In 2014, total Development Health Assistance (DAH) amounted to $35.9 billion, a drop of 1.6% over the all-time high in DAH reached in 2013. The United States has continued to serve as the largest source of funds, providing $12.4 billion in 2014. The contribution of the United Kingdom increased 1.6% in 2014, with DAH sourced from the UK amounting to $3.8 billion.
Of note, and largely tied to the Ebola epidemic in West Africa, financing for the African Development Bank (AfDB) and the United Nations Children’s Fund (UNICEF) expanded considerably in 2014, rising 24.4% and 17.9%, respectively, relative to 2013 levels.
In contrast to the other United Nations agencies active in global health, funding for WHO and UNICEF grew in 2014. Rising 17.9%, the DAH furnished by UNICEF rose to $1.4 billion. WHO increased its contributions 4.0%, providing $2.1 billion in 2014. Trends in the DAH provided to public-private partnerships were mixed. With expenditure of $1.8 billion in 2014, Gavi funding rose 8.2% relative to 2013 levels. In contrast, financing provided by the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) dropped 6.9% to $4.1 billion in DAH in 2014. The DAH channelled by NGOs grew 3.8% in 2014, with total spending amounting to $5.4 billion in 2014.
Trends in the DAH designated for specific health focus areas were mixed in 2014. Funds targeting malaria grew by 0.4%. However, DAH for other areas highlighted in the MDGs dropped; HIV/AIDS, for example, dropped 2.2% in DAH. Areas such as tuberculosis and maternal, newborn and child health also saw declines, of 9.2% to $1.5 billion and 2.2% to $9.6 billion respectively.
Sub-Saharan Africa continued to receive the largest share of DAH. Over 58% ($930 million) of the estimated $1.6 billion need for donor financing is for WHO’s African Region.
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