On Monday March 28th, the Presidents Budget Request for the fiscal year 2023 (FY23) included a request for US$2 billion for the Global Fund replenishment and an intended total pledge of $6 billion from the U.S for the 7th Replenishment. In the past, commitments to the Global Fund made through the President’s budget request have been realized.
The requested budget for FY23 would represent a 28.2% increase from the most recent contribution to the Global Fund of US$1.56 billion in the fiscal year 2022 budget. Additionally, the request specifically states that the US is “offering to match $1 for every $2 contributed by other donors”.
As a first indication of a pledge from any government, this would be a proportional increase sufficient, if adopted by all donors, to meet the minimum US$18 billion ask of the Global Fund’s Investment Case.
What is the 1/3 rule?
United States law prevents it from contributing more than 1/3 of the Global Fund’s total resources. Skipping over the details, it means that while the President’s budget request on March 28th makes the intention of the pledge known, if less than US$18 billion is raised for the 7th Replenishment, there is a risk that the US would have to decrease its contribution so that it does not represent more than 1/3 of the total. In other words: if the combined pledges from other donors do not add up to at least US$12 billion, the intended US support for the Global Fund could be at risk.
The budget sets a ceiling, and signals the expectation of the U.S. executive branch that the 7th Replenishment will succeed at raising US$18 billion.
Key Messages to consider when leveraging the US pledge in your advocacy:
- In order to get back on track to the SDGs, the Global Fund requires a minimum US$18 billion for the 7th Replenishment; the US has stepped up with their intended pledge of $6 billion
- With the US pledge known and the commitment to match $1 for every $2 raised we must at a minimum raise an additional $12 billion from all other sources. This would start with a minimum xx% increase from [insert country name] to mark our commitment to the SDGs and the end of AIDS, TB and Malaria.
- Every additional 100 million will:
- Save 113,000 lives, avert 2.5 million new infections, and create US$ 2.9 billion in returns
- Provide ARVs for 115,000 people & preventative treatment to 15,000 pregnant women living with HIV, provide HIV counseling and testing to 4.3 million people and reach 259,000 members of key populations through preventative programs
- Provide TB treatment and care for 98,000 people, screen 1.8 million people for TB, provide 3,700 people with treatment for multidrug-resistant TB, and provide antiretroviral therapy for 4,900 HIV-positive TB patients
- Distribute 7.6 million mosquito nets to protect children and families from malaria, provide 40,000 seasonal malaria chemoprevention to protect children and families from malaria, and provide malaria treatment and care for 1.6 million people
- If we do not step up, because of a law preventing the US from contributing more than 1/3 of the money raised for the Global Fund, we will leave US dollars on the table that could be put towards HIV, TB or malaria programs
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