Global Health and the New Bottom Billion: What Do Shifts in Global Poverty and the Global Disease Burden Mean for GAVI and the Global Fund? - Working Paper 270
After a decade of rapid growth in average incomes, many countries have attained middle-income country (MIC) status, while poverty hasn’t fallen as much as one might expect. As a result, there are up to a billion poor people or a ‘new bottom billion’ living not in the world’s poorest countries but in MIC. Not only has the global distribution of poverty shifted to MIC, so has the global disease burden. The paper describes trends in the global distribution of poverty, preventable infectious diseases, and health aid response to date and proposes a new MIC strategy and components, concluding with recommendations.