France spent US$12.2 billion in official development assistance (ODA) in 2019, representing 0.44% gross national income (GNI), and is committed to increasing its overall ODA to 0.55% by 2022. Priority countries for recipient ODA are located in sub-Saharan Africa, with a focus on the Sahel region. France’s global health strategy has the following priorities: 1) health systems strengthening; 2) global health security; 3) promoting public health for all populations; and 4) promoting French expertise, training, research and innovation. France has also provided strong support for multilaterals and hosted the Global Fund to Fight AIDs, Tuberculosis and Malaria (GFATM) sixth replenishment in Lyon in 2019.
Global mental health support
A member of the Alliance of Champions for Mental Health and Wellbeing, France will be hosting the third Global Ministerial Mental Health Summit, following the Netherlands. Outside of support through multilateral channels, bilateral aid to mental health is provided via the French Development Agency (AFD). AFD projects supported include Strengthening Access to Water and Mental Health and Psychosocial Support Services in Jordan and Iraq in partnership with Action Against Hunger (ACF) for vulnerable populations, and support to the NGO Première Urgence Internationale to increase access to healthcare, psychosocial and education services for vulnerable populations in Lebanon and Jordan. Both of these programmes were supported via the SAWA initiative aimed at improving living conditions among both refugees and host populations.
AFD is also supporting mental health work in Lebanon, in coordination with the Program National Mental Health Ministry of the Lebanese Ministry of Public Health.
Strategy for global mental health
While there is no specific mental health strategy, mental health is incorporated in France’s Global Health Strategy as a fundamental part of universal health coverage (UHC), as a component of children and adolescent health, and is grouped with non-communicable diseases (NCDs).
Interministerial Committee for International Cooperation and Development (CICID): in charge of setting international development strategy
French Development Agency (AFD): bilateral policy and implementation
Ministry for Europe and Foreign Affairs (MAE): in charge of a yearly report to the president and prime minister on the implementation of planned ODA increases.
Financing global mental health
According to data from IHME, from 2007-2019 France contributed USD $26.8 million in development assistance to mental health (DAMH). This figure is only representative of government resources.
Global health overview
In 2016, France spent US$944 million of ODA on global health (8% of its total ODA) and channeled 70% via multilaterals.
France has made pledges and contributions to the following to global initiatives:
- Interministerial International Cooperation and Development Committee (CICID) 8 February 2018
- France’s Strategy for Global Health Directorate-General for Global Affairs, Culture, Education and International Development (2017).
- France’s Humanitarian Strategy 2018-2022
- WHO Mental Health Atlas 2017 Country Profile
- WHO MiNDBank