In the context of the pandemic agreements, WHO member states are discussing a stronger commitment to invest in their own health care in the sense of better pandemic prevention, preparedness and response. However, the share of external financing sources in national health expenditure is often above 20%, especially in sub-Saharan Africa and the Small Island Developing States (SIDS). Often, these funds are earmarked. They are therefore only suitable to a limited extent for strengthening health care in general; rather, observers presumably see a dependency with regard to the substantive priorities of care.