Donors have committed $11.34 billion to the Global Fund, an international organization that collects and allocates funds to combat HIV, tube...
Donors have committed $11.34 billion to the Global Fund, an international organization that collects and allocates funds to combat HIV, tuberculosis, and malaria.
The foundation based in Geneva contributes 73 percent of all global funding for tuberculosis, 60 percent for malaria, and 24 percent for HIV.
The new promises did not reach a $15 billion goal, although some contributors still need to verify their commitments.
The fund stated that the commitments highlighted that worldwide unity is still robust.
The commitments were announced on November 21 at the fund's eighth replenishment conference, which was jointly organized by South Africa and the United Kingdom in Johannesburg. This marked the first time the summit was held on the African continent.
"Hosting this replenishment on African soil for the first time represents how much we have achieved—and the potential we still have," he stated. "Africa is not only at the forefront of implementation; we are also fostering innovation and assuming more responsibility for our own health systems. This collaboration reflects solidarity, fairness, and change," said South African President Cyril Ramaphosa.
The funds will be allocated to over 100 of the most affected nations, among them Kenya.
The summit also highlighted a renewed dedication to collaborate in a different manner by adopting a more flexible, nation-focused approach to partnership that can respond to a quickly evolving global health environment, attract new donors, and speed up the mobilization of local resources for health.
Kenya has not committed any funds, as per a list of contributions provided following the conference.
Nevertheless, the fund has allocated $2.04 billion in Kenya since its inception in 2003.
Kenya was allocated US$392.99 million during the most recent grant cycle 7 (2023-2025), with the funds distributed as follows: 64 per cent for HIV, 20 per cent for malaria, and 15.6 per cent for TB.
The funds, along with additional financial support, enabled 1.36 million Kenyans to receive antiretroviral therapy for HIV by 2024, provided tuberculosis treatment to 100,000 individuals, and distributed 8.84 million insecticide-treated mosquito nets in the same year.
In September 2022, President William Ruto promised that Kenya would provide $10 million for the Global Fund's Seventh Replenishment (which spans 2023-2025). However, this pledge was never fulfilled.
On Friday, only two nations from East Africa pledged additional support. However, the fund mentioned that it anticipates further countries will follow suit in the near future.
Tanzania committed $1 million, while Uganda contributed $3 million. Co-hosts South Africa pledged $26 million, and the UK provided $1.1 billion. The South African private sector added another $10 million. Germany promised $1.15 billion, and the United States pledged $4.6 billion.
The Bill and Melinda Gates Foundation is allocating $912 million. The Foundation's chairman, Bill Gates, commended the Global Fund and urged additional nations to commit and raise their contributions.
UK Prime Minister Sir Keir Starmer highlighted the importance of funding the Global Fund.
"In today's unpredictable world, we need to focus on expenditures that create real impact and foster growth both domestically and internationally," he stated.
That is why we will keep backing the Global Fund, which is leading the charge in combating the most severe diseases globally. It represents a commitment to economic growth and stability, and exemplifies our contemporary method of development.
Five leaders of nations and government officials, along with representatives from 17 countries, attended the event in Johannesburg together with international organizations, charitable groups, companies, civil society, and local networks.
France stated that its support for the Global Fund has not changed, although it will only be able to confirm its commitment next month. Original donor Canada pledged $723 million. Spain raised its contribution to $167 million, while Italy pledged $173 million and the Netherlands provided $169 million. Australia (with $171 million) and Norway (with $195.7 million) kept their respective donations.
Other contributors, including India ($30 million) and Ireland ($83 million), raised their donations, indicating ongoing support from G20 nations.
The Republic of Korea ($100 million) continues to show a robust dedication to the Global Fund and is now eligible to become part of a voting group on the Global Fund Board, an occurrence that has not taken place since 2006.
G20 member nations pledged a total of $8.96 billion, showing agreement that the Global Fund is a valuable contribution to improving worldwide health.
African nations, who are also responsible for executing Global Fund grants, have committed a total of $51.59 million.
They expressed their satisfaction with announcing these commitments at the initial replenishment event taking place on the African continent. When presenting their pledges, African leaders emphasized the notable advancements they are achieving in funding their own healthcare systems to address the requirements of their people.
Additional private sector contributions were made by the Children’s Investment Fund Foundation (CIFF), which committed an extra US$135 million, bringing their overall additional pledge to US$200 million since the Seventh Replenishment, marking a substantial rise compared to their earlier commitments.
(RED) maintained its almost two-decade collaboration with a $75 million contribution, while other private donors pledged a combined $201.85 million, raising the total Eighth Replenishment support to $1.34 billion thus far, with additional commitments expected.
The Global Fund mentioned in a statement that these investments will speed up the availability of new tools, support the enhancement of health systems and global health security initiatives, and promote integration to boost efficiency and achieve better results for women and children.
In a challenging year, this outcome reflects the world's confidence in our collaborative model and its lasting ability to produce results," said Lady Roslyn Morauta, chair of the Global Fund Board. "However, it also highlights our commitment to adapt – to work more effectively, be more efficient, and ensure that every dollar achieves the greatest possible impact.
Meanwhile, the collaboration will increase initiatives to encourage the generation of more local resources for healthcare, ensuring nations maintain and expand their own investments to enhance systems, promote innovations, and advance progress toward universal health coverage.
Nigerian President Bola Ahmed Tinubu stated that these pledges indicate a significant move towards collaborations where nations take the initiative, foster innovation, and secure long-term funding for healthcare.
"For Nigeria, this aligns with our growing investment in our own healthcare system – from expanding primary healthcare to enhancing surveillance and introducing new tools that bring life-saving services nearer to our people. This renewed sense of solidarity strengthens our commitment to building a more resilient, fairer health system and promoting universal health coverage, ensuring that every community, regardless of how remote, can access quality care," he said.
Peter Sands, the Executive Director of the Global Fund, described the result as a significant accomplishment and a pressing need for change.
This is an extraordinary moment. In a year when many anticipated the end of global unity, our partners have demonstrated the opposite," he stated. "Thanks to the unwavering support of our donors and partners, this Replenishment achieved an impressive result through a remarkable collaboration. It highlights what the world can accomplish when we unite, even during the most challenging times.
He stated, "These commitments will rescue countless more lives, yet they also signify a pivotal moment. Our framework is still robust – however, the global landscape is shifting. We need to continue progressing: growing wiser, quicker, and more effective, while making sure the entire worldwide health system functions more efficiently for those it supports."
Sands emphasized how large-scale innovation—such as portable digital X-rays, AI for TB detection, long-acting HIV prevention methods, and mosquito nets treated with dual active ingredients—is changing the way we combat diseases. "Time equals lives; scale equals impact," he stated, pledging a 20 percent reduction in operational costs per center and a quicker, more data-focused approach to delivery.
The Global Fund is the leading international grant provider for strengthening health systems, having allocated more than US$2.7 billion to oxygen supply, laboratories, data systems, and training for healthcare workers in 2024 alone. These contributions support all areas of public health and enhance global readiness for pandemics.
Sands pointed out that this efficiency and cooperation will be essential in a more constrained financial period: "Funds will always be limited, so we need to be more intelligent - enhancing nations' self-sufficiency through increased domestic resource mobilization, improving public financial management, promoting regional manufacturing growth, and utilizing collective purchasing. This is how we create resilient systems that continue to make a difference beyond this Replenishment cycle."
For Cecilia Lodonu-Senoo, representing the Communities, Developing Country NGOs, and Developed Country NGOs Delegations to the Global Fund Board, the commitments made in Johannesburg hold significant importance.
For individuals living with HIV, and for families impacted by TB and malaria, these pledges represent access, respect, and optimism," she stated. "Communities have consistently been at the core of this battle—and we will continue to be central to what follows.
