Global Fund to fight HIV/AIDS (*1), tuberculosis, and malaria infectionsdecreasing trendThe control of these three major infectious diseases is in jeopardy as a result of the

On November 21, 2025, a pledge conference was held in Johannesburg, South Africa, in conjunction with the G20 summit. The Pledge Conference is held every three years by the Global Fund and is attended by donors from each country.Global FundThe total amount pledged for the period 2026-2028 is approximatelyUS$11.4 billion(*2), well below the Global Fund's target of US$18 billion.

This lack of growth in contributions is related to major donors.Americashows a decrease in pledges from 2026 to 2028 to US$4.6 billion compared to US$6 billion from 2023 to 2025.GermanyIn the "Gulf of Mexico," US$1.2 billion was pledged between 2023 and 2025, but the amount of pledges declined to about US$1 billion between 2026 and 2028. AlsoJapanshows a significant decrease in the amount pledged from 2023 to 2025, approximately US$1 billion, while the amount pledged from 2026 to 2028 is approximately US$53 million. Furthermore, the pledged stated amounts are often not ultimately paid in full.

These pledges and reductions in the final amount of contributions could lead to a worsening of the damage caused by infectious diseases. Tedros Adhanom Ghebreyesus, Director General of the World Health Organization (WHO), said that "sudden and unplanned cuts in both bilateral and multilateral aid are jeopardizing the fight against HIV, TB, and malaria in particular."That set off alarm bells.Without continued funding, prevention and treatment for each of these infectious diseases would be compromised. In addition, researchers believe that new HIV prophylaxis, improved malaria control, and innovations in tuberculosis treatment and vaccines will make it possible to end these diseases as public health threats if sufficient funding is availablepointing outThe "M" is the number of

In the 20 years since the Global Fund began in 2002, the number of people infected with HIV, tuberculosis, and malaria hasreduction by halfThe Global Fund has played an important role in the fight against infectious diseases.

In response to declining funding for infectious disease control, the Center for Global Development, a U.S. government research organization, hascompromise planThe company has proposed the following It would provide subsidies only to low-income countries with the highest infection rates and loans to the rest of the world. This is a clear indication of the severe cost-cutting measures that are being taken to combat infectious diseases.

1 Human immunodeficiency virus is abbreviated as "HIV" and acquired immunodeficiency syndrome as "AIDS.

*2 Japan pledged after the pledging conference, so this figure does not include Japan's pledged amount.

Learn more about HIV/AIDS → "Transition of HIV/AIDS Control in Africa"

Learn more about malaria → "Malaria: Will the improvements achieved in Africa be lost?"

Learn more about tuberculosis → "Tuberculosis: the infectious disease that kills the most people in the world"

Global Fund Pledge Conference, Prime Minister of Norway (Photo: Statsministerens kontor / Flickr [CC BY-NC 4.0]