Global health funding: how much, where it comes from and where it goes
Open accessAbstract
Global health funding has increased in recent years. This has been accompanied by a proliferation in the number of global health actors and initiatives. This paper describes the state of global heath finance, taking into account government and private sources of finance, and raises and discusses a number of policy issues related to global health governance. A schematic describing the different actors and three global health finance functions is used to organize the data presented, most of which are secondary data from the published literature and annual reports of relevant actors. In two cases, we also refer to currently unpublished primary data that have been collected by authors of this paper. Among the findings are that the volume of official development assistance for health is frequently inflated; and that data on private sources of global health finance are inadequate but indicate a large and important role of private actors. The fragmented, complicated, messy and inadequately tracked state of global health finance requires immediate attention. In particular it is necessary to track and monitor global health finance that is channelled by and through private sources, and to critically examine who benefits from the rise in global health spending.
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The CSOs represented in this study were typically dependent on international rather than national and short-term rather than long-term funding, which made building lasting capacity and effective coalitions difficult.
“In line with the literature on LMIC-based CSOs47–49 public health50–52 and tobacco control,53 54 the CSOs represented in this study were typically dependent on international (rather than national) and short-term (rather than long-term) funding, the latter in particular made building lasting capacity and effective coalitions difficult.”
From Needs of LMIC-based tobacco control advocates to counter tobacco industry policy interference: insights from semi-structured interviews (2020) · cites this paper as [51]
The ‘Low and middle income country (LMIC) recipients’ section (page unavailable) says LMIC CSOs may receive grants from donor governments and international NGOs, supporting international funding as part of the background literature. It does not establish that the CSOs in the citing study were typically more dependent on international than national funding, or address short-term funding and its effects on capacity and coalitions. (LLM, conf=0.82)
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Schäferhoff, M., Fewer, S., Kraus, J., Richter, E., Summers, L. H., Sundewall, J., Yamey, G., & Jamison, D. T. (2015) · The Lancet · doi:10.1016/s0140-6736(15)61161-8 · Cited by 54 · see citing works
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- Authors
- McCoy, D., Chand, S., & Sridhar, D.
- Affiliations
- University College London (GB)
- University of Oxford (GB)
- ORCID
- Venue
- Health Policy and Planning
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-07-01
- Volume
- 24
- Issue
- 6
- Pages
- 407-417
- ISSN
- 0268-1080 (ISSN-L)
- 1460-2237
- OpenAlex
- W2147148359
- Cited by
- 329
- References
- 0
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 7 · 2023: 14 · 2022: 11 · 2021: 57 · 2020: 13 · 2019: 27 · 2018: 15 · 2017: 18 · 2016: 15 · 2015: 26 · 2014: 23 · 2013: 15 · 2012: 23
- FWCI
- 148.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Health Policy and Planning (publishedVersion)
- PubMed (publishedVersion)
- Oxford University Research Archive (ORA) (University of Oxford) (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Social Sciences › Political Science and International Relations › Public health and occupational medicine
- Social Sciences › Development › International Development and Aid
- Social Sciences › Economics, Econometrics and Finance › Finance › Healthcare Systems and Reforms
- Keywords
- global health financing, global health governance
- MeSH terms
- Financial Support, Global Health
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