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Development Banks To Become 'Major Funding Source' As Aid Recedes, But Experts Warn Of Risks
With bilateral health assistance contracting sharply, multilateral development banks are expected to become the primary external financiers of national health systems, according to experts on the Accra Reset who spoke with Health Policy Watch. However, with the financial terms and interest structures governing new blended-lending pacts largely undisclosed, civil society experts warn that borrowing nations risk trading vanishing grant aid for repayable sovereign debt.
Song Li: Maternal And Primary Health Leader, Beijing Veteran - And A Test Case For Post-US Multilateralism?
Who will steer the World Health Organization through its next chapter? Explore Health Policy Watch’s daily series examining the platforms, records, and
Health Policy Watch | US finally signs health deal with Zambia, but still pursues minerals agreement
In 2024, 84% of Zambia’s HIV programme was funded by PEPFAR – and 1.3 million Zambians are on antiretroviral medicines.
Health Policy Watch | COVID-19 drops out of world’s top 10 causes of death for first time since pandemic began
The virus directly killed an estimated 0.9 million people in 2023, ranking 14th, as global life expectancy climbed back to near its pre-pandemic level.
Health Policy Watch | Controversy, secrecy and suffering after year one of the America First Global Health Strategy
Country controversies, secret terms, opaque procurement, and massive unspent Congressional funds have characterised the first year of the America First Global Health Strategy.
Health Policy Watch | LGBTIQ groups in repressive countries are worst affected by US funding cuts
HIV services, mental health and harm reduction programmes have been severely affected by the huge funding cuts to organisations providing services for LGBTIQ people over the past 18 months.
Health Policy Watch | US to phase out HIV support for Namibia after data-sharing impasse
The US will no longer fund Namibia’s HIV program after 2027, following an impasse over data- and information-sharing terms required by the US for a longer aid package.
[AIDS 2026] Health Policy Watch: Adjusting to a post-PEPFAR world
Many African PEPFAR-funded countries had developed sustainability plans to integrate HIV services into primary healthcare to be phased in over five years.
[AIDS 2026] Health Policy Watch: Fiji has the world’s fastest growing HIV epidemic
A graph showing the progression of HIV infections in Fiji resembles a cobra poised to strike.
Health Policy Watch: African Union pushes for greater domestic spending on health amid reports of huge disruptions to HIV and TB services
The African Union held a special health summit on 21-22 July, primarily aimed at mobilising high-level political support for more domestic health spending.
Health Policy Watch: African leaders declare end of aid era at Nairobi World Health Summit, but the data tell a more complicated story
African leaders opened the World Health Summit Regional Meeting with a unified declaration that two decades of dependence on foreign aid for health is over.
Health Policy Watch: Ghana rebuffs US health deal – but South Africa and Zambia struggle without aid
Ghana became the latest African country to reject the US terms for bilateral health assistance, particularly the requirement to share sensitive health data.
Health Policy Watch: Available cervical cancer vaccines fail to cover the HPV 35 genotype common in Africa
HPV 35, globally associated with only 2% of invasive cervical cancers, has a disproportionately higher prevalence in sub‐Saharan Africa.
Health Policy Watch: US withdrawal of global health funding is ‘public health emergency of international concern’
The rapid withdrawal of international health aid by the US constitutes a public health emergency of international concern, according to an analysis in the BMJ.
Health Policy Watch: US speeds up signing of bilateral health agreements
As of 2 March, the US has signed 24 bilateral health MOUs in terms of the Trump administration’s America First Global Health Strategy.
Health Policy Watch: Zambia and Zimbabwe back away from ‘prescriptive’ US health deals
Zambia is unhappy with part of the proposed health aid deal with the US; Zimbabwe halted its bilateral health negotiations with the US.
Your State of the Union health policy watch guide
Tracking President Trump’s health policy plans