This technical brief explores how ten countries are navigating the impacts of cuts to official development assistance (ODA) for health. While each has taken commendable steps to mitigate risks, constrained fiscal space and competing national priorities continue to pose difficult trade-offs. The analysis highlights how long-standing aid dynamics—where donor support has driven major health gains but also fostered dependency through siloed programs—complicate transitions toward greater domestic ownership.

Current shifts in global health funding present an opportunity for governments, civil society, and partners to collaborate in strengthening domestic financing, integrating health systems, and building resilience. Continued donor engagement and strong advocacy will be critical to protect hard-won progress and ensure that women and children are not left behind.