世卫组织人人健康人人享有健康：2025-2028 年投资案例（英文）

AllforHealth,HealthforAll

Investmentcase2025--2028

AllforHealth,HealthforAll

Investmentcase2025--2028

worldHealthorganization

AllforHealth,HealthforAll-Investmentcase2025--2028

AllforHealth,HealthforAll:investmentcase2025-2028

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Designandlayoutbyblossom.it

Contents3

Contents

ForewordfromtheDirector-General4

Acknowledgements5

Abbreviations6

Summary8

1.WhatWHOwilldeliverin2025-202814

1.1.Promotegoodhealthandwell-being17

1.2.Providehealthserviceswheretheyareneededmost21

1.3.Protecttheworldfromhealthemergencies26

2.Transformingforimpact30

2.1Leadingbyexample33

2.2.Scienceanddataforimpact36

2.3.Strengtheningcountryofficestoincreaseimpact39

3.InvestinWHOforasaferandhealthierworld40

4.Togethercreatingvalueforall44

References46

AnnexVoluntarycontributionstobasesegment,revenue

47

4AllforHealth,HealthforAll-Investmentcase2025--2028

Forewordfromthe

Director-General

DrTedrosAdhanom

Ghebreyesus

Director-GeneralWorldHealth

Organization

WhentheConstitutionoftheWorldHealth

Organization(WHO)cameintoforcein1948,

averagelifeexpectancygloballywas46years.

Smallpoxstillstruckatleast10millionpeople

everyyear,whilepolio,measles,malaria,

meningitisandotherdeadlydiseaseskilled

millionsofchildrenaroundtheworld,uncheckedbyvaccines.Unnumberedwomenandchildrendiedfromcomplicationsofchildbirth.Therisksoftobaccousewereunknown;WHOstaffevensmokedintheiroffices.

Seventy-sixyearslater,averagelifeexpectancyhasclimbedto71.4years,withthebiggestgainsinthepoorestcountries.Smallpoxnolonger

exists,andpoliowillsoonjoinit.Vaccinescan

nowpreventmorethan30deadlydiseases,

andthelistkeepsgrowing.Forty-twocountrieshaveeliminatedmalaria,andthehuman

immunodeficiencyvirusandtuberculosis

epidemicshavebeenpushedback.Inthepast20yearsalone,smokingprevalenceandmaternalmortalityhavebothfallenbyonethird,while

childmortalityhasmorethanhalved.

Despitethesegains,healthisarguablyunder

morethreatnowthanatanytimesinceWHO’s

founding.Ourworldisrivenbysevereinequitiesandinequalitiesinhealth,whichwereamplifiedbythecoronavirusdisease2019pandemic.

Morethanhalftheworld’spopulationisnotfullycoveredbyoneormoreessentialhealthservices,and2billionpeoplefacefinancialhardshipduetoout-of-pockethealthspending.

Theconsequencesareprofound:thenumber

ofchildrenwhohavenotreceivedasingle

vaccinedoseisclimbingforthefirsttimein

modernhistory;noncommunicablediseasesarenowtheleadingcauseofprematuremortality,especiallyinlower-incomecountries;mental

healthdisordersarefarbetterunderstood,andyetfarmoreprevalentthananyoneimagined;antimicrobialresistancethreatenstounwinda

centuryofmedicalprogress;andclimatechange

threatenstheveryhabitabilityofourplanet

onwhichalllifedepends.Inaddition,conflict,

insecurityanddisplacementabound,whilethedisturbingtrendofattacksonhealthcareworkersandfacilitieshasescalatedalarmingly.

The14thGeneralProgrammeofWork(GPW14)

hasbeenbuilttosupportMemberStatesto

addressthesechallenges,andthisinvestmentcaselaysouttheresourcesneededtoimplementGPW14.ItbuildsonthesignificantimprovementsthathavealreadybeenmadeaspartofWHO’stransformationtomakeourfinancingmore

predictable,flexibleandsustainable.

InvestmentsinWHOdeliversahealthyreturnofUS$35foreveryUS$1invested,intermsoftheeconomicbenefitsofimprovinghealthoutcomesbyscalingupinterventionsbasedonWHO’s

trustedguidanceandsupport.

Theglobalhealtharchitectureisfarmorecomplextoday,withconsiderablymore

capability,thanitwasin1948.Nevertheless,WHOremainsauniqueorganization,withaunique

mandate,uniquelegitimacy,auniqueglobal

footprintanduniqueexpertise.Itisoftensaid

thatifWHOdidnotexist,itwouldneedtobe

created,andinthecurrentgeopoliticalclimate,itisfarfromcertainitcouldbe.

AstrongandsustainablyfinancedWHOis

thereforeessentialfortheworldtomeetthe

multiplethreatstohealthitfaces.Wedeeply

appreciatethegeneroussupportofMember

Statesandotherdonorswhohaveinvestedin

WHOthroughoutitshistory,especiallyinrecentyears.Weseektheircontinuingcommitment

torealizeourtimelessfoundingvisionforthehighestattainablestandardofhealthforallpeople,asafundamentalright.

Acknowledgements5

Acknowledgements

WHOgratefullyacknowledgesthecontributionsallitsMemberStatesthroughfullyflexibleassessedcontributionswhichhavefundedthisreport.ThereportistheproductofaniterativedevelopmentprocesswithMemberStatesandpartners.Weacknowledgethevaluablecontributionsofexperts

indiseasemodellingbothwithintheWHOSecretariatandfrommodellingconsortiaandleading

academicexpertsincludingmembersoftheLancetCommissiononInvestinginHealth.FundingwasreceivedfromtheBill&MelindaGatesFoundationtosupportadditionalmodellingrequiredforthecompleteestimateoflivessaved.

6AllforHealth,HealthforAll-Investmentcase2025--2028

Abbreviations

AfricaCDC

AfricaCentresforDiseaseControlandPrevention

ADB

AsianDevelopmentBank

AFDB

AfricanDevelopmentBank

AMR

Antimicrobialresistance

APEC

Asia-PacificEconomicCooperationForum

APPFGH

AsiaPacificParliamentariansForumonGlobalHealth

ASEAN

AssociationofSoutheastAsianNations

ATACH

AllianceforTransformativeActiononClimateandHealth

AUC

AfricanUnionCommission

COVID-19

Coronavirusdisease2019

ECOWAS

EconomicCommunityofWestAfricanStates

EUL

EmergencyUseListing

FAO

FoodandAgriculturalOrganizationoftheUnitedNations

FCV

Fragile,conflict-affectedandvulnerablesettings

GAVI

GlobalAllianceforVaccinesandImmunisation

GPW13

13thGeneralProgrammeofwork

GPW14

14thGeneralProgrammeofwork

HIV

HumanImmunodeficiencyVirus

Abbreviations7

IHR

InternationalHealthRegulations

IP

Intellectualproperty

MS

MemberState

NCD

Noncommunicablediseases

NTD

Neglectedtropicaldiseases

PHC

Primaryhealthcare

PQ

Prequalification

R&D

Researchanddevelopment

SADC

SouthernAfricanDevelopmentCommunity

SDGs

SustainableDevelopmentGoals

STIs

Sexuallytransmittedinfections

TB

Tuberculosis

UHC

UniversalHealthCoverage

UNICEF

UnitedNationsChildren’sFund

UNEP

UnitedNationsEnvironmentProgramme

WASH

Water,sanitationandhygiene

WHO

WorldHealthOrganization

Summary

Summary9

Overthepast5years,theSecretariatoftheWorldHealthOrganization(WHO)hashelpedcountriestoapplythelatestscienceandhealthpractice

withmeasurableresults:1.2billionpeople

arelivinghealthierlivesthroughreducedrisksandhealthierenvironments;nearly430millionmorepeoplearecoveredbyessentialhealth

serviceswithoutfinancialhardship;and600

millionpeoplearebetterprotectedfromhealthemergencies.TheseresultsareachievedwithanannualbudgetofUS$2.75billion–orlessthanUS$0.35perperson.

Butthejourneytowardsachievingthehealth-relatedSustainableDevelopmentGoalsby2030isfarfromover.Withchallengessuch

asclimatechange,shiftingdemographics

andepidemiology,andtheconstantthreatofoutbreaksandconflicts,bold,comprehensivesolutionsareneedednowmorethanever.

Withitsparticipatorygovernancestructure

includingall194MemberStates,shared

priorities,andactivepartnershipswithhealthcoalitionsandcivilsociety,WHOiscentralto

creatingahealthierfutureforall.OnlyWHO

possessesthereachandlegitimacytosetandimplementevidence-basedglobalstandardsforhealth;WHOplaysaleadingroleinmobilizingequitableaccesstolife-savingtechnologies,

fortifyinghealthsystemsworldwide;andonlyWHOhasthecoordinatingroleforglobalearly-warningsystemstodetectoutbreaks.WHO’s

newstrategyfor2025–2028,the14thGeneral

ProgrammeofWork(GPW14),isaco-creationofallMemberStatesandpartnersfacilitatedbytheWHOSecretariatthatwillaccelerateprogressinhealthandwell-beingforeveryone,everywhere.

By2028throughtheGPW14,WHOwillhave

realizedfurthermajorhealthgains:thecombinedeffortsofWHOtogetherwithMemberStates

andpartnersacrossthewidedomainofhealth

willhavesavedatleast40millionlives.ThroughWHO’swork,tangibleresultswillbeachievedtopromote,provideandprotecthealth,forexamplebyimprovingaccesstoinsulinandbasichealthcarefordiabetes,creating10000climate-and

shock-resilienthealthfacilities,training3.2

millionmorehealthworkersanddetecting

threatsthroughanalysisofmorethan9millionpiecesofsurveillanceinformationmonthly.

Attheorganizationallevel,themost

comprehensivetransformationexercisein

WHO’shistoryhasrenewedtheOrganization’scapacitytofocusonscience,dataandresults,andprovidemoreefficientandtailoredsupporttocountries.TheroleoftheChiefScientist

hasbeenestablished,datadivisionshave

beenunifiedandglobalbusinessfunctions

streamlinedtodelivermoreefficiency.Country

officeshavemoreresourcesanddelegatedauthority,togetherwithstrengthened

accountabilityandmoreeffectivereporting.

Buttodeliveronthisstrategy,WHOneedstobepredictablyandsustainablyfinanced.Thetotalbudgetneedforthe4-yearGPW14isUS$11.1

billion.MemberStateshavesetapathtoincreaseassessedcontributionsthatwillcoverUS$4

billionofthisbudget.ThisleavesaWHOfundinggapofUS$7.1billion,whichneedstobefilledthroughvoluntarycontributions.

InvestmentinWHOisaninvestmentinhumanity,aninvestmentthatmakestheworldahealthier,fairerandsaferplace.

Itisaninvestmentthatmovesusallclosertothevisionofhealthforall.

Buttoturnthisvisionintoreality,weneedyoursupport.

AllforHealth,HealthforAll

VisitorstoamarketinBintavillage,India,undergotests,includingformalariaanddengue.©WHO/AtulLoke/PanosPictures

WorkingwithMemberStatesandpartners,WHOwillcontributetosavingatleast

40million

additionallivesfromactionstakenbetween2025and2028

Summary11

Throughitsroleinhealthstewardship,developmentofpublichealthgoodsandin-countrytechnicalsupport,WHOwillsupportMemberStatestoacceleratetowardsthetargetsoftheSustainableDevelopmentGoals

Climatechange

7.5

million

Health

emergenciesb

andantimicrobial

resistance

8.5

million

>40

million

livessaved1

5

million

Noncommunicablediseases

6.5

million

Riskfactorsa

4.0

million

4.5

million

6.3

million

Maternalandchildhealth

Infectiousdiseases

Vaccination

aIncludestobacco,alcohol,physicalinactivity,unhealthydiet

bIncludespreparednessandpreventionofhigh-threatoutbreaks,includingforexamplemeasles,yellowfever,meningitisandtheriskofapandemicevent

WorkingwithMemberStatesandpartners,WHOisextendingitsbilliontargetstopromotegoodhealth,

providehealthserviceswithoutfinancialhardshipandprotectpeoplefromhealthemergencieswithafocusoneventuallyreachingtheworld’spopulationundereachtarget,toachievethegoalofhealthforall.

Promotehealth

Providehealth

Protecthealth

6billionpeopleby2028

+2bn

livinghealthierlives

5billionpeopleby2028

+1.5bn

accessinghealthserviceswithoutfinancialhardship

7billionpeopleby2028

+1.1bn

betterprotectedfromhealthemergencies

12AllforHealth,HealthforAll-Investmentcase2025--2028

Toachievethesegoals,MemberStatesneedastrongWHOSecretariatto:

Protecttheworldfromhealthemergencies

Humanitarianresponse

Provideaccesstohealthservicesformorethan150millionpeoplein30countries,including40millionprimarycarevisits.

Outbreakalertsandresponse

Identify,assessandinformon30healththreatspermonthandcoordinate

parallelresponseto60emergenciesatanygiventime.

Provideservicesthroughtheprimaryhealthcareapproach

Strengthenhealthworkforce

Support55countriestoeducateandemployanadditional3.2million

healthworkers.

Improveaccesstoservices

Increasethenumberofvaccinesdeliveredby247millionin20prioritycountries;

increasethepeopleonantihypertensivetreatmentto200millionin42countries.

Improvepreparedness

IncreasescoresundertheInternationalHealthRegulationsreportingtool,

improvingpreparednessfor83

countriescovering1.4billionpeople.

Acceleratediseaseelimination

Promotegoodhealthandwell-beingforall

Strengthenclimateresilience

Developandimplementnational

adaptationplansforclimatechange,andmake10000healthfacilitiesfullyfunctional,includingwithsolar

electrification.

ImplementNCDBestBuys

Reduceobesityin31countriescovering1.2billionpeople,reducetobacco,

alcoholuseandphysicalinactivityin52countriescovering3.2billionpeople.

Healthyandage-friendlycities

74citiesimplementproven

interventionsforNCDs,andexpandage-friendlycitiesnetworkto>2000.

84countriesreachWHOtargetsfordiseaseelimination,e.gmalariaandtransmissionofneglectedtropicaldiseases,andeliminationofmother-to-childtransmissionofHIV,

hepatitisBorsyphilis.

Powerglobalhealthtodeliverfaster

Fasteraccess

Completeguidanceandassociatedprequalificationwithin12monthsfor400healthproducts.

Betterdata

StrengthenaccesstotimelyreliabledatathroughtheWorldHealthDataHub;usethesedatatosettargetsandcatalyse

progresstowardshealthtargetsinmorethan100countries.

Targetedcountrysupport

EveryWHOCountryOficedrives

nationalprogressthroughtechnicalcooperationguidedbyatheoryofchangeshowingWHO’sunique

contribution.

EnsureastrongWHOtoperformforhealth

Demonstrateorganizationalexcellence

Accountability,transparencyand

eficiencyshownthroughauditsandoversightmechanisms.

Sustainablefinancing

Fundhigh-priorityoutputs

upto80%oftheirplannedbudgets.

Strengthencountryofices

Implementapredictablecountry

presenceandincreaseproportionof

stafonlong-termcontractsatalllevels.

AllforHealth

WHOembodiesthecollectivecommitment

ofitsMemberStatesandpartnerstohealthasaglobalgoal

HealthforAll

WHOisacatalystforcountryprogresstowards

thewell-beingofall,guidedbyevidence-basedstandards,andsteppingforwardwhenemergenciesthreatenlives

PoisoncentreworkerrushestodeliveranantidotebyambulanceinBangkok,Thailand.©WHO/BlinkMedia-AmandaMustard

1WhatWHO

willdeliverin

2025–2028

WhatWHOwilldeliverin2025–202815

“TheWorldHealthOrganizationhasthe

moralauthorityanduniqueglobalreachtodriveforwardthelong-termstrategiesweneedforrealwell-being.”

GordonBrown,WHOAmbassadorforGlobalHealthFinancing

Overits75-yearhistory,WHOhasadvanced

globalhealth,reducingmortalityratesand

increasinglifeexpectancy.Yet,challenges

persist:increasesinlifeexpectancyhave

slowed,maternalmortalityhasstagnatedandconflictsexacerbatehealthcrises.In2024,nearly300millionpeoplerequirehumanitarianaid,

underscoringtheurgentneedtoprotecthealthcareduringemergenciesandensurepeace

forhealth.Whenhealthcareisunprotected

inhumanitarianemergencies,livesareputat

immediaterisk.Disruptionstohealthsystems

alsocreateacycleofreducedhealthaccessandmorepoverty.

WHO‘sagendasetting,thecreationofglobalhealthgoodsanditsprovisionofcountry

supportarethefoundationofglobalhealthinitiatives.Thisrobustfoundationnotonlyfacilitatespartnerships,butalsocatalysesadditionalhealthinvestments.WHO

facilitatesandincreasesthefocusedeffortsof

organizationssuchasGavi,TheVaccineAlliance,andtheGlobalFundtoFightAIDS,TuberculosisandMalaria(GlobalFund),philanthropyand

theprivatesector.Moreover,WHO‘sroleextendsbeyondsettingtheglobalhealthagenda;it

servesasthestewardofaninnovation-friendlyecosystemwhereadvancesbenefitall.By

spearheadingashifttowardsaprimaryhealthcareapproach,WHOispropellinguniversal

healthcoverage(UHC)forwardwhileaddressingtheuniqueneedsofdifferentcountries.

Addressingtoday‘scomplexhealth

challengesdemandsmultisectoralaction.

Noncommunicablediseasescausemorethanhalfofglobalmortality,requiringupstreaminterventionsinsocial,behaviouraland

environmentalareas.Climatechangefurtherincreaseshealthrisks,underscoringthe

needforcoordinatedglobalgovernanceand

preparednessforemergingthreats.Governancehasbecomemorecomplexwithaneedforagilesolutionsthattraversethelocaltotheglobal

sphere,andmobilizestate,civilsocietyandprivatesectoractors.

Inthecoming4years,throughits14thGeneralProgrammeofWork,2025–2028(GPW14),WHOwillcontinuetoputmakingmeasurableimpactsincountriesatthecentreofitsworkandresults

framework.WHO’sworkisanchoredinthe

principlesoftheSustainableDevelopment

Goals(SDGs)ofleavingnoonebehind,withcommitmenttohealthequity,genderequalityandhumanrights,andtothepromotionof

healthylivesandwell-beingacrossthelifecourse(Fig.1).

WHOwillleadfocusedeffortstoputtheworld

ontracktomeettheambitioustargetsofthe

SDGs,whileatthesametimefuture-proofing

healthandhealthcaresystemsforthepost-SDGera.By2028,WHO,togetherwithMemberStatesandallotherkeypartners,willensurethat,oftheprojected8.4billionpeoplelivinginthe

world,6billionwillbeenabledtolivehealthierlives,5billionwillbeabletoaccesshealth

serviceswithoutfinancialhardshipand7billionwillbeprotectedfromhealthemergencies.

TheseabsolutetargetsreflectWHO’s

commitmenttohealthforallandonensuringthatallpeopleintheworldareeventually

coveredunderthesegoals.

Achievingthesetargetswillhaveimmense

impactonthehealthoftheworld’spopulation.Thisisnotonlyaboutnumbers.It’saboutrealpeoplelivinglonger,healthierlives.Eachyear,55millionpeopledie,with28million–halfofalldeaths-occurringprematurelybeforetheageof70.

Atleast

million

40

liveswillbesavedgloballyoverthenext4years

16AllforHealth,HealthforAll-Investmentcase2025--2028

ThroughthecollectiveeffortsofWHO,MemberStatesandpartners,wecansaveatleast40

millionadditionallivesgloballyoverthenextfouryears.

1

TheeconomiccaseforinvestmentinWHOis

strong.ForeveryUS$1investedinWHO,health

gainsvaluedatUS$35areproduced.

2

Thehealthimpactandreturnoninvestment

wereestimatedbasedoncollaborativemodelingeffortsdrawingfrommorethan50academic

modelinggroupsandconsortia.Theseestimateswerecombinedacrossprogrammes,taking

accountofcomorbiditiesandoverlaps.TheWHOSecretariat'scontributiontolivessavedismadethroughdevelopingguidelinesandrecommendinginterventions,approving

technologies,supportingMemberStates

topasstheseintopolicyandsupporting

implementation.Thisestimatedoesnottakeaccountofascenariowhereexistingeffortsfrompartnerswouldbackslide.

TherateofreturnoninvestinginWHOwas

calculatedtakingtheestimated40millionlivessavedandusingaconservativeassessmentoftheportionofthosebenefitsthatcanbeattributed

totheactionsofWHO.3

Theestimateshavebeendevelopedincloseconsultationwithpartners,includingtheLancetCommissiononInvestinginHealth,andprogresswillbemonitoredwiththesupportofleadingacademicpartners.

US$35

valueofhealthgains

producedforeveryUS$1investedinWHO

Providehealth

Advanceprimaryhealthcareandessentialhealthsystemcapacitiesforuniversalhealthcoverage

Improveservicecoverageandfinancialprotection

Fig.1

StrategicobjectivesofWHO’s14thGeneralProgrammeofWork,2025–2028

Promotehealth

Respondtoclimatechange,anescalatinghealththreatAddresshealthdeterminantsandrootcausesofillhealth

HEALTHAND

WELL-BEINGFOR

EVERYONE,

EVERYWHERE

Protecthealth

Prevent,mitigateandprepareforhealthrisksfromallhazardsRapidlydetectandsustainresponsetohealthemergencies

Powerhealth

Scienceand

datatoguide

impact

Performhealth

Astrong,

eficientandefectiveWHO

<

WhatWHOwilldeliverin2025–202817

1.1Promotegoodhealthandwell-being

Respondtoclimatechange,anescalatinghealththreatinthe21stcentury.

Addresshealthdeterminants

andtherootcausesofillhealthinkeypoliciesacrosssectors.

Since2018,1.2billionmorepeoplenowlead

healthierlives,largelyduetobetterindoorair

qualityandaccesstowater,sanitationandhygiene.However,reachingSDGtargetsrequiresgreater

progress.Tobaccousepersists,obesityratesare

risingandclimatechangeposesincreasinghealthrisks.WHOpromotesgoodhealthandwell-beingbyprioritizingpreventionandpromotioneffortsbothwithinandbeyondthehealthsector,emphasizingevidence-basedimpl