ODA Spending

How much ODA does Spain allocate to global health?

How is Spanish global health ODA changing?

Spain’s health ODA decreased by 21% in 2022. The larger contributions to health in 2020 and 2021 were largely driven by the additional funding dedicated to COVID-19 response.

How does Spain allocate global health ODA?

Bilateral Spending

Spain channeled 50% of health ODA bilaterally in 2022, including 39% as earmarked funding through multilaterals.

Multilateral Spending and Commitments

In 2022, Spain channeled 40% of health ODA through multilaterals, above the DAC average of 34%. The largest share, or 21% of total health ODA is channeled through the EUI, followed by the Global Fund at 11%, and the World Bank’s IDA at 5%.

In September 2022, at UNGA77, Sánchez announced that Spain would disburse up to EUR237 million ( US$250 million) from 2023-2026 to foster global health initiatives, including a EUR130 million ( US$137 million) pledge to the Global Fund and other instruments related to pandemic preparedness and global health R&D.

Global health R&D is also important to addressing many of the global health challenges that disproportionately affect the world’s most disadvantaged people. For more information on how donor countries are supporting global health R&D across three main areas — 1) EIDs; 2) PRNDs; and 3) SRH — read the excellent G-Finder reports and explore the interactive data portal created by Policy Cures Research. Not all funding mentioned in these analyses qualifies as ODA.

Funding and Policy Outlook

What is the current government's outlook on global health ODA?

ODA contributions to health were expected to continue to increase in 2022 in response to the COVID-19 crisis and the growing importance of global health narratives. In response to the COVID-19 pandemic, Spain announced a reprioritization of global health and epidemic preparedness within its development cooperation policy. In April 2021, the Spanish cabinet approved the new Foreign Action Strategy 2021-2024, which outlined Spain's foreign priorities and goals for the next four years. The new plan prioritized strengthening global health as one of the 'vertical axes' of Spain's development cooperation strategy.

In 2023, the Spanish government launch a new Global Health Strategy focusing on individuals' “right to health” and ensuring medical access for vulnerable populations. The new strategy, which still needs to be approved, will include an action plan for international development cooperation and an appeal for global UHC in collaboration with the WHO. Global health is expected to remain a top priority sector for Spain’s development leadership. GAVI’s Mid-Term Review High-Level Conference was held in Madrid, Spain, in June 2023. In March 2024 Spain co-organized the first Global Forum on Cervical Cancer Elimination in Cartagena de Indias, Colombia, to discuss among other matters the importance of accelerating access to HPV vaccines, together with the Colombian government, WHO, PAHO and the BMGF.

Key Bodies