United States Support for the Global Fund to Fight AIDS, Tuberculosis, and Malaria

January 20, 2017


Why does the U.S. support the Global Fund?

Global health is a shared responsibility. It does not fall under purview of any single entity or country alone. Establishing country-led and responsive health delivery systems requires the support of multilateral partners, the public and private sectors, civil society, faith-based organizations, and communities impacted by disease.

The Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) is a unique international financing institution. The Global Fund offers a multilateral vehicle for a broad range of donors to participate in the global response to three pandemics responsible for millions of deaths. The U.S. government is deeply committed to the Global Fund’s success and, most importantly, to the people we all serve through programs financed by the Global Fund. We share a common goal of saving lives by bringing the HIV/AIDS, tuberculosis, and malaria pandemics under control as we work to eliminate the threat they pose to public health.

How does the U.S. support the Global Fund?

The U.S. government made the first donation to the Global Fund and remains its largest donor. To support the Global Fund’s Fifth Voluntary Replenishment (2017-2019), we have committed up to $4.3 billion, subject to congressional appropriations.

The U.S. government has committed to match one dollar for every two dollars in pledges made by other donors through Sept. 30, 2017. By law, the U.S. government is not permitted to provide more than 33 percent of the Global Fund’s total contributions. With the generous support of the American people, the U.S. government has committed more than $70 billion to bilateral HIV/AIDS programs, the Global Fund, and bilateral tuberculosis programs through fiscal year 2016.

In addition to these direct contributions, PEPFAR provides technical assistance funding for grant implementation and oversight. PEPFAR is highly engaged in the U.S. government’s effort to support the launch of the Global Fund’s New Funding Model (NFM), which is designed to be a collaborative, country-driven, and performance-based approach. This partnership will convene donors, implementers, the private sector, and advocates to assist countries impacted by HIV/AIDS as we work together to achieve an AIDS-free generation.

U.S. government support for the Global Fund helps us accomplish our bilateral program results and accelerates our collective impact on controlling HIV/AIDS. Increased collaboration between PEPFAR and the Global Fund serves to improve

  • Investment impact through more strategic use of PEPFAR and Global Fund resources
  • Programmatic impact through joint work toward better, more efficient, and evidence-based use of funds
  • Technical and programmatic quality to maximize outcomes


PEPFAR Engagement

  • Collaboration in all partner countries with Global Fund grants, including funding Global Fund Liaisons in over 10 countries
  • Joint geographic and service mapping by several countries to better define respective roles and eliminate duplication, allowing for increased synergy
  • Increased efforts to ensure PEPFAR and Global Fund investments are used in a complementary manner within the framework of national HIV plans developed by partner countries
  • Support for strategic programming of funds prioritized through an interagency, cross-disease working group at the country level