Paudel Deepak, Froeschl Guenter
Nepal Public Health Association, Lalitpur, Nepal.
Center for International Health, LMU Munich, Munich, Germany.
Glob Health Action. 2025 Dec;18(1):2543103. doi: 10.1080/16549716.2025.2543103. Epub 2025 Aug 20.
Investing in health drives individual wellbeing, productivity, educational achievements, and economic growth. Collective global efforts have historically eradicated diseases like smallpox and are making progress against others, such as polio and malaria. In many low- and middle-income countries (LMICs), public health spending is insufficient, with per capita expenditure far below what is needed to deliver and sustain essential health services. High-income countries, such as the United States, are contributing to LMICs to bridge these gaps through bilateral and multilateral development assistance. The United States Government's longstanding support in Nepal has helped to strengthen the health systems and resulted remarkable achievements. However, the new United States administration's abrupt decisions to halt the development assistance and closure of most of the projects will significantly impact global health initiatives, jeopardize health gains, and pose a risk to global health security. This call-for-action urge stakeholders to evaluate the current and potential impact of these decisions and adopt a cohesive approach to maintain development cooperation. LMICs also must reassess their health investments and implement reforms to build resilient, self-sustaining health systems.
对健康进行投资能促进个人福祉、提高生产力、提升教育成就并推动经济增长。全球共同努力在历史上已经根除了天花等疾病，并且在防治脊髓灰质炎和疟疾等其他疾病方面也取得了进展。在许多低收入和中等收入国家，公共卫生支出不足，人均支出远低于提供和维持基本卫生服务所需的水平。美国等高收入国家正在通过双边和多边发展援助为低收入和中等收入国家提供帮助，以弥合这些差距。美国政府长期以来在尼泊尔的支持有助于加强卫生系统并取得了显著成就。然而，美国新政府突然决定停止发展援助并关闭大部分项目，这将对全球卫生倡议产生重大影响，危及已取得的健康成果，并对全球卫生安全构成风险。这一行动呼吁敦促利益相关者评估这些决定的当前和潜在影响，并采取协调一致的方法来维持发展合作。低收入和中等收入国家也必须重新评估其卫生投资，并进行改革以建立有韧性、自我维持的卫生系统。
