International Collective Action for Health

Quantifying and closing the financing gaps

In their report, Global Health 2035, the Commission on Investing in Health called on the international community to increase support for the following core areas of health:

  • Supporting global public goods such as research and development
  • Managing global and cross-border threats such as antimicrobial resistance
  • Fostering leadership and stewardship of the global health system.

The Evidence to Policy Initiative (E2Pi) advances evidence on these "global functions" of health that address transnational health challenges such as pandemic preparedness and R&D for poverty-related and neglected diseases. This project aims to quantify and close the financing gap for these critical yet underfunded global functions.

The Commission argued that support of these functions was necessary to achieve a “grand convergence” in health and prevent future threats. Yet our analysis of donor financing for health by function shows that only one-fifth of official development assistance for health is directed towards global functions, far less than what is needed.

To address this problem, E2Pi is conducting research to develop empirical estimates of how much funding is needed to support global functions. Our team is developing “price tags” for what it would cost to produce the vaccines, drugs, and diagnostic tools currently in the product development pipeline for epidemic and pandemic preparedness and for poverty-related and neglected diseases. We also are identifying mechanisms and policy solutions to help close financing gaps for these critical global functions.

E2Pi partners with SEEK Development and the Center for Policy Impact in Global Health at Duke University, which leads the project.

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