Donor Government Funding for HIV in Low- and Middle-Income Countries in 2023
Key Findings
UNAIDS, “2024 UNAIDS Global AIDS Update Report: The Urgency of Now – AIDS at the Crossroads”, July 2024.
Between 2020-2023, some donor governments provided COVID-specific emergency contributions to the Global Fund and UNITAID in addition to their contributions for core activities. For the purposes of this report, these COVID-specific amounts have been excluded as they cannot be attributed to a specific area, such as HIV.
UNAIDS estimates that US$19.8 billion was available for HIV from all sources (domestic resources, donor governments, multilaterals, and philanthropic organizations) in 2023, expressed in 2019 USD. For purposes of this analysis, this estimate was converted to 2023 USD, or US$22.1 billion. In addition, while the amounts presented in this analysis include donor contributions to multilateral organizations, the UNAIDS estimate of total available resources for HIV includes the actual disbursements made by multilateral organizations in 2023 rather than the donor government contributions to these entities.
Donor government contributions to the Global Fund and UNITAID have been adjusted for an HIV-share to account for the fact that these multilateral organizations address other diseases and areas (see Methodology).
Personal communication with Danish Ministry of Foreign Affairs, July 2024.
U.S. totals represent funding amounts provided through regular appropriations only. In 2021, the U.S. Congress appropriated additional emergency supplemental funding for bilateral HIV activities and for the Global Fund to address the impacts of the COVID-19 pandemic. These emergency supplemental funding amounts are not included in overall U.S. totals.
Report
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.
UNAIDS, “2024 UNAIDS Global AIDS Update Report: The Urgency of Now – AIDS at the Crossroads”, July 2024.
UNAIDS estimates that US$19.8 billion was available for HIV from all sources (domestic resources, donor governments, multilaterals, and philanthropic organizations) in 2023, expressed in 2019 USD. For purposes of this analysis, this estimate was converted to 2023 USD, or US$22.1 billion. In addition, while the amounts presented in this analysis include donor contributions to multilateral organizations, the UNAIDS estimate of total available resources for HIV includes the actual disbursements made by multilateral organizations in 2023 rather than the donor government contributions to these entities.
The donor share of total available resources includes bilateral disbursements as well as an adjusted share of Global Fund and UNITAID disbursements (the donor government share of contributions to each of the multilaterals in 2022 is applied to the disbursements from these multilaterals for the same year).
The UNAIDS resource needs estimate is expressed in 2019 USD. UNAIDS, “2024 Global AIDS Update: The Urgency of Now - AIDS at the Crossroads”, July 2024.
KFF & UNAIDS, “Donor Government Funding for HIV in Low- and Middle-Income Countries in 2022”, July 2023.
KFF, “The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR)”, July 2023.
In 2023, 52% of the Global Fund’s disbursements and 46% of UNITAID’s disbursements were directed to HIV activities. These percentages were applied to the full donor government contributions to these multilateral organizations to calculate the “HIV-share” (see Methodology for additional details).
GDP estimates are from the International Monetary Fund’s (IMF) World Economic Outlook (WEO) Database (accessed June 2024).
UNAIDS, “2024 UNAIDS Global AIDS Update Report: The Urgency of Now – AIDS at the Crossroads”, July 2024.