The new guidance, called “Responding to the health financing emergency: immediate measures and longer-term shifts”, provides a suite of policy options for countries to cope with the sudden financing shocks, and bolster efforts to mobilize and implement sufficient and sustainable financing for national health systems.
“Sudden and unplanned cuts to aid have hit many countries hard, costing lives and jeopardizing hard-won health gains,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “But in the crisis lies an opportunity for countries to transition away from aid dependency towards sustainable self-reliance, based on domestic resources. WHO’s new guidance will help countries to better mobilize, allocate, prioritize and use funds to support the delivery of health services that protect the most vulnerable.”
WHO’s new guidance urges policy-makers to make health a political and fiscal priority in government budgets even during times of crisis, seeing health spending as not merely a cost to be contained, but an investment in social stability, human dignity, and economic resilience.
prioritize the health services accessed by the poorest; protect health budgets and essential health services; improve efficiency through better procurement, reduced overheads and strategic purchasing; integrate externally-funded or disease-specific services into comprehensive PHC-based delivery models; and use health technology assessments to prioritize services and products that have the greatest health impact per dollar spent.
Country leadership and global solidarity are critical
Several countries have already taken decisive action to strengthen their health systems and protect essential health services:
Kenya, Nigeria and South Africa have allocated additional budget funds to health, or are awaiting parliamentary approval for increases;Nigeria increased its health budget by US$ 200 million to offset aid shortfalls, with increased allocations for immunization, epidemic response, and priority programmes; Ghana lifted the cap on excise tax earmarked for its national health insurance agency, resulting in a 60% budget increase. The country also launched “the Accra Reset”, a bold framework to reimagine global governance, financing and partnerships in health and development; andUganda has outlined a clear policy agenda for integration of health services and programmes, aiming to improve efficiency and sustain service delivery.It also aligns with existing World Health Assembly mandates, including resolutions on “Strengthening health financing globally” and “Economics of health for all,” to translate global commitments into actionable policy steps. WHO and its partners are committed to providing technical support, analytics and peer learning to countries to manage the health financing crises and navigate the transition, including through the new UHC Knowledge Hub, a partnership with the Government of Japan and the World Bank, set to be launched in December 2025.
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