Sustainable Financing for Preparedness Action Package
The Sustainable Financing for Preparedness Action Package was launched in 2019 to take strategic actions for mobilizing global, regional, and country-level resources to achieve sustainable financing for preparedness. The Action Package does this by engaging relevant stakeholders to take coordinated action, contributing to existing efforts and tools, and galvanizing high-level support.
Why Sustainable Financing for Preparedness Matters?
Multiple pandemics, numerous outbreaks, thousands of lives lost and billions of dollars of national income wiped out—all since the turn of this century, in barely 17 years—and yet the world’s investments in pandemic preparedness and response remain woefully inadequate. Peter Sands, Panic and Neglect to Investing in Health Security 2018 Report

The COVID-19 pandemic and numerous prior outbreaks have illustrated the enormous impact infectious diseases have on both health and finance sectors. While we have identified gaps in preparedness, we’re missing the resources needed to address them and maintain capacities to prevent the next pandemic threat. There economic case is clear— sustained country-level investments to establish and maintain global health security capacity in support of the International Health Regulations and other global health security frameworks are needed to help prevent and mitigate future infectious disease threats.
- Increase awareness and support for sustainable preparedness financing
- Support coordinated action in international initiatives, instruments, and frameworks
- Share and contribute to development of resources and tools
1: Support countries in strengthening financing capacities necessary for domestic leadership for that support effective and accountable financing for health security
Impact: Improved capacities enable countries to coordinate, advocate for, plan, allocate, and execute domestic resources for health security resulting in more sustainable, accountable, and timely investments in preparedness and response
2: Explore and promote innovative and sustainable private sector-oriented approaches to financing for health security that help countries navigate the transition to greater domestic resource mobilization
Impact: By expanding domestic resource mobilization strategies—particularly through private sector engagement—countries can leverage access to complementary financing resources for health security
3: Revitalize the SFP AP membership
Impact: Well-coordinated, multisectoral action package that enhances peer collaboration and knowledge exchange among GHSA members
- Developed landscape scan of existing efforts and resources for preparedness financing.
- Collected successful country practices, tools and lessons learned for mobilizing resources for preparedness.
- Analyzed the gaps and various recommendations in preparedness financing that came out in the wake of the COVID-19 outbreak.
- Contributed to the revisions of the financing indicator in the 3rd edition of the JEE tool and WHO Benchmarks Library.
- Organized various GHSA-wide roundtable events to share country level perspectives on financing preparedness and inform global efforts.
1. Pandemic Preparedness and Health Security
From Panic and Neglect to Investing in Health Security (2017)
- Summary: This report discusses financing preparedness and response capacities for pandemics and health emergencies at various levels.
- Access Report: [World Bank Document] (https://documents.worldbank.org/en/publication/documents-reports/documentdetail/979591495652724770/from-panic-and-neglect-to-investing-in-health-security-financing-pandemic-preparedness-at-a-national-level)
Protecting People, Protecting Economies: Prioritizing Investments in Preparedness at the Country Level (April 2019)
- Summary: This summary note details a meeting convened by the World Bank and partners, focusing on financing preparedness at the country and regional levels. Its highlights the current state of preparedness capacity and financing, political and economic considerations, the development of the Global Health Security Financing Agenda (GHSA) Financing Preparedness Action Package, and a path forward.
- Access Summary Note: World Bank Document
2. Public Financial Management (PFM) and Resource Mobilization
Aligning Public Financial Management and Health Financing: Sustaining Progress Toward Universal Health Coverage (2017)
- Summary: This document provides guidance on aligning PFM systems with health financing policies to support UHC.
- Access Report: [WHO Publication] (https://iris.who.int/handle/10665/254680)
Aligning Public Financial Management and Health Financing: A Process Guide for Identifying Issues and Fostering Dialogue (2017)
- Summary: This guide offers a process for health and finance authorities to assess and improve alignment between PFM and health financing.
- Access Guide: [WHO Publication] (https://www.who.int/publications/i/item/9789241513074)
Budget Advocacy for Epidemic Preparedness (June 2022)
- Summary: This toolkit guides advocacy for increased domestic investments in epidemic preparedness.
- Access Toolkit: [Global Health Advocacy Incubator Budget Advocacy Toolkit] (https://budgetadvocacy.org/#:~:text=The%20Budget%20Advocacy%20Toolkit%20for,from%20Resolve%20to%20Save%20Lives)
Budget Matters for Health (2018)
- Summary: This policy brief highlights the role of public budgeting in health for non-PFM specialists.
- Access Brief: [WHO Guidance] (https://www.who.int/publications/i/item/WHO-HIS-HGF-PolicyBrief-18.4)
From Overall Fiscal Space to Budgetary Space for Health: Connecting Public Financial Management to Resource Mobilization in the Era of COVID-19 (October 2020)
- Summary: This paper discusses the concept of budgetary space for health and its drivers in LMICs.
- Access Paper: [Center for Global Development Publication] (https://www.cgdev.org/publication/overall-fiscal-space-budgetary-space-health-connecting-public-financial-management)
3. Forums and Recent Developments
Seventh Annual Health Financing Forum: Investing in Health in the post-COVID era (April 2024)
- Summary: This forum explored new pathways to prioritize health in government spending post-COVID-19.
- Access Recordings: [World Bank Event] (https://www.worldbank.org/en/events/2024/04/15/seventh-annual-health-financing-forum-investing-in-health-in-the-post-covid-era#4)
Health Financing in a Time of Global Shocks: Strong Advance, Early Retreat (June 2023)
- Summary: This paper examines government health spending trends in developing countries during recent global shocks.
- Access Paper: [World Bank Publication](https://openknowledge.worldbank.org/entities/publication/846332e1-406e-4958-ab76-cdbbb968678a)
Contributing Members
Co-leads: Uganda and the United States of America
Countries: Ethiopia, Finland, Italy, Netherlands, Nigeria, Norway, Pakistan, Thailand, Uganda, United Kingdom, United States of America
Organizations: Asia-Europe Foundation (ASEF), Global Health Security Agenda Consortium (GHSAC), Inter-American Development Bank (IDB), Nuclear threat Initiative (NTI), Private Sector round Table (PSRT)
Contact Us
Please contact GHSASustainableFinancingAP@gmail.com to join the SFP AP Action Package.