Donor Government Funding for HIV in Low- and Middle-Income Countries in 2018

Key Findings
  1. Donor government disbursements are a subset of overall international assistance for HIV in low-and-middle-income countries, which also includes funding provided by other multilateral institutions, UN agencies, and foundations. In 2018, UNAIDS estimates that total international assistance for HIV was US$8.3 billion (in constant 2016 US dollars).

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  2. When measured in 2014 US dollars to account for a significant sustained rise in the value of the U.S. dollar against most other currencies in 2015, funding was essentially flat between 2017 and 2018.

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  3. U.S. Congress, H.R. 2740 – Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020; May 15, 2019.

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  4. The Global Fund to Fight Aids, Tuberculosis and Malaria. “Global Fund Praises UK for Increasing Pledge by 16 Percent.” June 29, 2019: https://www.theglobalfund.org/en/news/2019-06-29-global-fund-praises-uk-for-increasing-pledge-by-16-percent/.

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  5. UNAIDS. “Communities at the Centre: Global AIDS Update, 2019.” July 16, 2019:

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Report
  1. Donor government disbursements are a subset of overall international assistance for HIV in low-and-middle-income countries, which also includes funding provided by other multilateral institutions, UN agencies, and foundations. In 2018, UNAIDS estimates that total international assistance for HIV was US$8.3 billion (in constant 2016 US dollars).

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  2. When measured in 2014 US dollars to account for a significant sustained rise in the value of the U.S. dollar against most other currencies in 2015, funding was essentially flat between 2017 and 2018.

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  3. U.S. legislation governing contributions to the Global Fund includes several restrictions and requirements, which affect the timing of U.S. disbursements, as occurred in this case. For example, total U.S. contributions cannot exceed 33% of total contributions from all donors. When conditions are met, additional funding is disbursed. See “The U.S. & The Global Fund to Fight AIDS, Tuberculosis and Malaria” here: https://www.kff.org/global-health-policy/fact-sheet/the-u-s-the-global-fund-to-fight-aids-tuberculosis-and-malaria/.

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  4. UNAIDS estimates that US$19.0 billion was available for HIV from all sources in 2018, expressed in 2016 USD. For purposes of this analysis, this estimate was converted to 2018 USD, or $20.3 billion.

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