Equitable Access Initiative

The Equitable Access Initiative (EAI) was convened in early 2015 by nine leading multilateral health and development organizations to explore the strengths and weaknesses of using Gross National Income (GNI) per capita, and the potential for developing alternatives or complimentary measures to better inform decision making on health and development. The Initiative developed a policy framework which enabled better understanding and categorization of countries based on their health needs and capacities as they move along the development continuum.

The EAI concluded that policymaking should not rely solely on a single variable to inform complex health financing decisions, and suggested considering health need relative to income levels, as well as domestic capacity and policies. The supporting analysis found that GNI per capita as an imperfect proxy for understanding health need or a government’s capacity to invest in health. The metric was, however, found to be a reliable starting point for assessing the average level of wealth or general economic capacity in a context.

Download the final report for more information:

  • Equitable Access Initiative Report
    download in English

The convening partners of the Equitable Access Initiative included the World Health Organization; the World Bank; Gavi, The Vaccine Alliance; UNAIDS; UNICEF; UNDP; UNFPA; Unitaid; and the Global Fund, with support from the Bill & Melinda Gates Foundation and the Wellcome Trust.


In February 2015, 100 delegates from the global health community, development banks, governments and civil society attended the initial meeting on the Equitable Access Initiative held in Geneva, hosted by the World Health Organization and co-chaired by Pascal Lamy, former Director-General of the World Trade Organization, and Donald Kaberuka, former President of the African Development Bank Group.

Subsequently, four analytical groups were commissioned to develop potential frameworks for consideration by the Equitable Access Initiative stakeholders. Throughout the Initiative, an extensive consultation process engaged government representatives, technical partners, civil society, the private sector, academic institutions and think tanks, gathering constructive feedback on the analytical work.

A high-level meeting in February 2016 reconvened members of the Equitable Access Initiative in Geneva to discuss the findings and recommendations of the analytical groups. The four leading academic groups in the Equitable Access Initiative were the University of Oxford, the Norwegian Institute of Public Health, the University of Sheffield-Imperial College and the Institute of Health Metrics. Each of their independent reports are able for download below.

The Equitable Access Initiative published its final report in December 2016.