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Gates Foundation Pledges $912 Million to Global Fund, Urges Governments to Reverse Health Aid Cuts

Global health aid has fallen to a 15-year low, increasing pressure on governments before the Global Fund’s November replenishment deadline.

Overview

  • The $912 million commitment matches the foundation’s 2022 gift and is directed to the Global Fund’s 2026–2028 financing round.
  • Fundraising for that cycle, co-hosted by South Africa and the UK, remains open until November, with Gates calling the outcome decisive for HIV, TB and malaria control.
  • IHME reports development assistance for health fell 21% from 2024 to 2025 to a 15-year low, a drop Gates warns could imperil hard‑won child survival gains.
  • The foundation outlined a roadmap to halve child deaths by 2045 by strengthening primary care and scaling innovations such as long‑acting HIV prevention, single‑dose malaria therapies and new maternal vaccines.
  • Gates said philanthropy cannot replace government aid and urged countries, including the United States, to restore funding to multilateral health programs like the Global Fund and Gavi.