The Double Dividend: Why Germany Should Invest in Global Health Research

26. June 2026 I  News ,  Politics  I by : Dr Rebecca Ingenhoff, German Alliance for Global Health Research (GLOHRA)
© GLOHRA | Helmut Kraus

Global health research addresses challenges that transcend borders. Investing in it improves health and well-being worldwide while strengthening scientific excellence, innovation, and international cooperation.

Health Cooperation in an Interconnected World

As a research network spanning more than 1,500 members across 225 German universities and research institutions, the German Alliance for Global Health Research (GLOHRA) has published a new position paper outlining why global health research is a foundation for health, prosperity, and social progress, both in Germany and worldwide. The report The Double Dividend: Why Germany should invest in Global Health Research, argues that sustained investment in global health research delivers a "double dividend" - saving lives globally while strengthening Germany’s innovation capacity, economic prosperity, security, and international partnerships.

The Double Dividend

GLOHRA argues that public investments in global health research and development (R&D) generate benefits both globally and domestically. This double dividend reduces morbidity and mortality in low- and middle-income countries (LMICs) while directly strengthening scientific capacity, innovation ecosystems, preparedness, and international cooperation. Furthermore, such investments actively promote mutual learning, reinforces international diplomatic networks, and advances both academic freedom and global scientific progress. Global Health Research acts as a gateway to positioning Germany and its partners as innovative, credible, and secure countries.”

The report demonstrates the benefits of global health research in five areas:

  • Health and sustainable development: A recent report by Impact Global Health demonstrates that targeted biomedical R&D in neglected, poverty-related diseases will save over 40 million lives and prevent 2.83 billion disability-adjusted life years (DALYs) between 2000 and 2040. Every euro invested generates a return of 405 euros worldwide  by reducing downstream healthcare costs and massive productivity losses. As a leading global health supporter, Germany's proportional financial contribution is estimated to save nearly 600,000 lives worldwide, prevent over 40 million DALYs, and generate a direct societal benefit of more than 650 million euros.
  • Innovation and economic value: Public research funding exerts  substantial economic benefits on gross domestic product (GDP). Every euro invested in innovation-oriented public spending generates between €9.6 and €15.3 in GDP after five years, while generic government spending of €1 also generates €1. This public expenditure  can stimulate additional private-sector investment, whereby every euro of public investment in basic biomedical research attracts an average of 7 euros in private sector pharmaceutical R&D within eight years. In Germany, this domestic leverage effect is 3.7 times the OECD average, directly reinforcing a healthcare industry that employs nearly eight million people.
  • Strengthening research ecosystems: While the scientific focus targets conditions heavily prevalent in LMICs, approximately 54 percent of the research funds provided by Germany remains within domestic institutions. This funding increases the global visibility of German universities and promotes the dissemination of innovative methods, such as participatory research approaches. 
  • International cooperation and diplomacy: Long-term scientific partnerships can strengthen trust, foster dialogue, and support evidence-informed international cooperation.
  • Preparedness and resilience: The financial realities between proactive and reactive measures are striking. Proactive pandemic preparedness offers maximum value for money. Experts estimate that a global public investment of roughly 3.9 billion euros per year to strengthen local health systems and fund preventative R&D are sufficient to structurally prevent future pandemics. In contrast, a reactive response to a fully uncontained global health crisis results substantial economic and societal costs of 600 billion euros annually.

Learning Across Borders

The report is complemented by case studies illustrating how innovations developed through global health partnerships have been applied to improve health system performance in Germany and other high-income countries:

  1. SORMAS (Surveillance Outbreak Response Management System): Originally developed in partnership with West African institutions during the 2014/15 Ebola outbreak, this digital surveillance tool was operable during the pandemic across more than 80 percent of German public health authorities, proving how tools built for resource-limited settings deliver cost-effective domestic infrastructure solutions.
  2. mRNA Vaccine Platforms: Decades of reliable basic research funding via the Federal Ministry of Research, Technology, and Space (BMFTR), the German Research Foundation (DFG), and the EU enabled domestic biotech pioneers to achieve the leap from basic science to global application in a short timeframe. This single biomedical breakthrough alone prevented an estimated 20 million deaths worldwide in 2021.
  3. Malaria Research Synergies: Collaborative clinical trials conducted by German universities and the Lambaréné Medical Research Center (CERMEL) in Gabon provided the essential evidence required for the WHO’s recommendation on malaria vaccination in 2021. Crucially, the innovations behind these malaria studies led directly to the development of the AS01 vaccine adjuvant and the ChAdOx1 platform, which are now used globally to protect adults against shingles, respiratory syncytial virus (RSV), and emerging infectious threats.

A Coherent Strategic Basis for the Future

Securing these sustainable scientific, economic, and geopolitical returns requires a coordinated, cross-ministerial commitment. Global health research provides knowledge, partnerships, and innovations that contribute to health, resilience, and sustainable development. It provides the scientific basis to ensure security of supply, effectively combat infectious diseases, address the health consequences of climate change and biodiversity loss, improve prevention, and build resilient health systems. All this not only benefits LMICs, but also contributes directly to health, innovation, and resilience in Germany and the EU.

The German federal government has structurally anchored these priorities within its 2020 Global Health Strategy, in the 2025 coalition agreement between the CDU/CSU and SPD, and in the Strategy on Internationalization of Higher Education Institutions (2024). To build on this foundation, Germany must maintain interdisciplinary and transdisciplinary research as a core priority, ensure long-term funding horizons for international collaborations, support research that generates both scientific knowledge and societal impact and systematically reduce bureaucratic barriers for international research cooperation.

Read the full 2026 GLOHRA position paper to explore the evidence behind the case for sustained investment in global health research and identify ways to support and advocate for global health research and supportive policies in your institution and beyond. Our communication material provides additional resources to help you take action. 

 

 

We invited Dr Rebecca Ingenhoff from GLOHRA to share the key findings from the GLOHRA position paper “The Double Dividend: Why Germany should invest in Global Health Research.” The views expressed are her own and do not necessarily reflect the positions of the Global Health Hub Germany.

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