United States

The United States has long been a driving force in the global fight against HIV, tuberculosis (TB) and malaria through its bilateral programs and robust support of the Global Fund and other multilateral organizations. The United States is the Global Fund's largest donor and has been since the partnership was founded in 2002. The country has helped shape the Global Fund's strategic direction and policies as a member of the Board.

The United States has contributed US$34.67 billion to date. The country announced a commitment of up to US$6 billion to the Global Fund for the Seventh Replenishment, covering 2023-2025, which was hosted by the U.S. Government.

The Global Fund works hand-in-hand with the U.S. President’s Emergency Plan for AIDS Relief, the U.S. President’s Malaria Initiative, and the U.S. Agency for International Development’s TB program. By working with countries to help prevent, diagnose and treat HIV, TB and malaria, the Global Fund strengthens local health systems.

Global Fund grants have helped countries to be better prepared to respond to COVID-19. Prior to the outbreak, the Global Fund was already the largest multilateral provider of grants to strengthen health security, investing over US$1 billion a year in key components such as community health workers, disease surveillance systems, diagnostic tools, laboratory networks and supply chains. Roughly one-third of our funding contributes to strengthening health systems and pandemic preparedness.

U.S. support for the Global Fund is a strategic investment in the American economy. The millions of people whose lives have been saved through Global Fund-supported programs live in countries that are critical trade partners to the United States.

Contributions

Data updated on: 05 February 2025

Shared Priorities

Like the United States, the Global Fund is committed to helping governments increase domestic investments in fighting HIV, TB and malaria, and is working with countries to plan for an eventual transition from international assistance.

In the face of crises and challenging circumstances, we collaborate closely with the U.S. government in supporting countries to adapt to shocks to ensure sustainable progress against HIV, TB and malaria and improve overall health outcomes. The Global Fund has moved faster than many others during crises in Sudan, Ethiopia, Afghanistan, Ukraine, and other challenging settings. We deploy roughly a third of our funding to partners in challenging operating environments.

The U.S. government served as the institutional lead for the Multilateral Organization Performance Assessment Network's latest assessment of the Global Fund. This respected independent watchdog's assessment commended the Global Fund for its clear strategic direction, risk management, transparency, accountability and low operational budget. Recent assessments from the governments of the United Kingdom, the Netherlands and Australia also gave the Global Fund high ratings.

Like the United States, the Global Fund values its collaboration with faith-based organizations (FBOs), which are key implementing partners in reaching the most vulnerable. The Global Fund has disbursed nearly $4 billion to FBOs to date to fund lifesaving programs. FBOs are also important members of the Global Fund’s Country Coordinating Mechanisms. Many church groups also galvanize support for the Global Fund. For instance, the Global Fund has received generous financial support from Catholic Relief Services, Caritas, World Vision and the United Methodist Church.

The Global Fund is laser-focused on results and transparency and holds itself accountable to donors like the United States. The Global Fund contracts Local Fund Agents to verify the distribution of funding and achievement of results in implementing countries. The Global Fund also has a strong, independent Inspector General that reports directly to the Global Fund Board.