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Resourcing Climate and Health Priorities: Mapping of International Finance Flows, 2018-2022

Categories: Financing, Access to climate change funding for health, Tools, Global

Publisher: Rockefeller Foundation

This report provides the most comprehensive analysis to date of the levels and trends in self-reported financing for climate and health ― a critical baseline understanding from which countries, funders, implementers, and advocates can work to strengthen financing for climate and health.

Key Findings :

  • Increased Investment: Finance commitments for climate and health increased ten-fold from less than US$1 billion in 2018 to US$7.1 billion in 2022, from bilateral donors (US$4.8bn), multilateral health funds (US$1.5bn), MDBs (US$0.6bn), philanthropies (US$160mn), and multilateral climate funds (US$23mn).
  • Challenges: This available finance does not reach those who need it most. Less than half of the total funding flowed to low-income countries, and a significant portion of bilateral donor financing was in the form of loans rather than grants.
  • Future Outlook: In an era of polycrises and growing fiscal constraints, all finance partners will have a key role to play in scaling needed finance, with the largest growth likely to come from multilateral development banks and multilateral climate and health funds.
  • Recommendations: The report provides concrete actions that public, private, and philanthropic donors can take to scale up funding, improve access, and ensure finance meets the needs of the most impacted countries and communities.

As articulated in the COP28 Guiding Principles for Financing Climate and Health Solutions, this report responds to a clear need for baseline financial data on climate and health. Three endorsing organizations of the Guiding Principles ― Foundation S ― the Sanofi Collective, Reaching the Last Mile, and The Rockefeller Foundation ― pooled funds to commission the analysis through RF Catalytic Capital, Inc., which served as the fiscal sponsor of the project.

This report was developed as a contribution to the Alliance for Transformative Action on Climate and Health (ATACH), which works to realize the ambition set at COP26 to build climate-resilient and sustainable health systems.