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Jurist Donor cuts to Global Fund threaten right to health as replenishment falls short

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Dadparvar

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Nov 11, 2016
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Human Rights Watch (HRW) warned on January 22, 2026 that recent reductions in donor support for the Global Fund to Fight AIDS, Tuberculosis and Malaria risk undermining the right to health for millions of people worldwide. HRW said donors have pledged US$11.85 billion toward the Global Fund’s US$18 billion target for the 2026–2028 replenishment cycle, leaving a US$6.15 billion shortfall.

The Global Fund’s Eighth Replenishment Summit on November 21, 2025 in Johannesburg totaled US$11.341 billion, including US$10.005 billion from public donors and US$1.336 billion from private sector and non-government donors, according to the Global Fund’ published pledge list. The United States pledged US$4.6 billion, the United Kingdom pledged the equivalent of about US$1.112 billion, Germany pledged the equivalent of about US$1.154 billion, and Canada pledged the equivalent of about US$723.8 million.

HRW linked the funding shortfall to immediate service disruptions, particularly for marginalized groups facing stigma and legal or practical barriers to care. Based on interviews with 47 nongovernmental organization workers, outreach workers and aid recipients in Indonesia, Laos and Nepal, HRW reported that 2025 global health funding cuts have already affected HIV prevention and care, especially for men who have sex with men, transgender people, sex workers and people who use drugs.

According to HRW, community-based programs supported by the Global Fund often provide the only accessible pathway to HIV education, counseling, testing and treatment for groups that are otherwise deterred or excluded by discrimination and criminalization. One transgender HIV-positive outreach worker in Indonesia told HRW that “just leaving the house as a trans person is scary,” and warned that “without outreach support people can be left alone without care.”

The warning is framed as a human rights concern as well as a public health concern. Under the International Covenant on Economic, Social and Cultural Rights, state parties recognize the right of everyone to the highest attainable standard of physical and mental health, and undertake to take steps “individually and through international assistance and co-operation” toward progressively realizing covenant rights.

HRW further argued that donor retrenchment is especially consequential given broader 2025 reductions in US bilateral health aid. HRW cited estimates indicating more than 740,000 people have died due to US aid cuts to date, while other analysts have separately published wide-ranging estimates of potential mortality impacts from 2025 cuts based on spending and obligations data.

HRW’s Julia Bleckner, called on major donor governments to close the replenishment gap and prioritize multilateral funding that supports rights-based, community-delivered services for populations most at risk and most excluded from government health systems.

The post Donor cuts to Global Fund threaten right to health as replenishment falls short appeared first on JURIST - News.

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