Global health systems ‘at risk’ as funding cuts bite, warns WHO

This is occurring as the risk from pandemics, drug-resistant infections and fragile health services are on the rise, said the WHO Director-General.

Addressing the WHO Executive Board in Geneva, Tedros Adhanom Ghebreyesus stressed the impact of workforce reductions last year due to “significant cuts to our funding,” which have had significant consequences.

“Sudden and severe cuts to bilateral aid have also caused huge disruptions to health systems and services in many countries,” he told health ministers and diplomats, describing 2025 as “one of the most difficult years” in the agency’s history.

While WHO had managed to keep its lifesaving work going, Tedros said the funding crisis exposed deeper vulnerabilities in global health governance, particularly in low and middle-income countries struggling to maintain essential services.

High stakes

The WHO funding crisis is part of a broader retreat from international health financing, forcing countries to make difficult choices, he added.

“In response to funding cuts, WHO is supporting many countries to sustain essential health services, and to transition away from aid dependency towards self-reliance,” Tedros said, pointing to domestic resource mobilisation – including higher health taxes on tobacco, alcohol and sugary drinks – as a key strategy.

Yet the scale of unmet needs remains vast.

According to WHO, 4.6 billion people still lack access to essential health services, while 2.1 billion face financial hardship because of health costs. At the same time, the world faces a projected shortage of 11 million health workers by 2030, more than half of them nurses.

Deeper crisis averted

Tedros said WHO has avoided a more severe financial shock only because Member States have agreed to increase mandatory assessed contributions, reducing the agency’s reliance on voluntary, earmarked funding.

“If you had not approved the increase in assessed contributions, we would have been in a far worse situation than we are,” he told the Board.

Thanks to those reforms, WHO has mobilised about 85 per cent of the resources needed for its core budget for 2026-27. But Tedros cautioned that the remaining gap will be “hard to mobilise,” particularly in a difficult global funding environment.

“Although 85 per cent sounds good – and it is – the environment is very difficult,” he said, warning of “pockets of poverty” in underfunded priority areas such as emergency preparedness, antimicrobial resistance and climate resilience.

Gains have been made

Despite the financial climate, notable games have been made in recent months.

Tedros highlighted the adoption last year of the Pandemic Agreement and amended International Health Regulations (IHR), aimed at strengthening preparedness in the wake of COVID-19.

WHO also expanded disease surveillance, rolled out artificial intelligence (AI)-powered epidemic intelligence systems, and supported countries in responding to hundreds of health emergencies in 2025 – many of which never reached public attention because outbreaks were contained early.

However, one in six bacterial infections globally are now resistant to antibiotics, Tedros said, describing the trend as concerning and accelerating in some regions.

‘Solidarity is the best immunity’

“The pandemic taught all of us many lessons – especially that global threats demand a global response,” said Tedros. “Solidarity is the best immunity.”

He warned that without predictable and sufficient financing, the world risks being less prepared – not more – for the next health emergency.

“This is your WHO,” Tedros told the Board, “Its strength is your unity. Its future is your choice.”