Raising of health services levels to achieve two Agenda 21 objectives requires expenditure of more than US$ 20,000 million each annually. A contribution of about US$ 5,000 million would have to be provided from international financial sources towards the total cost of US$ 40,000 million per annum. This would include US$ 10 million annually for the strengthening of regional and global institutions which support national capacity-building in this area.