Expression of gratitude to members of WHO senior leadership team
As we make this transition to the new leadership team, I want to express my sincere appreciation for the remarkable contributions of those colleagues who will be leaving their executive management positions on 16 June 2025.
I am truly grateful to:
Dr Michael J. Ryan, Deputy Director-General and Executive Director for Health Emergencies, Preparedness, and Response. Mike planned to leave over two years ago but stayed on at my request, and I am very thankful for that. His steady presence has been instrumental during our toughest times, especially during the COVID-19 pandemic. His dedication to emergency response has changed how we work, helping us face unprecedented challenges with compassion and effectiveness. I also appreciate his leadership during the prioritization process in these difficult times.
Dr Bruce Aylward, Assistant Director-General for UHC/Life Course for his key role in responding to public health emergencies like Ebola and COVID-19. He showed a unique talent for building partnerships through the ACT-A initiative, driving forward WHO’s transformation agenda, and leading the development of the Fourteenth General Programme of Work, 2025–2028.
Dr Samira Asma, Assistant Director-General for Data, Analytics, and Delivery for Impact, for her strong commitment to improving the role of data, evidence, and measurable impact at the country level, and for establishing the WHO data hub.
Dr Catharina Cora Boehme, Assistant Director-General for External Relations and Governance, for her leadership in creating and driving the first-ever Investment Round aimed at sustainable financing for WHO and her earlier role as Chef de Cabinet.
Dr Li Ailan, Assistant Director-General for UHC/Healthier Populations, for her incredible leadership in WHO’s Healthier Populations initiative. Her experience at both regional and country levels has been invaluable in ensuring our focus remains on prevention and addressing health issues that affect people's lives.
Dr Jérôme Salomon, Assistant Director-General, UHC/Communicable and Noncommunicable Diseases for his contribution in advancing the agenda on communicable diseases, noncommunicable diseases, mental health and neglected tropical diseases across silos to better integrate services and strengthen health systems.
As our colleagues move on to their next chapters, I want to thank them, once again, for their dedication to our mission and for their exceptional leadership and service.
WHO warns of slowing global health gains in new statistics report
People in Gaza starving, sick and dying as aid blockade continues
The risk of famine in Gaza is increasing with the deliberate withholding of humanitarian aid, including food, in the ongoing blockade.
The entire 2.1 million population of Gaza is facing prolonged food shortages, with nearly half a million people in a catastrophic situation of hunger, acute malnutrition, starvation, illness and death. This is one of the world’s worst hunger crises, unfolding in real time.
The latest food security analysis was released today by the Integrated Food Security Phase Classification (IPC) partnership, of which WHO is a member.
“We do not need to wait for a declaration of famine in Gaza to know that people are already starving, sick and dying, while food and medicines are minutes away across the border,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus. “Today’s report shows that without immediate access to food and essential supplies, the situation will continue to deteriorate, causing more deaths and descent into famine.”
Famine has not yet been declared, but people are starving now. Three quarters of Gaza’s population are at “Emergency” or “Catastrophic” food deprivation, the worst two levels of IPC's five level scale of food insecurity and nutritional deprivation.
Since the aid blockade began on 2 March 2025, 57 children have reportedly died from the effects of malnutrition, according to the Ministry of Health. This number is likely an underestimate and is likely to increase. If the situation persists, nearly 71 000 children under the age of five are expected to be acutely malnourished over the next eleven months, according to the IPC report.
People in Gaza are trapped in a dangerous cycle where malnutrition and disease fuel each other, turning everyday illness into a potential death sentence, particularly for children. Malnutrition weakens the bodies, making it harder to heal from injuries and fight off common communicable diseases like diarrhoea, pneumonia, and measles. In turn, these infections increase the body’s requirement for nutrition, while reducing nutrient intake and absorption, resulting in worsening malnutrition. With health care out of reach, vaccine coverage plummeting, access to clean water and sanitation severely limited, and increased child protection concerns, the risk of severe illness and death grows, especially for children suffering from severe acute malnutrition, who urgently need treatment to survive.
Pregnant and breastfeeding mothers are also at high risk of malnutrition, with nearly 17 000 expected to require treatment for acute malnutrition over the next eleven months, if the dire situation does not change. Malnourished mothers struggle to produce enough nutritious milk, putting their babies at risk, while the delivery of counselling services for mothers is heavily compromised. For infants under six months, breastmilk is their best protection against hunger and disease – especially where clean water is scarce, as it is in Gaza.
The long-term impact and damage from malnutrition can last a lifetime in the form of stunted growth, impaired cognitive development, and poor health. Without enough nutritious food, clean water, and access to health care, an entire generation will be permanently affected.
The plan recently announced by Israeli authorities to deliver food and other essential items across Gaza via proposed distribution sites is grossly inadequate to meet the immediate needs of over two million people. WHO echoes the UN’s call for the global humanitarian principles of humanity, impartiality, independence and neutrality to be upheld and respected and for unimpeded humanitarian access to be granted to provide aid based on people’s needs, wherever they may be. A well-established and proven humanitarian coordination system, led by the UN and its partners, is already in place and must be allowed to function fully to ensure that aid is delivered in a principled, timely, and equitable manner.
The aid blockade and shrinking humanitarian access continue to undermine WHO’s ability to support 16 outpatient and three inpatient malnutrition treatment centres with life-saving supplies, and to sustain the broader health system. The remaining supplies in WHO’s stocks inside Gaza are only enough to treat 500 children with acute malnutrition – a fraction of the urgent need – while essential medicines and supplies to treat diseases and trauma injuries are already running out and cannot be replenished due to the blockade.
People are dying while WHO and partners’ life-saving medical supplies sit just outside Gaza – ready for deployment, with safeguards in place to ensure the aid reaches those who need it most in line with humanitarian principles. WHO calls for the protection of health care and for an immediate end to the aid blockade, which is starving people, obstructing their right to health, and robbing them of dignity and hope. WHO calls for the release of all hostages, and for a ceasefire, which leads to lasting peace.
WHO Results Report 2024 shows health progress across regions overcoming critical challenges
The World Health Organization (WHO) Results Report 2024, shows progress on global health goals, even in times of growing financial uncertainties.
The report, released ahead of the Seventy-eight World Health Assembly (19–27 May 2025), presents a mid-term assessment of WHO’s performance in implementing the Programme budget 2024–2025, providing a snapshot of progress towards the strategic priorities of the Thirteenth General Programme of Work, 2019–2025.
The report highlights WHO’s work in over 150 countries, territories and provides an update on the implementation of the Thirteenth General Programme of Work, showcasing both the achievements so far and challenges ahead.
“This report shows how, with WHO’s support, many countries are making progress on a huge range of health indicators, helping their populations to live healthier lives, giving them greater access to essential health services, and keeping them safer against health emergencies,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “In a world of multiple overlapping challenges and constrained resources for global health, these results demonstrate why the world needs a strong and sustainably-financed WHO, delivering the high-quality, trusted support on which countries and their people rely.”
Progress on triple billion targetsThe report shows significant progress on coverage with essential health services, protection from health emergencies, and enjoyment of healthier lives. Still, the progress is insufficient to reach the health-related Sustainable Development Goals by 2030.
On the first billion – 1 billion more people benefitting from universal health coverage – an estimated 431 million more people, close to half of the goal, are estimated to be covered with essential health services without catastrophic health spending. This progress is largely driven by improvements in the healthcare workforce, increased access to contraception and expanded HIV antiretroviral therapy. However, people continue to face financial hardships and challenges in immunization programmes persist.
Regarding the second billion – 1 billion more people better protected from health emergencies – an estimated 637 million more people are better protected through stronger preparedness, surveillance, workforce capacity, and equitable access to tools and services, supported by reforms such as the amendments to the International Health Regulations. Yet financial constraints threaten pandemic response efforts. In the face of the H5N1 avian flu outbreak, there is a continued need for pandemic preparedness. After more than three years of negotiations, WHO member states have drafted a pandemic agreement that will be up for consideration at the upcoming World Health Assembly. The draft proposal includes measures for an increased research infrastructure, emergency global health workforces and other key mechanisms to prevent and respond to pandemic threats.
For the third billion – 1 billion more people enjoying better health and well-being – the report shows that 1.4 billion more people are living with better health and well-being, surpassing the initial goal. This is due to reduced tobacco use, improved air quality, clean household fuels, and access to water, sanitation and hygiene (WASH). Key challenges lie in addressing increased obesity and alcohol consumption.
However, reaching the goals faces growing challenges. Pause in foreign aid and reduction of health budgets further strain already fragile health systems, especially in communities with the greatest health needs. Financial constraints threaten pandemic response efforts. Reduced funding will also undermine hard-won progress.
WHO has taken concrete steps to become more efficient and effective, including by improving operational efficiency and transparency through digital innovation, enhanced support services, and stronger risk and security systems. In 2024, WHO strengthened its support for generating, accessing and using data paving the way for more evidence-based programming and timelier on the ground impact.
Highlighted accomplishmentsSeven countries eliminated a neglected tropical disease in 2024, reaching 54 countries that have eliminated at least one neglected tropical disease. Guinea worm disease is now closer than ever to eradication.
WHO assigned 481 international nonproprietary names for medicines and 185 countries accessed the WHO database of medical devices nomenclature.
Seventy million more people had access to mental health services by the end of 2024 and at least one million people living with a mental health condition received treatment.
An emergency polio campaign in the Gaza Strip vaccinated more than half a million children.
With support from the African Centers for Disease Control and Prevention, WHO distributed 259 000 mpox tests in 32 countries. Globally, 6 million mpox vaccine doses were pledged.
WHO coordinated responses to 51 graded emergencies in 89 countries and territories. WHO’s emergency medical teams performed more than 37 000 surgeries and supported infection prevention and control, WASH, trauma care, and mental health support.
WHO trained over 15 000 health providers and policy-makers across more than 160 Member States on addressing the health needs of refugees and migrants.
WHO collaboration with UNICEF and other UN agencies has resulted in multiyear funding programmes in 15 high-burden countries, reaching 9.3 million children and saving an estimated 1 million lives.
Increasing efficiency, the global digital health certification network supported by WHO has now enabled about 2 billion people to carry digital health records.
WHO recognizes the sustained commitment of Member States and will work with new and existing donors and partners to secure additional funding. Securing predictable, sustainable and resilient financing is the key objective of the Investment Round, which has mobilized over US$ 1.7 billion in pledges from 71 contributors, covering 53% of WHO’s voluntary funding needs.
The Results Report is crucial to WHO’s accountability to Member States. This report ensures that funding is used to deliver impact, results are regularly measured, and future needs are correctly identified, based upon lessons-learned.
Nursing workforce grows, but inequities threaten global health goals
The global nursing workforce has grown from 27.9 million in 2018 to 29.8 million in 2023, but wide disparities in the availability of nurses remain across regions and countries, according to the State of the World’s Nursing 2025 report, published by the World Health Organization (WHO), International Council of Nurses (ICN) and partners. Inequities in the global nursing workforce leave many of the world’s population without access to essential health services, which could threaten progress towards universal health coverage (UHC), global health security and the health-related development goals.
The new report released on International Nurses Day provides a comprehensive and up-to-date analysis of the nursing workforce at global, regional and country levels. Consolidating information from WHO’s 194 Member States, the evidence indicates global progress in reducing the nursing workforce shortage from 6.2 million in 2020 to 5.8 million in 2023, with a projection to decline to 4.1 million by 2030. But, the overall progress still masks deep regional disparities: approximately 78% of the world’s nurses are concentrated in countries representing just 49% of the global population.
Low- and middle-income countries are facing challenges in graduating, employing and retaining nurses in the health system and will need to raise domestic investments to create and sustain jobs. In parallel, high-income countries need to be prepared to manage high levels of retiring nurses and review their reliance on foreign-trained nurses, strengthening bilateral agreements with the countries they recruit from.
"This report contains encouraging news, for which we congratulate the countries that are making progress,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus. “However, we cannot ignore the inequalities that mark the global nursing landscape. On International Nurses Day, I urge countries and partners to use this report as a signpost, showing us where we’ve come from, where we are now, and where we need to go – as rapidly as possible.”
Key findingsThe State of the World’s Nursing 2025 (SoWN) report, based on data reported by 194 countries through the National Health Workforce Accounts, shows a 33% increase in the number of countries reporting data since the last edition in 2020. It includes detailed country profiles now available for public access online.
The report reveals complex disparities between and among countries, regions and socio-economic contexts. The data and evidence are intended to support country-led dialogue to contextualize the findings into policies and actions.
“We welcome the SoWN 2025 report as an important milestone for monitoring progress on strengthening and supporting the nursing workforce towards global health goals,” said Pam Cipriano, President, International Council of Nurses. “The report clearly exposes the inequalities that are holding back the nursing profession and acting as a barrier to achieving universal health coverage (UHC). Delivering on UHC is dependent on truly recognizing the value of nurses and on harnessing the power and influence of nurses to act as catalysts of positive change in our health systems.”
Gender and equity remain central concerns in the nursing workforce. Women continue to dominate the profession, making up 85% of the global nursing workforce.
Findings suggest that 1 in 7 nurses worldwide – and 23% in high-income countries – are foreign-born, highlighting reliance on international migration. In contrast, the proportion is significantly lower in upper middle-income countries (8%), lower middle-income countries (1%), and low-income countries (3%).
Low-income countries are increasing nurse graduate numbers at a faster pace than high-income countries. In many countries, hard-earned gains in the graduation rate of nurses are not resulting in improved densities due to the faster pace of population growth and lower employment opportunities. To address this, countries should create jobs to ensure graduates are hired and integrated into the health system and improve working conditions.
Age demographics and retirement trends reveal a mixed picture. The global nursing workforce is relatively young: 33% of nurses are aged under 35 years, compared with 19% who are expected to retire in the next 10 years. However, in 20 countries – mostly high-income – retirements are expected to outpace new entrants, raising concerns about nurse shortfalls, and having fewer experienced nurses to mentor early career nurses.
Around two thirds (62%) of countries reported the existence of advanced practice nursing roles – marking significant progress since 2020 (where only 53% reported advanced practice nursing roles). These types of nurses have been shown to expand access to and quality of care in many different settings.
The report also highlights improvements in nursing leadership: 82% of countries reported having a senior government nursing official to manage the nursing workforce. However, leadership development opportunities remain uneven. While 66% of countries report having such initiatives in place, only 25% of low-income countries offer structured leadership development.
Mental health and workforce well-being remain areas of concern. Only 42% of responding countries have provisions for nurses’ mental health support, despite increased workloads and trauma experienced during and since the COVID-19 pandemic. Addressing this is essential to retain skilled professionals and ensure quality of care.
Policy priorities for 2026–2030The report introduces forward-looking policy priorities, calling on countries to:
- expand and equitably distribute nursing jobs, especially in underserved regions;
- strengthen domestic education systems and align qualifications with defined roles;
- improve working conditions, pay equity, and mental well-being support;
- further develop nursing regulation and advanced practice nursing roles;
- promote gender equity and protect nurses working in fragile, conflict-affected settings;
- harness digital technologies and prepare nurses for climate-responsive care; and
- advance nursing leadership and ensure leadership development opportunities are equitable.
The evidence in the report provides an impetus for continued alignment to the policy priorities in the WHO Global Strategic Directions for Nursing and Midwifery 2021–2025, and the actions recommended in the resolution submitted to the 78th World Health Assembly: Accelerating action on the health and care workforce by 2030.
Note to editors:
The State of the World’s Nursing 2025 report presents the most contemporary evidence on the global nursing workforce, including education, employment, migration, regulation, working conditions, leadership and more. The report includes updated indicators and robust estimates on global and regional-level nursing stock, shortage, and projections to 2030. Online county profiles provide national level data in a downloadable (PDF) format.