and Public Donors


Spain has invested €481.57 million and US$65 million in the Global Fund to date. In 2019, Spain ranked as the 12th largest public donor.

Spain pledged €100 million for the Global Fund’s Sixth Replenishment, covering 2020-2022, demonstrating the country’s strong commitment to end the epidemics of HIV, tuberculosis and malaria by providing access to lifesaving health services to the most vulnerable and building sustainable health systems around the world. Spain’s priorities in global health are strongly aligned with the integrated vision of the 2030 Agenda, with gender equality and human rights imperatives at its core.

During the Global Fund’s Fifth Replenishment, Spain engaged with the Global Fund through Debt2Health – a Global Fund debt swap program to raise funds for health. Spain’s debt swap agreements with Cameroon, Democratic Republic of Congo and Ethiopia in 2017 freed €15.5 million to be reinvested in HIV, malaria and health systems strengthening programs in the three implementing countries. The agreements are through Spain’s Ministry of Economy.

Government donor ranking

As of: end 2019


Pledges and contributions

Data updated on: 16 September 2021


Total pledged

€653.07 million


US$65 million

Total contributed

€481.57 million


US$65 million

Sixth Replenishment (2020-2022)

Total pledged

€100 million

Total contributed

€10 million

See Spain's profile on the Global Fund Data Explorer

Shared priorities

Despite a sharp decrease in official development assistance from Spain in recent years, global health remains a priority of Spain’s international cooperation strategy, with a strong focus on research, institutional and technical partnerships. Spain is strongly committed to achieving the 2030 agenda and particularly Sustainable Development Goal 3 by joining forces with multilateral partnerships. Spain's global health vision is based on rights and gender equity, universal health coverage and health systems strengthening. Fighting infectious diseases in the developing world while building resilient systems for health is one of Spain's strategic areas of focus.

The cumulative contribution for Spain includes a €5.5 million contribution from Gen. Catalunya in 2005-2008.

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