Global health funding slows as deadline for Millennium Development Goals nears
Stagnating funding from the United States and shortfalls at the Global Fund to Fight AIDS, Tuberculosis and Malaria indicate troubled future for development assistance for health.
- After a decade of rapid increases in development assistance, the US has greatly slowed the pace of growth to 2% between 2010 and 2011.
- Development assistance to non-governmental organizations increased by 8% from 2010 to 2011, after two years of drops in funding.
- Generally the countries with the most significant disease burdens receive the most aid, but 12 of the countries with the highest disease burdens, including Russia, Sudan, Myanmar, and Egypt, are not among the countries that receive the most development assistance for health.
- Growth in development assistance for HIV/AIDS, tuberculosis, and health sector support slowed between 2008 and 2009. Development assistance for malaria, noncommunicable diseases, and maternal, newborn, and child health accelerated over the same period.
- The global financial crisis does not appear to have slowed spending by country governments on health. Spending accelerated between 2008 and 2009, increasing from $368.46 billion to $410.50 billion, 16 times the total amount spent for development assistance for health.
- Countries in East Asia spent the largest amount of their own resources on health in 2009, followed by the regions North Africa/Middle East and Tropical Latin America.
- For every $1 of development assistance for health that governments receive, they redirect $0.56 on average from the health sector to other spending priorities.
Data and Methods
Data for download
All Tables 1-20 (210KB xls)
Table 1. DAH by channel of assistance, 1990-2011 (19KB xls)
Table 2. DAH by source of funding, 1990-2009 (19KB xls)
Table 3. DAH by country of origin, 1990-2009 (22KB xls)
Table 4. DAH by target region, 1990-2009 (13KB xls)
Table 5. DAH by target country, 1990-2009 (86KB xls)
Table 6. DAH by health focus area, 1990-2009 (14KB xls)
Table 7. DAH by type of transfer, 1990-2009 (12KB xls)
Table 8. Bilateral commitments and disbursements, 1990-2009 (30KB xls)
Table 9. World Bank financial and in-kind DAH, 1990-2009 (12KB xls)
Table 10. Regional development banks financial and in-kind DAH, 1990-2009 (13KB xls)
Table 11. Financial and in-kind contributions by GFATM and GAVI, 2000-2009 (11KB xls)
Table 12. WHO, regular and extrabudgetary income and expenditure, 1990-2009 (16KB xls)
Table 13. UNFPA, regular and extrabudgetary income and expenditure, 1990-2009 (12KB xls)
Table 14. UNICEF, regular and extrabudgetary income and expenditure, 1990-2009 (15KB xls)
Table 15. UNAIDS, regular and extrabudgetary income and expenditure, 1996-2009 (12KB xls)
Table 16. PAHO, regular and extrabudgetary income and expenditure, 1990-2009 (15KB xls)
Table 17. US NGO expenditures, 1990-2011 (12KB xls)
Table 18. Bill & Melinda Gates Foundation global health commitments, disbursements, and in-kind contributions, 1999-2010 (16KB xls)
Table 19. Government health expenditure as source, 1995-2009 (14KB xls)
Table 20. DAH allocated to government or non-government recipients, 1995-2009 (20KB xls)
Related Visualizations & other Tools
Related Publications & Presentations
Leach-Kemon K, Chou DP, Schneider MT, Tardif A, Dieleman JL, Brooks BPC, Hanlon M, Murray CJL. The global financial crisis has led to a slowdown in growth of funding to improve health in many developing countries. Health Affairs. 2012; DOI: 10.1377/hlthaff.2011.1154.
Murray CJL, Anderson B, Burstein R, Leach-Kemon K, Schneider M, Tardif A, Zhang R. Development assistance for health: trends and prospects. The Lancet. 2011; doi:10.1016/S0140-6736(10)62356-2.
Lu C, Schneider MT, Gubbins P, Leach-Kemon K, Jamison D, Murray CJL. Public financing of health in developing countries: a cross-national systematic analysis. The Lancet. 2010 Apr 17; 375:1375–1387.