The research article investigates the Debt-to-Health (D2H) initiative, which transforms debt repayments into investments in health projects, benefiting low- and middle-income countries burdened by debt. Despite its practical significance, D2H has not been thoroughly examined in academic literature. The authors employed a five-step scoping review methodology, including literature searches and expert interviews, to define D2H’s concept and structure, identify stakeholders, and evaluate its current limitations. The study highlights the roles of health funding institutions and the interactions between debtor and creditor nations throughout the project’s lifecycle.
The authors propose countermeasures and suggestions to address identified shortcomings. This review lays the foundation for improving and adapting D2H within the dynamic global health development context, emphasizing the initiative’s potential in resource mobilization for public health.