Columbia International Affairs Online: Working Papers

CIAO DATE: 07/2010

Innovative Financing for Global Health: A Moment for Expanded U.S. Engagement?

Robert Hecht, Amrita Palriwala, Aarthi Rao

March 2010

Center for Strategic and International Studies

Abstract

Over the past decade, there has been a tremendous upsurge in attention to global health issues, and the world’s wealthiest countries have made a correspondingly large increase in international development assistance for health (DAH). DAH has grown from $7.2 billion in 2001 to $22.1 billion in 2007, accounting for nearly one-fifth of all development aid in the latter year. Despite this expanded financial effort, progress on the ground toward global health goals, including those embodied in the Millennium Development Goals (MDGs)—cutting child and maternal deaths and reducing the burden of AIDS, tuberculosis, and malaria—has been slow and inadequate, and the gap in required funding remains large. A recent study by the World Health Organization suggests that an extra $251 billion is needed over the next seven years in order to reach the MDG goals in the 49 poorest countries.