US Commits $5.88B to Global HIV Fight After Funding Cuts

After a year of uncertainty, the global HIV response just received a major lifeline that could help rebuild critical health services around the world.

On February 3, 2026, the US signed a $5.88 billion spending package into law to reinforce America's commitment to fighting HIV globally. The funding comes exactly one year after severe cuts rocked health programs in South Africa and beyond, leaving vulnerable communities scrambling for support.

The new package directs $4.6 billion toward bilateral HIV support, $1.25 billion to the Global Fund to Fight AIDS, Tuberculosis and Malaria, and $45 million to the UN's HIV/AIDS program. These investments will strengthen the international health networks that countries like South Africa depend on.

Dr. Kate Rees from Anova Health Institute, which lost all its US funding last year, sees reason for optimism. "Continuation and continuity for those agencies is really positive for us," she said, noting that South Africa benefits from being part of the global health ecosystem.

The Global Fund has emerged as a crucial supporter of HIV programs in South Africa, particularly those serving vulnerable populations. While South African organizations won't receive direct US funding, the strengthened international framework provides essential backing for ongoing work.

The Bright Side

Despite challenges, health organizations are adapting to new realities and finding ways forward. The Desmond Tutu Health Foundation and other groups continue their vital work, supported by international partners like the Global Fund.

Professor Linda-Gail Bekker from the Desmond Tutu HIV Centre acknowledges the difficulty ahead but emphasizes resilience. "We've come to terms with the fact that the money is going to be less," she said, "but we've got to still get on with the job."

The renewed US commitment signals that global cooperation on health issues remains strong, even after setbacks. Countries worldwide are learning to be more resourceful while maintaining essential services that save lives.

With billions of dollars now flowing into international health organizations, the infrastructure supporting HIV programs globally stands on firmer ground than it did a year ago.