Government Resources and Projections for Health Series (GRPH): Prospects for Government Health Financing Amidst Declining Aid

Executive Overview

Government health spending remains well below the minimum needed to guarantee quality, affordable health services for all. Bold reforms in health spending can yield rapid gains by saving lives, creating jobs, and stimulating economic growth. Investing in health is a key driver of human capital, growth, and job creation.

Context and Challenges

Low- and lower-middle-income countries face growing economic uncertainty and a shifting aid landscape, placing additional pressure on governments striving to finance and deliver universal health coverage (UHC). This report, part of an annual series, tracks the latest trends and provides a forward-looking view of government and donor health spending in these countries.

Key Findings

Despite daunting challenges, bold reforms in health spending are projected to yield rapid benefits, including lives saved, job creation, and economic growth. The analysis tracks government health expenditure (GHE) and off-budget development assistance for health (DAH) in constant 2024 U.S. dollars from 2018 to 2030, with regional and income-group filters available for users.

“Track government health expenditure (GHE) and off-budget development assistance for health (DAH) in constant 2024 US dollars between 2018-2030.”

Interactive Insights

Users can filter by region and income groups to compare country projections. Hovering over a country in the scatter plot reveals projected growth in post-interest government spending from 2024 to 2030 and the health sector’s share in government spending in 2024.

Implications for Policy

To move toward universal health coverage, policy makers should consider accelerated reforms in health financing, including strategic reallocations, efficiency improvements, and targeted investments that yield higher health and economic returns.

Author’s Summary

Bold health financing reforms can quickly save lives, generate jobs, and spur growth, even amid uncertain aid and tightening budgets.

more

World Bank Group World Bank Group — 2025-11-18