Development Policy Centre Podcast

In this episode of Devpolicy Talks, Robin Davies interviews Nina Schwalbe about the dramatic shifts in US global health policy under the Trump administration and their far-reaching consequences. As founder of Spark Street Advisors and a global health expert with extensive experience in multilateral organisations, Nina provides a sobering account of how these changes are reshaping international development assistance.The conversation begins with an exploration of the US withdrawal from WHO and its freezing of foreign assistance payments. Nina highlights how these actions have crippled WHO’s core finances and programs in immunisation, maternal health, non-communicable diseases and emergency response. She also discusses the removal of CDC secondees from WHO offices worldwide, further weakening global health capacity.The discussion then turns to other multilateral organisations like the Global Fund and Gavi. While Gavi is less reliant on US funding, the Global Fund faces existential risks due to uncertainty about