What question did this study set out to answer?

To examine the impact of reduced external health aid on the resilience of health systems in low- and middle-income countries.

March 13, 2026Public Health ChallengesOpen Access

Not Every Country Can Absorb a Shock: Unequal Capacity to Withstand World Health Organization Aid Cuts

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This analysis reveals how reduced health aid affects services in low-income countries, suggesting a need for improved governance.

To examine the impact of reduced external health aid on the resilience of health systems in low- and middle-income countries.
Analyzed evidence from Nepal and Afghanistan regarding the effects of WHO and US aid cuts.
Investigated disruptions to family planning, nutrition, immunization, and other health services.
Proposed governance strategies for smoother transitions in aid reduction.
Nepal showed significant reliance on US funding for key health services, leading to operational strain.
Afghanistan experienced increased risk of facility closures and intensified health outbreaks due to funding shortfalls.
Proposed 'transition discipline' to improve governance during aid reductions.

Animesh Ghimire (2026) studied this question.

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