WHO battles funding shortfall with new restructure plan

As financial pressures mount and internal tensions rise, the future of the World Health Organization hangs in the balance with sweeping reforms on the horizon.
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Just weeks before the World Health Assembly, the World Health Organization (WHO) unveiled a major restructuring plan in response to severe financial challenges. WHO Director-General Tedros Adhanom Ghebreyesus announced the streamlining of the agency’s Geneva headquarters, reducing its divisions from ten to four and departments from sixty to thirty-four.

With funding slashed by donor cuts, including the United States’ withdrawal that alone cost WHO $1.2 billion, the agency faces a staggering $600 million deficit this year and anticipates a 45% shortfall in its upcoming $4.2 billion budget. The internal response to the restructuring has been tense.

Staff members expressed frustration at the top-down decision-making process and criticised past spending on what they saw as unnecessary management layers. Although no specific job cut numbers were provided, Tedros confirmed that executive management would bear the initial brunt of the downsizing.

A consulting group, funded by the Bill and Melinda Gates Foundation, has been advising on the changes behind closed doors, further fueling concerns about transparency. Outside experts view the overhaul as a return to a more focused, ‘normative’ WHO, echoing the approach under former Director-General Margaret Chan.

Yet key questions remain unanswered, such as whether costly country offices will be closed or WHO’s activities will shift back to its original mission of setting international health standards. European Union representatives and other member states have also voiced scepticism, demanding a detailed roadmap to sustainability before approving the new budget.

As the World Health Assembly approaches, debates are intensifying. While some see the crisis as a rare opportunity to realign the WHO with its foundational goals, political sensitivities around funding, office closures, and expanding member contributions suggest that achieving consensus will be anything but easy.

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