While UAE 220.1 million, 43.2 , Saudi Arabia 177.3 million, 34.8 and Kuwait 59.8 million, 11.6 as sources contributed the majority of DAH in 2017, 58.5 of total DAH from MENA was disbursed through their bilateral agencies, 12.0 through the World Health Organization WHO and 3.3 through other United Nations agencies. 44.8 of DAH contributions from MENA was directed to health system strengthening sector wide approaches. ...CONCLUSION: MENA country donors especially UAE, Saudi Arabia and Kuwait have been providing substantial amount of DAH, channeled through their bilateral agencies, WHO and other multilateral agencies, with a prioritized focus on health system strengthening. ...