US divestment in global health
Disruption, uncertainty and response
Bibliographic Data
| ID | 21881189 |
|---|---|
| Authors | Christian Franz (0000-0003-1038-5779, Bielefeld University), Kayvan Bozorgmehr (0000-0002-1411-1209, Bielefeld University) |
| Year | 2025 |
| Volume | 10 |
| Issue | 11 |
| Pages | e019990 |
| Publication date | 2025-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMJ Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2059-7908 • E-ISSN: 2059-7908 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/bmjgh-2025-019990 |
| PMID | 41248938 |
| OpenAlex | W4416268231 |
| Language | EN |
| Citations received | 2 |
| References cited | 27 |
The decisions of the US administration under Donald Trump in January 2025 to divest from many development activities have severely disrupted the state of affairs in global health. We analyse the extent of this disruption from two perspectives. First, we show that about 45 out of every 100 dollars spent on global health from 2019 to 2022 came from the US. Using data on bilateral official development assistance for health from the US, we identify recipient countries and health areas that will be most affected. We demonstrate differential sectoral impacts in more than a dozen countries—mainly within WHO’s Africa region—which have been heavily reliant on US aid and other external sources to fund their health services. Severe fiscal constraints and/or ongoing conflicts and fragility in these countries further exacerbate potential impacts. Second, we analyse US contributions to UN organisations and other multilateral bodies most relevant to global health. This combined analysis provides a baseline for countries and organisations to understand the immediate financial fallout and the future risks within a changed global health financing system
Divestment · Global health · Health care · International development · Global Health and Surgery · Global Security and Public Health · Healthcare Systems and Reforms · Health Policy
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| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |