Note: Originally published on October 2, 2024, this resource is updated as needed, most recently on December 1, 2025, to reflect additional developments.
There have or will be several resource mobilization efforts for multilateral health organizations in 2024 and 2025. These include: the Pandemic Fund’s first pledging event; the World Health Organization’s (WHO) first investment round; Gavi, the Vaccine Alliance’s (Gavi) fourth replenishment; and the Global Fund to Fight AIDS, Tuberculosis and Malaria’s (Global Fund) eighth replenishment. The U.S. is the largest contributor to global health and has played an integral role in each of these four organizations, and while pledging events represent commitments rather than immediate transactions, as U.S. funding must be approved by Congress, these events will nevertheless signal future U.S. support to these entities and to global health more broadly. This KFF tracker provides up to date information on U.S. pledges thus far to these four multilateral health replenishments and U.S. government support to date for these entities.
U.S. Support to Date for Select Multilateral Health Institutions
Data as of December 1, 2025Click on the buttons below to see data for
different charts:
Status of Replenishment Pledges from U.S.
 
U.S. Support to Date  
<details><summary>Click to expand table notes</summary>Totals represent paid contributions only; does not include unpaid or projected funding. Data for the Global Fund include funding for COVID-19 response. Funding time period reflects the period for when the proceeds were received. U.S. rank is compared to all other donors. U.S. rank, amount, and share for the Pandemic Fund and Gavi are based on cumulative contributions starting at each organization's inception. U.S. rank, amount, and share for WHO are based on cumulative contributions from 2016 through November 2025, as data for earlier years are not publicly available; WHO estimates are based on rounded contribution amounts as data with exact amounts are not available. Data on the Pandemic Fund represent paid contributions as of November 2025. Data on Gavi contributions represent proceeds for 2000-2024. Data on the Global Fund represent paid contributions as of November 2025.<br><br>*Does not include funding for COVID-19. If COVID funding were included, total contributions to Gavi from all sources would total $43.9 billion, U.S. contributions would total $7.9 billion and the U.S. share would be 18% and the U.S. rank would be #2. <br><br>**Of the $27.6 billion in total U.S. contributions to the Global Fund, $3.5 billion was for COVID, provided in FY 2021 (it is not possible to separate the full amount of all donor contributions to the Global Fund for COVID). <br><br>***By law, the U.S. cannot contribute more than 33% of total donor contributions since 2004 (not including COVID-19 funding). The U.S. share of contributions is always below 33% since the Administration never makes a payment that would take it above that limit.</details>
KFF analysis of World Bank, <a href="https://fiftrustee.worldbank.org/en/about/unit/dfi/fiftrustee/fund-detail/pppr#1" target="_blank" rel="nofollow noopener noreferrer">Pandemic Fund Contributions data</a>, accessed November 24, 2025; WHO, Funding by Contributor for <a href="https://open.who.int/2016-17/contributors/contributor" target="_blank" rel="nofollow noopener noreferrer">2016-17</a>, <a href="https://open.who.int/2018-19/contributors/contributor" target="_blank" rel="nofollow noopener noreferrer">2018-19</a>, <a href="https://open.who.int/2020-21/contributors/contributor" target="_blank" rel="nofollow noopener noreferrer">2020-21</a>, <a href="https://open.who.int/2022-23/contributors/contributor" target="_blank" rel="nofollow noopener noreferrer">2022-23</a>, and <a href="https://open.who.int/2024-25/contributors/contributor" target="_blank" rel="nofollow noopener noreferrer">2024-25</a> Bienniums, accessed November 24, 2025; Gavi <a href="https://www.gavi.org/investing-gavi/funding/donor-profiles/annual-contributions-and-proceeds">Annual Contributions and Pledges as of December 31, 2024</a>, accessed November 24, 2025; Global Fund, <a href="https://data.theglobalfund.org/" target="_blank" rel="nofollow noopener noreferrer">Global Fund Data Explorer</a>; accessed November 24, 2025.