{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T07:05:30Z","timestamp":1784099130977,"version":"3.55.0"},"reference-count":18,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Health Serv."],"abstract":"<jats:p>In 2025, development assistance for health fell by about 21% in a single year, driven largely by a 67% cut in United States financing. India sits in an unusual dual position: its core disease programmes, including tuberculosis treatment, are largely domestically financed and comparatively insulated, while much of the developing world depends on it for affordable medicines and vaccines. Falling donor procurement through the Global Fund, Gavi and other channels threatens demand for India-made commodities, while a heavy dependence on imported ingredients leaves the supply base fragile. This brief treats the shock as both a supply-security risk and a strategic opening, and sets out domestic, manufacturing and diplomatic actions to protect access and assume greater leadership.<\/jats:p>","DOI":"10.3389\/frhs.2026.1903108","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T06:10:29Z","timestamp":1784095829000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Insulated at home, indispensable abroad: positioning India's global health strategy after the 2025 contraction in development assistance"],"prefix":"10.3389","volume":"6","author":[{"given":"Shyamkumar","family":"Sriram","sequence":"first","affiliation":[{"name":"Department of Rehabilitation and Health Services, College of Public Affairs and Health Sciences, University of North Texas","place":["Denton, TX, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"B1","year":"2026"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e690","DOI":"10.1016\/S2214-109X(26)00008-2","article-title":"Impact of two decades of humanitarian and development assistance and the projected mortality consequences of current defunding to 2030: retrospective evaluation and forecasting analysis","volume":"14","author":"Ferreira da Silva","year":"2026","journal-title":"Lancet Glob Health"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e1669","DOI":"10.1016\/S2214-109X(25)00281-5","article-title":"Effects of reductions in US foreign assistance on HIV, tuberculosis, family planning, and maternal and child health: a modelling study","volume":"13","author":"Stover","year":"2025","journal-title":"Lancet Glob Health"},{"key":"B4","volume-title":"Economic Survey 2024\u201325, Ministry of Finance; and National Health Accounts Estimates 2021\u201322, Ministry of Health and Family Welfare","year":"2025"},{"key":"B5","year":"2024"},{"key":"B6","year":"2025"},{"key":"B7","volume-title":"Indian Pharmaceuticals Industry","year":"2026"},{"key":"B8","volume-title":"The Impact of 2025 Funding Cuts on TB Services. Global Tuberculosis Report 2025","year":"2025"},{"key":"B9","year":"2025"},{"key":"B10","year":"2024"},{"key":"B11","volume-title":"India\u2019s Pharmaceuticals in Global Healthcare: Production, Exports and the Production Linked Incentive Scheme","year":"2026"},{"key":"B12","year":"2026"},{"key":"B13","year":"2023"},{"key":"B14","year":"2021"},{"key":"B15","year":"2021"},{"key":"B16","year":"2023"},{"key":"B17","volume-title":"Revolving Fund for Access to Vaccines","year":"2026"},{"key":"B18","year":"2025"}],"container-title":["Frontiers in Health Services"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frhs.2026.1903108\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T06:10:30Z","timestamp":1784095830000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frhs.2026.1903108\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,15]]},"references-count":18,"alternative-id":["10.3389\/frhs.2026.1903108"],"URL":"https:\/\/doi.org\/10.3389\/frhs.2026.1903108","relation":{},"ISSN":["2813-0146"],"issn-type":[{"value":"2813-0146","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,15]]},"article-number":"1903108"}}