The Montreux Collaborative’s latest blog examines how low- and middle-income countries can navigate aid transitions and strengthen domestic health financing for long-term sustainability.
The Montreux Collaborative has released a new blog, Precipitated aid transition in health – priority actions for low-and-middle income countries, authored by Hélène Barroy, Susan Sparkes, and Kalipso Chalkidou, with contributions from WHO experts across multiple regions.
The blog highlights the challenges faced by low- and middle-income countries (LMICs) due to fluctuations in donor funding, emphasising the need for stronger domestic financing mechanisms. With the recent freeze on US government aid—one of the largest global health donors—many countries are facing significant financial and service delivery disruptions. However, this moment also presents an opportunity to realign donor funds with national priorities and strengthen financial sustainability.
The authors outline key actions across three critical areas: external resources, domestic revenues, and program operations. They emphasise improved transparency in donor funding flows, strategic reallocation of domestic budgets, and greater integration of donor-supported programs into national health systems.
Read the full blog [here](insert link) to explore practical recommendations for policymakers navigating the evolving health financing landscape.