U.S. Global Health Budget: Overview
U.S. Global Health Funding: Figures
U.S. Global Health Funding: Table
U.S. Global Health Budget: PEPFAR and Other Global HIV Funding
The U.S. first provided funding to address the global HIV epidemic in 1986. U.S. efforts and funding increased slowly over time until the launch of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) in 2003, which initiated a period of significant increases and is the largest effort devoted to a single disease in the world. The majority of U.S. global HIV funding (89%) is for PEPFAR bilateral efforts, and contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). This funding is specified by Congress in annual appropriations bills and is largely provided to the Department of State, which is responsible, through the Office of the Global AIDS Coordinator (OGAC), for coordinating all U.S. programs, activities, and funding for global HIV efforts. Other agencies that receive HIV funding under PEPFAR include the U.S. Agency for International Development (USAID), Centers for Disease Control and Prevention (CDC), and Department of Defense (DoD). In addition, the National Institutes of Health supports international HIV research activities, (funding which is not counted as part of PEPFAR). Global HIV funding through regular appropriations has historically accounted for the largest share of the U.S. global health budget (ranging from 42% to 50% from FY 2013 to FY 2023). In FY 2023, global HIV funding totaled $5.5 billion, of which $4.9 billion is for PEPFAR, and approximately $628 million is for international HIV research activities at NIH.
U.S. Global HIV Funding: Figures
U.S. Global HIV Funding: Table
U.S. Global Health Budget: Tuberculosis (TB)
Since 1998, when the U.S. Agency for International Development (USAID) began a global tuberculosis (TB) control program, U.S. involvement in global TB efforts has grown and it is now one of the largest donors to global TB control in the world. U.S. bilateral TB funding is provided through USAID and includes U.S. contributions to the TB Drug Facility (additional U.S. support for TB activities is provided through its contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria). U.S. funding for TB has grown over the past decade, with much of the increase occurring in more recent years. U.S. funding for TB rose from $233 million in FY 2013 to $406 million in FY 2023, and currently accounts for approximately 3% of the U.S. global health budget.
U.S. Global TB Funding: Figures
U.S. Global TB Funding: Table
U.S. Global Health Budget: Malaria/PMI
The U.S. government has been involved in global malaria activities since the 1950s and, today, is the second largest donor to global malaria efforts in the world (the largest is the Global Fund to Fight AIDS, Tuberculosis and Malaria). The U.S. response to malaria is driven by the President’s Malaria Initiative (PMI), an interagency initiative to address global malaria that is led by the U.S. Agency for International Development (USAID), and co-implemented together with the Centers for Disease Control and Prevention (CDC), with additional activities provided by the National Institutes of Health (NIH) and Department of Defense (DoD). (In addition to its bilateral programs, the U.S. also supports malaria programs through its contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria). U.S. bilateral funding for malaria increased over the past decade from $822 million in FY 2013 to approximately $1 billion in FY 2023; while funding increased over the period, it has been relatively flat in recent years. In FY 2023, malaria accounted for 8% of the U.S. global health budget.
U.S. Global Malaria Funding: Figures
U.S. Global Malaria Funding: Table
U.S. Global Health Budget: The Global Fund to Fight AIDS, Tuberculosis and Malaria
U.S. Funding for the Global Fund: Figures
U.S. Funding for the Global Fund: Table
U.S. Global Health Budget: Maternal & Child Health (MCH)
U.S. Global MCH Funding: Figures
U.S. Global MCH Funding: Table
U.S. Global Health Budget: Nutrition
The U.S. has a long history of supporting global efforts to improve nutrition and is the largest donor to nutrition efforts in the world. Historically, support for U.S. global nutrition activities was included as part of broader maternal and child health (MCH) funding; starting in 2010, Congress began to designate funding for nutrition activities, all of which is provided through the U.S. Agency for International Development (USAID). U.S. funding for nutrition increased from $97 million in FY 2013 to $163 million in FY 2023 and has accounted for approximately 1% of the total U.S. global health budget over the period.
U.S. Global Nutrition Funding: Figures
U.S. Global Nutrition Funding: Table
U.S. Global Health Budget: Family Planning & Reproductive Health (FP/RH)
U.S. International FP/RH Funding: Figures
U.S. International FP/RH Funding: Table
U.S. Global Health Budget: Global Health Security
Since the 1990s, there has been growing concern about new infectious diseases that threaten human health including, in more recent years, the emergence and spread of threats such as Ebola, Zika, H1N1 influenza, COVID-19, and antibiotic resistance. U.S. global health security efforts aim to reduce the threat of emerging infectious diseases by supporting preparedness, detection, and response capabilities worldwide. Funding designated by Congress for global health security through both emergency and regular appropriations has fluctuated over time, rising largely in response to outbreaks, including Ebola in FY 2015, Zika in FY 2016, and COVID-19 in FY 2020 and FY 2021. In FY 2023, funding for global health security was $1.5 billion, its highest level to date, and accounted for 11% of the U.S. global health budget.
U.S. Global Health Security Funding: Figures
U.S. Global Health Security Funding: Table
U.S. Global Health Budget: Neglected Tropical Diseases (NTDs)
U.S. Global NTDs Funding: Figures
U.S. Global NTDs Funding: Table
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