Abstract
The overall environment for raising public international finance for global health priorities is getting tougher, with some widely supported activities such as pandemic prevention, preparedness, and response proving much harder to fund than might be expected given the far-reaching human, social and economic impacts of health catastrophes. Chatham House undertook a research project in 2022–23 to better understand the factors influencing decisions on international health finance and what might be done to address apparent anomalies such as the difficulty in raising finance for widely recognized global health priorities. The outcome of this research is a proposed framework, outlined in this document, of three measures to improve decision-making on the public international financing of global health.18