TUFH is supported by a Secretariat, defined as a backbone agency that supports The Network and its initiatives. For the first 25 years, the Secretariat of The Network: Towards Unity for Health (TUFH) was at Maastricht University in the Netherlands. In 2008, the Secretariat moved to Ghent University in Belgium. In 2016 the Secretariat moved to the Foundation for Advancement of International Medical Education and Research (FAIMER) and Educational Commission for Foreign Medical Graduates (ECFMG). In 2021, TUFH has evolved to be supported by a Secretariat Consortium represented by one Secretariat Institution per region and Global Institutions.