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The Global Fund is a financial instrument, not an implementing entity. The Global Fund raises funds from donors, and invests them in implementing countries. Grants are intended to add to, but not replace, existing investments in health. The Global Fund strives to support programs that are based on national health strategies, and to operate in a balanced manner in different regions and for HIV, TB and malaria. Four principal categories of finances are outlined below: contributions, disbursements, operating expenses and allocation. 


The Global Fund has steadily increased the amount of money raised and the amount invested to prevent, treat and care for those affected by HIV, TB and malaria. Supported by strong advocacy from many partners, especially by civil society and people affected by the diseases, advocates of global health have guided governments, mostly from G20 nations, to contribute constructively to reduce the burden of disease in countries worldwide.

As of end 2015, the Global Fund had received US$33 billion in contributions. Most donors make multiyear pledges, which give both the Global Fund and implementers greater stability and predictability of funding. The Global Fund’s Fifth Replenishment establishes funding for 2017 through 2019.

A detailed list of contributions and pledges is available:
Pledges and Contributions [ download in English ]


The Global Fund disburses the initial grant money once the design and specifications of a grant are complete and approved. Under the principle of performance-based funding, continued grant funding is dependent on proven, effective results. As of July 2016, the Global Fund had disbursed US$30.7 billion.

The graph below provides an overview of disbursements by the Global Fund, identified by disease and cumulative total. More information about grant disbursements is available on individual country sections in the grant portfolio section.

Operating expenses

Operating expenditures in 2015 were US$298 million, which represents approximately 2.3 percent of grants under management. The Global Fund has contained its operating expenses in recent years through disciplined cost control and adherence to a budgeting framework, although the volume of work and of disbursements continues to grow. The graph below illustrates the amount of operating expenses year on year.


The Global Fund uses an allocation-based funding model to direct resources where they are needed most. Launched in early 2014, this represented a shift away from the previous rounds-based system. The model categorizes countries in one of four bands, based on disease burden and income level. It determines an allocation at the beginning of each three-year cycle. The allocation-based system provides implementing partners with predictable funding and flexible timing.

Published 27 October 2016