The proposed PAHO budget for the 2026–2027 biennium is US$ 762 million in total. Of this amount, $662 million is for base programs and $100 million is for special programs (including emergencies, as a placeholder budget). This proposal represents a decrease of 5.4% for base programs and an overall reduction of 7% with respect to the PB24–25. The proposed budget reflects a realistic balance between programmatic needs, the resource mobilization environment, and historical financing and implementation levels, as well as efficiency efforts. The proposed amount for special programs is indicative, given the nature of the work to be undertaken under such segment. When determining the size of the budget envelope, consideration was also given to PAHO overall financing prospects, included resource mobilization.

The SP26–31 outcomes are the highest level of programmatic results to be presented in the proposed PB26–27. Recognizing the interconnection between outcomes, and to provide a more comprehensive view, the 12 outcomes of the SP26–31 have been grouped into five strategic objectives (SO), which are high-level objective statements that serve to group related outcomes but that are not part of the results chain.
In line with the SP26–31 integrated approach, the budget by outcome has been organized under five strategic objectives (SOs), shown in the table below. The strategic objectives will facilitate the management and implementation of the Strategic Plan’s outcomes, covering all planning and performance monitoring, assessment, and reporting processes, including the PB26–27.
* In US$ Dollars
PAHO continues to strategically strengthen its country-level work. To guide the distribution of the country-level budget allocation, Member States adopted the PAHO Budget Policy for the period 2020-2025 at the 57th Directing Council in September 2019. A new policy has been developed for the period 2026–2031, in line with the new SP26–31, and is being presented to the 62nd Directing Council for review and approval (Document CD62/6). This new policy includes recommendations from the Evaluation of the PAHO Budget Policy 2020–2025
To ensure PASB applies its resources where they are needed most, and in an evidence-based and transparent manner, the new PAHO Budget Policy establishes the following guiding principles: alignment with PAHO’s values, country focus, and operational flexibility. It also mandates that budget allocations should be guided by four main criteria: prioritization, progressivity, absorptive capacity, and adaptability.
In US$ Dollars
(*) key country
The base programs of PB26–27 will be financed through:
a) Assessed contributions from Member States, Participating States, and Associate Members;
b) Budgeted miscellaneous revenue;
c) Other PAHO financing sources, including voluntary contributions and special funds; and
d) Funding allocated by the World Health Organization to the Region of the Americas (consisting of both WHO flexible funding and voluntary contributions).
The financial outlook for PB26–27 remains subject to an evolving and uncertain global financing landscape. Assuming full payment of assessed contributions from Member States, along with projected voluntary contributions, other PAHO sources, and projected funding to the Region of the Americas, PASB currently estimates that the base programs for PB26–27 will be 81% funded ($539 million of $662 million), leaving a funding gap of $123 million.
To fulfill its mandate, PAHO is committed to securing full funding of the PB26–27 by exploring strategies to attract more flexible voluntary contributions, which are crucial for ensuring quality and timely delivery of technical cooperation. The support of Member States and partners will be more critical than ever in achieving this goal.
The total approved budget allocation from the World Health Organization for the Regional Office for the Americas (AMRO) is $309.9 million, broken down as follows: $254.8 million for base programs, $4.2 million for special programs, $0.9 million for polio eradication and $50.0 million for emergency operations and appeals. The AMRO budget allocation reflects a decrease of $40.8 million or 14% for base programs with respect to 2024–2025.