For how we live.
A run of CDC sole-source awards in August 2026 sends millions directly to the health ministries of Ethiopia, Zambia and Ukraine — a bet on host-government ownership of the HIV response by 2030.
Seventy-seven thousand fewer children got PEPFAR-supported HIV treatment in 2025 than the year before. UNAIDS warns permanent cuts could mean millions of additional infections and deaths by 2029.
HHS Secretary Kennedy held the money over Gavi's use of a mercury-based preservative most safety reviews call harmless in trace amounts. Gavi says it was already phasing the ingredient out.
Developing countries paid a record US$1.4 trillion in debt service in 2023. A 105-country study finds debt servicing nudges the health-financing mix toward out-of-pocket, but only modestly.
The FY2027 request would cut global health funding by $4.3 billion and eliminate WHO, PAHO and UNFPA outright. Three weeks later House appropriators proposed a smaller cut.
Sub-Saharan Africa received $11 billion in external assistance for community health worker programmes over two decades. More than three-quarters went to single-disease work, and the annual financing gap never closed.
The estimate covers only populations in humanitarian need across Burkina Faso, Central African Republic, Chad, Mali, Niger and Nigeria — and it assumes nothing replaces the lost money.
The Eighth Replenishment closed at US$12.64 billion against the US$18 billion its own Investment Case tied to 23 million lives saved and 400 million infections prevented by 2029.
The Lancet Global Health paper that produced this month's headline number also produced a larger one: 22.6 million additional deaths by 2030 if defunding deepens. The distinction matters more than the figure.
Washington intends to provide up to $792 million over five years. Malawi commits the rest — and the money is meant to flow through the government rather than NGOs.
WHO's World malaria report counts 282 million cases and 610,000 deaths for 2024. The US$3.9 billion spent was under half the US$9.3 billion the global strategy called for.
Across 165 clinics in four African countries, HIV testing fell by up to 35% and treatment starts by up to 32%. Most services had not returned to baseline two months after the orders were lifted.
IHME's annual accounting puts development assistance for health at less than half its 2021 peak, with no recovery forecast to 2030. A companion model estimates what that means for tuberculosis.