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The analysis reveals the inefficiencies of development assistance cuts in health and suggests maintaining equity is vital for effectiveness.
The current collapse in development assistance, including development assistance for health, is anchored in budgetary efficiency, geopolitical reorientation, or the need for national prioritization. However, it is producing one of the largest self-inflicted efficiency losses in modern global health policy by ignoring essential concepts of development economics and health. In contexts of high inequality and with the inherent market failures in these areas, equity is not the opposite of efficiency but rather a necessary condition for achieving it.
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João Vasco Santos (2026) studied this question.
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