The amount of official development assistance to maternal, newborn and child health in developing countries doubled between 2003 and 2008, but its ratio to overall aid for health remained static. The US, UK, EU, GAVI and the Global Fund have made the largest absolute increases, while Spain and a number of small bilateral donors including New Zealand and Belgium have made significant percentage increases, but support from many others has stagnated or fallen, and in some cases fluctuated significantly from year to year.