WHO exit, USAID suspension: What the United States' moves mean for global health
Feb 24, 2025
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Chandrakant Lahariya, a seasoned global health expert with significant experience at WHO and UNICEF, dives into the troubling U.S. withdrawal from the WHO and the ramifications for global health funding. He discusses the likely destabilization of health services in low-income countries. Lahariya also addresses the critical implications of the USAID suspension, affecting vital health programs like HIV/AIDS and vaccinations. He poses challenging questions about the world's reliance on U.S. contributions and the urgent need for other countries to step up.
The U.S. withdrawal from the WHO jeopardizes global health cooperation, threatening essential health programs reliant on American funding and support.
The suspension of USAID programs presents an opportunity for emerging economies to increase their roles in global health funding and collaboration.
Deep dives
Impact of U.S. Withdrawal from the WHO
The U.S. withdrawal from the World Health Organization (WHO) has raised significant concerns about its ramifications on global health, particularly for countries reliant on WHO's essential health programs. Although financial contributions from the U.S. play a crucial role, the withdrawal affects more than just funding; it jeopardizes the organization's credibility and its capacity to coordinate international health efforts. This move threatens to diminish WHO's operational capabilities, as the U.S. has historically provided critical technical support and funding. The potential decrease in the number of member states engaged with WHO also suggests that the global health infrastructure may weaken, affecting diplomacy and collaboration efforts in health crises.
Understanding WHO Funding Structure
WHO funding is divided into assessed contributions and voluntary contributions, with the U.S. being the largest contributor to the assessed pool, which is essential for the organization's long-term operations. The assessed contributions, which amount to nearly $2 billion over two years, support the daily functioning of WHO and ensure that it can respond to global health needs. With the U.S. withdrawal, approximately $400 million to $500 million in funding could vanish, underscoring the vulnerabilities in funding stability that WHO faces. The unpredictability of voluntary contributions, characterized by donor preferences and specific project targets, poses additional challenges, as these funds cannot always be reallocated to cover other critical areas in times of need.
Future Opportunities for Global Health
In light of the U.S. withdrawal from WHO and the suspension of USAID programs, there exists a compelling opportunity for other countries, especially in the Global South, to enhance their roles in global health funding and support. Emerging economies can leverage their capabilities to fill gaps left by the U.S., promoting greater equity and collaborative health initiatives on an international scale. However, historical reluctance among member states to increase their contributions and an inward-looking perspective complicate this prospect. To prepare for future pandemics, nations like India must invest in training professionals in global health, fostering technical expertise, and providing support for health initiatives that extend beyond national borders.
About one month ago, U.S. President Donald Trump announced his country’s withdrawal from the World Health Organization. This was not a completely unexpected decision – Mr. Trump had taken steps during his first term to do so too, but the Biden administration had chosen not to exit. The WHO has called for the US to reconsider its decision – the US is the largest contributor of funds to the WHO. In the weeks since Mr. Trump’s announcement, the WHO has said it plans to cut down on spending significantly – but the larger question remains of how this move is going to impact global health.
Another hit to health has been Mr. Trump’s decision to temporarily suspend all USAID activity – USAID also works in the area of health in a number of countries – and this decision has thrown into turmoil programmes for HIV/AIDS, tuberculosis, vaccinations, hygiene and sanitation and others. What is the near future of global health going to look like? Is it possible the US will reconsider its decision? Is the world overly reliant on the US and is it now time for other countries to step up?
Guest: Dr. Chandrakant Lahariya a medical doctor and a specialist in global health, with nearly 17 years of professional work experience with the United Nations system including the World Health Organization (WHO) and UNICEF.
Host: Zubeda Hamid
Edited by Jude Francis Weston
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