WHO Faces Challenges Following U.S. Withdrawal Announcement

Geneva - The World Health Organization (WHO) is grappling with significant challenges as it prepares for the impending exit of the United States, its largest financial contributor. The U.S. government's formal notice of withdrawal, effective January 22, 2026, raises concerns about the future of numerous health programs funded by American contributions.

During the upcoming session of the WHO Executive Board, which consists of representatives from 34 of the 194 member states, the agenda will include discussions on managing public health crises such as cervical cancer and diabetes, as well as strategies addressing the intersection of climate change and health. However, the looming U.S. withdrawal overshadows these discussions, as the organization is heavily reliant on American funding.

Historically, the United States has provided nearly 20% of the WHO's budget, making its potential exit a critical issue. As of late January, the U.S. had not yet paid its obligatory contribution of $264 million for the 2024-2025 budget period, heightening concerns about program sustainability. The current political climate, marked by President Donald Trump's critical stance toward the WHO--stemming from accusations during the COVID-19 pandemic--compounds these issues.

The U.S. has been a vital supporter of several health initiatives within the WHO framework, contributing 75% of the funding for HIV and hepatitis programs, 61% for tuberculosis initiatives, and 29% for strengthening health systems in low-income countries. The withdrawal could disrupt these essential services and create a financial gap that the organization may struggle to fill.

In light of these developments, WHO Director-General Tedros Adhanom Ghebreyesus has publicly urged the U.S. government to reconsider its decision. Meanwhile, discussions are underway to identify potential alternative funding sources to compensate for the loss of U.S. contributions. Notably, Germany has emerged as a significant player in this context, having stepped in with substantial voluntary contributions during previous funding shortfalls under the Trump administration.

In 2024, Germany accounted for approximately 6% of the WHO's budget and has committed to providing additional, significant voluntary funding. Other countries, including China, which contributed around 5% of the budget in 2024, are also being evaluated for their potential roles in filling the financial void left by the U.S.

As the WHO prepares for its Executive Board meeting, the urgency to address these funding concerns cannot be overstated. The implications of a U.S. withdrawal extend beyond financial support; they threaten the operational capacity of the WHO and its ability to respond effectively to global health emergencies.