[Editorial] The Global Fund and the future of global health

00:00 - 29 Nov 2025

There was a strange sense of relief at the eighth replenishment conference for The Global Fund to Fight AIDS, Tuberculosis and Malaria, which took place on Nov 21, in South Africa. The USA is by far the Global Fund's largest donor and its pledge of US$4·6 billion, while much less than the $6 billion it gave in 2022, surprised many, given the Trump administration's scorched earth policy in global health. Still, the total of $11·34 billion pledged, far short of the $18 billion target, was disappointing, if not surprising.