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    • Opinion
    • Opinion: Global health

    Amid aid cuts, these countries have ramped up global health cooperation

    Opinion: As major donors reduce global health funding, countries such as China, Angola, Ethiopia, and Pakistan are stepping up.

    By Sharmishta Sivaramakrishnan // 12 November 2025

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    Global health is at a crossroads. In 2025, as major donors, including the United States, reduce funding to multilateral institutions such as the World Health Organization, the system faces real risks.

    Programs that protect millions — from vaccination campaigns to epidemic response — can falter if the global framework loses momentum. Yet, some countries are stepping up, showing that leadership in global health isn’t just the responsibility of the wealthiest nations.

    China, Angola, Ethiopia, and Pakistan demonstrate how countries can take concrete action to sustain and strengthen global health initiatives, even when resources are constrained. Their efforts show that action, strategy, and coordination are as important as funding itself.

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    More reading:

    ► How African communities are responding to the aid cuts (Pro)

    ► Why fixing health after US cuts needs more than 'cosmetic changes'

    ► Opinion: Financing health for all requires bold moves away from aid

    • Global Health
    • Funding
    • Humanitarian Aid
    Printing articles to share with others is a breach of our terms and conditions and copyright policy. Please use the sharing options on the left side of the article. Devex Pro members may share up to 10 articles per month using the Pro share tool ( ).
    The views in this opinion piece do not necessarily reflect Devex's editorial views.

    About the author

    • Sharmishta Sivaramakrishnan

      Sharmishta Sivaramakrishnan

      Sharmishta Sivaramakrishnan is a global Singaporean and development economist. She has served at the United Nations, World Economic Forum, government of Singapore, EY-Parthenon, Asian Development Bank, and the Clinton Health Access Initiative. Sharmishta is also a youth leader and board member of Caring for Cambodia. She writes on development, social investment, and global health, with past bylines in Forbes, WEF Agenda, GlobalCitizen.org, and other international platforms.

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