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HIV Treatment Bulletin

Global Fund announces $11.3 billion in pledges for 8th round of funding: still $7 billion short

Simon Collins, HIV i-Base

On 21 November 2025 the Global Fund announced that $11.3 billion was pledged at the replenishment summit co-hosted by the South African and the UK governments.

This is a significant achievement given the current uncertainty over international health funding. It gives a clear signal that HIV, TB and malaria are still seen as a priority, though this was $3 billion less than achieved in 2022.

The Summit was attended by five heads of state and government, with representatives from more than 30 countries, together with multilateral partners, philanthropic, business, civil society and community organisations.

The pledges by many donors below are still subject to legislative approval and administrative procedure. Other public pledges are anticipated and being formalised.

Pledges – Amounts in millions

Table 1: Government Donations in donor and US currency  1

Donor Currency Pledge in donor currency (millions) USD equivalent in millions
Australia 2 AUD 266.0 171.6
Belgium EUR 30.0 34.6
Canada 2 CAD 1,020.0 723.8
Côte d’Ivoire USD 2.5 2.5
Denmark DKK 375.0 57.9
Germany 2 EUR 1,000.0 1,154.1
India USD 30.0 30.0
Ireland EUR 72.0 83.1
Italy 2 EUR 150.0 173.1
Korea (Republic) USD 100.0 100.0
Luxembourg EUR 13.8 15.9
Malta EUR 0.2 0.2
Monaco EUR 0.6 0.7
Morocco EUR 1.3 1.5
Namibia USD 1.0 1.0
Netherlands EUR 146.4 169.0
New Zealand NZD 3.0 1.7
Nigeria USD 15.0 15.0
Norway NOK 2,000.0 195.7
Portugal EUR 1.5 1.7
Singapore USD 0.6 0.6
South Africa USD 26.6 26.6
Spain EUR 145.0 167.3
Switzerland CHF 64.1 79.6
Tanzania USD 1.0 1.0
Uganda USD 3.0 3.0
United Kingdom 2 GBP 850.0 1,112.3
United States USD 4,600.0 4,600.0
Zimbabwe USD 1.0 1.0
Other Public Donors 3 USD 1,080.2 1,080.2
Total Public Donors USD   10,005

Table 2: Private Sector and Non-Government Donors 1

Donor Currency Pledge in donor currency (millions) USD equivalent (millions)
Anglo American plc USD 4.5 4.5
Children’s Investment Fund Foundation 2 USD 135.0 135.0
Foundation S USD 5.0 5.0
Gates Foundation 2 USD 912.0 912.0
GlaxoSmithKline plc and ViiV Healthcare GBP 6.0 7.9
Goodbye Malaria – Sonhos Social Capital / Relate Trust ZA 2 USD 5.5 5.5
Johnson & Johnson Foundation USD 5.0 5.0
(RED) and Partners – Corporate USD 75.0 75.0
Siemens Healthineers EUR 5.0 5.8
Skoll Foundation USD 6.0 6.0
Takeda Pharmaceutical Company Limited JPY 350.0 2.2
The Rockefeller Foundation USD 10.0 10.0
Other Private Donors 4 USD 162.0 162.0
Total Private Donors USD   1,336
Grand Total USD 11,341

Notes

  1. Pledges by many donors are subject to legislative approval and administrative procedure.
  2. Donor withholds a portion of funding for technical assistance related to Global Fund programs.
  3. Other public pledges are anticipated and being formalised.
  4. Private

comments

The good news is that given the international funding crisis this year, these results could easily have been worse.

The total, however, is US$7 billion short of the US$18 billion target that the Global Fund estimated was needed in order to reach 2030 targets.

The results table above didn’t include changes in government support from their previous pledges three years ago for the seventh round. So even though the UK was co-sponsoring the eighth replenishment, it reduced its donation for this round by £150 million. Co-sponsor South Africa doubled its contribution from US$13 million to US$26 million.

As the largest government donor, the US reduced support for this round to US$4.6 billion from US$6 billion in the seventh round. However, the recently published America First global health strategy only commits to honouring $1 billion of the pledge to the Global Fund and rapidly stopping the remaining $3.6 billion that it calls fraudulent waste. [3]

Pledges for the Seventh Replenishment Conference in 2022 were US$14.25 billion from 49 countries.

Reference

  1. Global Fund press release. Global Fund Partners Demonstrate Unity and Resolve to Sustain Progress and Strengthen Global Health Security. 21 November 2025.
    https://www.theglobalfund.org/en/news/2025/2025-11-21-global-fund-partners-demonstrate-unity-resolve-sustain-progress-strengthen-global-health-security.
  2. Global Fund press release. Pledges at Global Fund SeventhReplenishment Conference18 – 21 September 2022, New York United States.
    https://www.theglobalfund.org/media/12328/archive_seventh-replenishment-pledges_list_en.pdf
  3. HTB. America First global strategy: Does rapid withdrawal jeopardise pledge to Global Fund? (1 December 2025).
    https://i-base.info/htb/52871