Financing Global Health 2021: Global Health Priorities in a Time of Change

Published January 24, 2023

For over a decade, this report has provided policymakers with critical information on current and future health financing and spending. Our most recent edition, Financing Global Health 2021, expands on, and adds new estimates to, topics like pandemic preparedness, future health spending, and development assistance for health. 

What’s new in FGH 2021? 

  • Estimates of pandemic preparedness and response (PPR) spending 
    We present retrospective estimates of DAH for PPR from 1990 to 2021. We also look ahead at the next five years – to 2026 – and forecast the availability of DAH as it relates to the need estimates published by the G20’s High Level Independent Panel (HLIP) on pandemic preparedness. 
  • Revised future health spending projections to 2050 
    We have updated our projections of future health spending for 204 countries to 2050, assuming historical spending patterns and relationships persist. We observe that the wide disparities in health spending between low- and high-income countries are expected to persist into the future. 
  • Updated disease spending profiles 
    Initially introduced in 2019, the profiles allow stakeholders to easily access information on a number of health focus areas. This year’s profiles highlight the continued support for the health-related pandemic response as well as growth and declines in support for some health focus areas


Institute for Health Metrics and Evaluation (IHME). Financing Global Health 2021: Global Health Priorities in a Time of Change. Seattle, WA: IHME, 2023.

Supporting documents

Methods Annex
(14.58 MB)
Table 1: Development assistance for health targeting COVID-19 in 2020 and 2021 by channel and type of assistance
(14.88 KB)
Table 2: Total health spending and health spending by source, 2019
(13.72 KB)
Table 3: Development assistance for health by World Bank income group and GBD super-region, 1990–2019
(11.84 KB)
Table 4: Development assistance for health by source of funding, 1990–2021
(12.87 KB)
Table 5: Development assistance for health by health focus area and program area, 1990–2021
(14.92 KB)
Table 6: Total health spending by World Bank income group, GBD super-region, and country, 2020 and 2050
(43.7 KB)


Scientific Publication

Global investments in pandemic preparedness and COVID-19: tracking development assistance and domestic spending on health between 1990 and 2026