Imperial College London
Alternate

PROFESSOR AZEEM MAJEED

Faculty of Medicine, School of Public Health

Chair - Primary Care and Public Health & Head of Department
 
 
 
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Contact

 

+44 (0)20 7594 3368a.majeed Website

 
 
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Assistant

 

Ms Dorothea Cockerell +44 (0)20 7594 3368

 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Global:2023:10.1016/S2214-109X(23)00007-4,
author = {Global, Burden of Disease 2021 Health Financing Collaborator Network},
doi = {10.1016/S2214-109X(23)00007-4},
journal = {The Lancet Global Health},
pages = {e385--e413},
title = {Global investments in pandemic preparedness and COVID-19: development assistance and domestic spending on health between 1990 and 2026},
url = {http://dx.doi.org/10.1016/S2214-109X(23)00007-4},
volume = {11},
year = {2023}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: The COVID-19 pandemic highlighted gaps in health surveillance systems, disease prevention, and treatment globally. Among the many factors that might have led to these gaps is the issue of the financing of national health systems, especially in low-income and middle-income countries (LMICs), as well as a robust global system for pandemic preparedness. We aimed to provide a comparative assessment of global health spending at the onset of the pandemic; characterise the amount of development assistance for pandemic preparedness and response disbursed in the first 2 years of the COVID-19 pandemic; and examine expectations for future health spending and put into context the expected need for investment in pandemic preparedness. METHODS: In this analysis of global health spending between 1990 and 2021, and prediction from 2021 to 2026, we estimated four sources of health spending: development assistance for health (DAH), government spending, out-of-pocket spending, and prepaid private spending across 204 countries and territories. We used the Organisation for Economic Co-operation and Development (OECD)'s Creditor Reporting System (CRS) and the WHO Global Health Expenditure Database (GHED) to estimate spending. We estimated development assistance for general health, COVID-19 response, and pandemic preparedness and response using a keyword search. Health spending estimates were combined with estimates of resources needed for pandemic prevention and preparedness to analyse future health spending patterns, relative to need. FINDINGS: In 2019, at the onset of the COVID-19 pandemic, US$9·2 trillion (95% uncertainty interval [UI] 9·1-9·3) was spent on health worldwide. We found great disparities in the amount of resources devoted to health, with high-income countries spending $7·3 trillion (95% UI 7·2-7·4) in 2019; 293·7 times the $24·8 billion (95% UI 24·3-25·3) spent by low-income countries in 20
AU  - Global,Burden of Disease 2021 Health Financing Collaborator Network
DO  - 10.1016/S2214-109X(23)00007-4
EP  - 413
PY  - 2023///
SN  - 2214-109X
SP  - 385
TI  - Global investments in pandemic preparedness and COVID-19: development assistance and domestic spending on health between 1990 and 2026
T2  - The Lancet Global Health
UR  - http://dx.doi.org/10.1016/S2214-109X(23)00007-4
UR  - https://www.ncbi.nlm.nih.gov/pubmed/36706770
UR  - https://www.sciencedirect.com/science/article/pii/S2214109X23000074
UR  - http://hdl.handle.net/10044/1/103848
VL  - 11
ER  -
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