UN’s lifesaving programmes under threat as budget crisis hits hard

Member States had paid just $1.8 billion towards the UN’s $3.7 billion regular budget for 2025, as of 9 May. Including unpaid contributions from previous years, total unpaid assessments stand at approximately $2.4 billion as of 30 April.

The United States is the largest debtor at about $1.5 billion, as the Trump Administration is withholding funds to cut what it sees as unnecessary spending.

Other major contributors with unpaid dues include China ($597 million), Russia ($72 million), Saudi Arabia ($42 million), Mexico ($38 million) and Venezuela ($38 million). An additional $137 million is yet to be paid by other Member States.

The UN’s separate peacekeeping budget faces a similar crisis, with $2.7 billion in unpaid assessments as of 30 April.

Amidst the fiscal challenges, Secretary-General António Guterres in March launched the UN80 initiative to improve efficiency, streamline operations and reduce costs – including a possible 20 per cent staff cut through eliminating duplication.

Women, health, refugee support at risk

The situation is equally concerning at UN agencies and programmes, which have their own budgets and funding channels.  

The UN sexual and reproductive health agency, UNFPA, for instance has warned that women and girls in crisis zones – such as the Democratic Republic of the Congo (DRC), Haiti, Sudan and Afghanistan – are already suffering from shrinking support.

Cuts have slashed the ability to hire midwives, supply essential medicines, deploy health teams, and provide safe spaces for survivors of sexual violence.

In Mozambique, nearly 750,000 displaced persons and refugees are in urgent need of protection, but the UN refugee agency (UNHCR) warns it may have to suspend essential services, including healthcare, education, and support for survivors of gender-based violence, with only one-third of its funding appeal met.

HIV/AIDS programs are also at risk. In Tajikistan, UNAIDS Country Director Aziza Hamidova reports that 60 per cent of HIV programme support is in jeopardy. Community health centers have already closed, outreach has been cut, and access to PrEP testing and counseling has dropped sharply.

Dwindling funds for crisis response

The Office for the Coordination of Humanitarian Affairs (OCHA) – which leads UN’s response to crisis – is raising alarms over the cascading impact of funding gaps.

In Sudan, only 13 per cent of the $4.2 billion needed for 2025 has been received, forcing 250,000 children out of school. In the DRC, gender-based violence cases have surged 38 per cent, but programmes are shutting down. In Haiti, cholera response efforts risk collapse. Meanwhile, just 25 per cent of Ukraine’s 2025 humanitarian appeal has been funded, jeopardizing critical services.

UN Emergency Relief Coordinator and head of OCHA, Tom Fletcher, has already announced staff cuts and scaling back of some country programmes.

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Largely eradicated diseases at risk of returning due to budget cuts

Cuts to global health funding are leading to a rise in outbreaks of diseases that vaccines had nearly wiped out, the UN health agency, WHO, is warning on Thursday.

In Africa’s “meningitis belt”, which spans parts of sub-Saharan Africa, vaccination campaigns had successfully eliminated meningitis A. Similarly, improved routine immunization and emergency vaccine stockpiles drastically reduced cases of yellow fever and related deaths.

But this progress is now at risk. “Funding cuts to global health have put these hard-won gains in jeopardy,” warned Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization.

Outbreaks on the rise

In 2023, measles cases were estimated at more than 10.3 million – a 20 per cent increase compared to 2022.

WHO, UN Children’s Fund UNICEF and their partners warned in a statement marking the beginning of World Immunization Week that this upward trend is expected to continue into 2025.

Yellow fever is also making a comeback. After years of declining cases in Africa thanks to improved vaccine access, 2025 has already seen a rise in outbreaks across the continent. Cases have also been confirmed in the Americas.

Misinformation threat

Vaccination efforts are increasingly under pressure due to a combination of misinformation, population growth, humanitarian crises, and funding cuts.

Earlier this month, a WHO review across 108 countries found that nearly half are experiencing moderate to severe disruptions to vaccination campaigns, routine immunisations, and supply chains due to falling donor support.

The global funding crisis is severely limiting our ability to vaccinate over 15 million vulnerable children in fragile and conflict-affected countries against measles,” said Catherine Russell, Executive Director of UNICEF.

Vaccines offer high returns

Vaccines save around 4.2 million lives each year, protecting against 14 different diseases. Almost half of those lives are saved in Africa.

Despite this, falling investment now risks the re-emergence of diseases once thought to be under control.

Health experts emphasise that immunization is one of the most cost-effective health interventions. Every $1 invested in vaccines brings an estimated return of $54 through better health and economic productivity.

UNICEF, WHO, and their partners are calling on parents, the public, and political leaders to support immunization programmes and ensure long-term investment in vaccines and public health systems.

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