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In the wake of President Trump’s decision to withdraw the United States, its largest financial contributor, from the World Health Organization (WHO), member states will discuss a potential budget reduction of $400 million. This move, revealed in a document released on Monday, will be a key topic during the WHO’s executive board meeting in Geneva from February 3-11.
WHO Director-General Tedros Adhanom Ghebreyesus opened the annual meeting by defending the organization’s work and recent reforms. He also reiterated his call for the United States to reconsider its exit, stating that the WHO would welcome any suggestions from member states on how it could better serve global health needs.
“We would welcome suggestions from the United States, and all member states, for how we can serve you and the people of the world better,” Ghebreyesus said, expressing hope that dialogue could help address concerns and lead to positive changes within the organization.
Proposal for a $400 Million Budget Cut
The WHO’s proposed budget for the 2026-2027 period originally stood at $7.5 billion, which included allocations for essential programs such as polio eradication and responding to health emergencies. However, the absence of the United States’ funding—its largest donor—has led to a reduction in the base programmes section of the budget from an initial $5.3 billion to $4.9 billion.
The document released on Monday highlighted that the departure of the United States as a primary financial contributor meant that the WHO would have to adjust its funding model to reflect the loss of such a significant source of revenue. The reduction in the base programme budget mirrors the funding level for the 2024-2025 period, indicating a more constrained approach moving forward.
Despite the potential financial strain, WHO representatives remain focused on maintaining the organization’s strategic direction. Some board members are keen to ensure that, while the budget reductions may be necessary, the WHO’s commitment to global health and emergencies remains steadfast.
The Impact of the US Withdrawal
The United States has traditionally been the largest donor to the WHO, contributing around 18% of the organization’s overall funding. The US withdrawal, which was initiated by President Trump on his first day in office two weeks ago, will take one year to finalize under US law, leading to a period of transition for the WHO. This move has raised concerns about the future of global health coordination, especially as the world grapples with ongoing health crises and emergencies.
In response to the US decision, the WHO has already taken some cost-cutting measures to ensure it can continue operating effectively despite the financial gap. However, the departure of the US has made it clear that the WHO will need to adapt in order to maintain its work, particularly with regard to global health initiatives and disease eradication programs.
Looking Ahead: The WHO’s Strategic Direction
Despite the financial challenges, WHO leaders have expressed their determination to continue their vital work. The focus remains on global health priorities such as disease prevention, emergency response, and addressing public health crises. However, this shift in funding will undoubtedly affect the organization’s ability to scale up certain programs or introduce new initiatives without additional financial support from member states or other donors.
The WHO is calling for constructive dialogue with all member states, including the United States, to explore ways to sustain its operations and impact. As discussions unfold during the February 3-11 meeting in Geneva, member states will assess how to adapt to these new financial realities while preserving the WHO’s mission and global health objectives.