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The policy paper titled Conditioned Domestic Financing in Global Health: Understanding Agency Policies and Implications for Health Systems Sustainability by the Centre for Global Development examines how global health funding agencies and recipient country governments define and implement conditioned domestic financing policies. These policies, which link domestic health financing to external global health funding, aim to enhance sustainability and national ownership of health initiatives. The paper analyses the co-financing mechanisms of agencies such as Gavi and the Global Fund, highlighting the variations in policy definitions, obligations, and accountability. It also explores the implications of these policies on health spending patterns, raising critical questions about the alignment between policy intent and actual implementation, as well as the broader impact on domestic health financing and sustainability planning.