Abstract
The World Bank has a new 10-year health strategy.1 Since its previous health strategy, developed in 1997, the global health landscape has been transformed. International spending on health has increased from about US$7 billion in 2000 to almost $14 billion in 2005. While the Bank used to be the pre-eminent international health-financing agency, spending about $1·5 billion a year on health, it now operates in a more crowded field, with established players, such as WHO, UNICEF, and bilateral donor agencies, and newer players such as the US President's Emergency Fund for AIDS Relief (PEPFAR), the Global Fund to Fight AIDS, Tuberculosis and Malaria, the Bill & Melinda Gates Foundation, and the GAVI Alliance.
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