healthdata.org $2,000 $0 $4,000 $6,000 $8,000 1995 2000 2005 2010 2014 2020 2025 2030 2035 2040 Health spending per person* Financing Global Health 2016 20% 0 40% 60% 80% 100% 500 2,500 5,000 10,000 25,000 80,000 GDP per person* Modeled proportion of total health spending Trends in spending Health spending source by GDP per person, 2014 • Health spending tends to increase expo- nentially with economic development. There are large disparities in the financial resources for health available around the globe Health spending and projected increases by World Bank income group, 1995–2040 High-income Global Upper-middle-income Lower-middle-income Low-income Projection Health spending is projected to rise between now and 2040, but that increase, in absolute terms, is predicted to be slow in low- and lower-middle income countries. The wide gap between spending in higher-income and lower-income countries is expected to remain. High-income countries tend to finance health care using government spending and prepaid private insurance schemes. At low levels of economic development, countries tend to rely on DAH and out-of-pocket financing for health, but DAH drops off quickly as countries develop. As countries develop, they replace DAH with domestic spending, but when governments lack the capacity to increase health spending, much is left to be financed out-of-pocket. Out-of-pocket spending is a large portion of health spending at both low and middle development levels, and can deter access to health care, leading to catastrophic health expenditures. Over the past 20 years, the difference in health spending per person in high-income countries and other countries has been immense. 45,000 1,000 A C C D D C B A C B Development assistance for health (DAH) Out-of-pocket spending Government health spending Prepaid private spending *Spending is in 2015 purchasing power parity dollars. Note: Because countries change income groups over time, the chart uses 2017 income groups for all years. • While these trends are observed on aver- age, across all countries, country-specific health financing varies dramatically.
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healthdata.org
$2,000
$0
$4,000
$6,000
$8,000
1995
2000
2005
2010
2014
2020
2025
2030
2035
2040H
ealth
sp
end
ing
per
per
son*
Financing Global Health 2016
20%
0
40%
60%
80%
100%
500 2,500 5,000 10,000 25,000 80,000
GDP per person*
Mo
del
ed p
rop
ort
ion
of t
ota
l hea
lth s
pen
din
g
Trends in spending
Health spending source by GDP per person, 2014
• Health spending tends to increase expo-nentially with economic development.
There are large disparities in the financial resources for health available around the globe
Health spending and projected increases by World Bank income group, 1995–2040
High-income
Global
Upper-middle-income
Lower-middle-income
Low-income
Projection
Health spending is projected to rise between now and 2040, but that increase, in absolute terms, is predicted to be slow in low- and lower-middle income countries. The wide gap between spending in higher-income and lower-income countries is expected to remain.
High-income countries tend to finance health care using government spending and prepaid private insurance schemes.
At low levels of economic development, countries tend to rely on DAH and out-of-pocket financing for health, but DAH drops off quickly as countries develop.
As countries develop, they replace DAH with domestic spending, but when governments lack the capacity to increase health spending, much is left to be financed out-of-pocket.
Out-of-pocket spendingis a large portion of health spending at both low and middle development levels, and can deter access to health care, leading to catastrophic health expenditures.
Over the past 20 years, the difference in health spending per person in high-income countries and other countries has been immense.
45,0001,000
A
C
C
D
D
CBA CB
Development assistancefor health (DAH)
Out-of-pocket spending
Government health spending
Prepaid private spending
*Spending is in 2015 purchasing power parity dollars. Note: Because countries change income groups over time, the chart uses 2017 income groups for all years.
• While these trends are observed on aver-age, across all countries, country-specific health financing varies dramatically.
048
121620242832364044485256606468
Billi
ons o
f 201
5 U
S do
llars
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
*20
16*
DAH by health focus area, 1990–2016
Total DAH, 2000–2016, observed versus potentialDAH by source of funding, 2016
HIV/AIDS remains an epidemic, but DAH for HIV/AIDS has declined by $100 million per year since 2010. With access to treatment, HIV/AIDS is a chronic condition requiring ongoing management.
If the 11.4% growth rate in DAH from 2000 to 2010 had continued from 2010 and 2016, an additional $82 billion would have been devoted to improving health, over the last six years.
The US gave 33.9% of total DAH, and the UK gave 10.9%.
Continued improvements in maternal, newborn, and child health may depend on increased funding in those areas.†
Since 2010, DAH has only grown by 1.8% per year.
*2015 and 2016 are preliminary estimates.†The majority of countries did not reach their goals for MDGs 4 and 5 (reducing child and maternal mortality).
Note: Health assistance for which we have no health focus area information is designated as “unidentified.” “Other” captures DAH for which we have project-level information but which is not identified as funding any of the health focus areas tracked.
*2015 and 2016 are preliminary estimates.Note: Continued growth scenario for DAH is modeled from 2011 to 2016, as based on the average annual percent increase from 2000 to 2010. The difference between DAH disbursed and DAH with continued growth is captured by the white boxes and the funding levels reported therein.
Note: 2016 estimates are preliminary. DAH includes both financial and in-kind contributions for activities aimed at improving health in low- and middle-income countries.
Source: http://bit.ly/fgh2016
Development assistance for health (DAH)Growth is stagnant, but the needs haven’t gone away
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101214161820222426283032343638
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
*
2016
*
Billi
ons o
f 201
5 U
S do
llars
Unidentified
Other
Health system strengthening/Sector-wide approaches
Other infectious diseases
Non-communicable diseases
DAH contributions Potential DAH contributions
Newborn and child health
Maternal health
Malaria
Tuberculosis
HIV/AIDS
Total DAH amounted to $37.6 billion in 2016
DAH from private philanthropies, including the Gates Foundation, amounted to 17.8% of total DAH.
Oth
erG
overn
men
t
Private Philanthropy
Gates Foundation
Other sourcesFrance
Canada
Australia
United States
United Kingdom
Germany
The Bill & Melinda Gates Foundation was the largest single private contributor, donating 7.8% of total DAH.
From 2000 to 2010, DAH grew by 11.4% per year.
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