The Lowy Institute based in Sydney issued the third update of its 'Pacific Aid Map'. Health expenditure data indicated that Pacific island countries provide some 82% of their health costs from domestic budgets. Out-of-pocket private contributions accounted for only 8%.
Overall health assistance from donors had been a slow decline since 2012, except for a major Asian Development Bank loan to Papua New Guinea (PNG). This decline was expected to continue, with Gavi, The Vaccine Alliance's vaccine support ending for PNG in 2021 and the Solomon Islands in 2022. Assistance from The Global Fund to Fight AIDS, Tuberculosis and Malaria had also been falling over the last five years.