Overview

• The $912 million commitment, announced in New York at the Goalkeepers event, matches the foundation’s 2022 gift and aligns with the Global Fund’s three-year fundraising cycle.
• IHME estimates show global development assistance fell 21% from 2024 to 2025 to the lowest level in 15 years.
• Bill Gates called on governments, particularly the United States, to reverse cuts, stressing that private philanthropy cannot replace public financing.
• He warned that the decline threatens progress that has halved child mortality since 2000, saying millions of lives remain at stake if funding continues to slide.
• To preserve gains, Gates urged sustained support for the Global Fund and Gavi, stronger primary healthcare, and rapid rollout of innovations such as the long-acting HIV prevention drug lenacapavir.