; not waiting outside to inherit it. Our partnerships must move beyond aid and extraction towards investment, value addition and shared prosperity. Healthcare shows why. COVID-19 exposed the cost of dependence. Africa must train its own specialists, manufacture medicines and vaccines, and build resilient supply chains. In Kenya, we are expanding health coverage, strengthening primary healthcare and investing in modern health infrastructure and technology. At the ECAM Council Summit on the sidelines of the 81st UN General Assembly in New York, we made our position clear that Kenya is open for investment that creates jobs, transfers technology, builds skills and strengthens African institutions.