Will shrinking aid force changes to the global health landscape

It’s not hard to find signs that funding is falling short of global health needs.

The Global Fund to Fight AIDS, Tuberculosis and Malaria missed its $18 billion replenishment goal last year — the “minimum required” to get the world back on track to end HIV, malaria, and TB — by $2.3 billion. The Global Financing Facility, or GFF, is still struggling to meet its $800 million replenishment target this year to support the health of women, children, and adolescents. And even as its latest funding report announced a rise in external aid to low- and lower-middle-income countries in 2021, the World Health Organization cautioned in a press conference earlier this month that sustaining that level of giving will be difficult amid deteriorating global economic conditions.

Looking ahead to 2024 and beyond, experts are now grappling with what this could mean at a moment when the crush of global health priorities is only increasing.

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