The Allocation, disbursement and reporting of external and domestic funds during health emergencies: guidance on effective financing modalities for filovirus disease outbreaks, June 2026

Overview

This guidance provides recommendations for the allocation, disbursement, use, and reporting of domestic and external resources during disease outbreaks. Issued in the context of the 2026 Bundibugyo virus disease (BVD) outbreak, it outlines key actions for countries in both response and preparedness settings, as well as for development partners.

The guidance sets out priority measures for countries in active response, including the establishment of accelerated and transparent disbursement mechanisms, expedited expenditure approvals, timely transfers to subnational levels, and the application of flexible emergency procurement.

For countries in preparedness, it highlights the need to establish financing and governance arrangements in advance, including contingency fund activation protocols, budget reallocation plans, reporting systems, procurement readiness, and multisectoral coordination mechanisms.

Across all contexts, the guidance emphasizes rapid costing of needs, mobilization of domestic resources, activation of budgetary instruments, and the strengthening of transparency and accountability systems through financial tracking, reporting, and integration into national systems. It also underscores the role of development partners in aligning external financing with national priorities, using local systems where feasible, harmonizing funding practices, and avoiding fragmented parallel mechanisms.