Policy Updates

On October 13, 2025, following the declaration of a national HIV emergency in PNG in June 2025, the Australian government announced it would nearly triple its annual HIV development funding to the country to almost AUD10 million (US$6 million) for the 2025/2026 financial year.

The announcement was made by Assistant Minister for Pacific Island Affairs Nita Green during a visit to the newly renovated St Therese HIV clinic in Port Moresby. The increased funding will focus on prevention through awareness campaigns, increased testing, and expanded access to prevention measures. The support will also fund youth-led education programs and tailored services for women and girls, who are disproportionately affected by the virus.

Minister for Foreign Affairs Penny Wong stated that the support reflects the close partnership between the two countries and the need to work together to safeguard the region. The new funding complements Australia’s ongoing support for regional partners like UNAIDS, Health Equity Matters, and the Global Fund to Fight AIDS, Tuberculosis and Malaria. Minister for Pacific Island Affairs Pat Conroy and Green reiterated Australia's commitment to working with PNG to improve health outcomes and respond to the HIV situation with urgency.

On October 12, 2025, at the World Health Summit in Berlin, Germany Development Minister Reem Alabali-Radovan announced a pledge of EUR1 billion (US$1.2 billion) to the Global Fund.

Alabali-Radovan stated that the pledge demonstrates Germany's continued engagement in global health protection despite domestic budget constraints.

The contribution is part of to the Global Fund’s current replenishment round, which began in February 2025 and will conclude at the G20 summit in South Africa in late November 2025. Since its establishment in 2002, the Fund has saved an estimated 70 million lives.

Germany's pledge includes EUR100 million (US$117 million) in the form of Debt to Health Swaps, which are subject to budgetary approval.

Dutch Minister for Foreign Trade and Development Aukje De Vries informed Parliament on October 7, 2025, that the Netherlands would reduce global health funding from EUR448 million (US$522 million) in 2025 to EUR384 million (US$447 million) in 2026, cutting EUR31 million (US$36 million) annually in core contributions to multilateral health organizations while maintaining funding to WHO.

De Vries explained in a letter that total core contributions to six multilateral health organizations would decrease to EUR142 million (US$165 million) in 2026. The EUR31 million (US$36 million) annual reduction would be divided equally among UNFPA, UNAIDS, the Global Financing Facility, Gavi, and the Global Fund to Fight AIDS, Tuberculosis and Malaria. Core contributions to WHO remained at current levels to safeguard its coordinating role amid declining donor funding.

The letter fulfilled a commitment made by Minister of Foreign Affairs David van Weel to Member of Parliament Danielle Hirsch to explain effects of cuts on SRHR policy. De Vries stated that the government could not calculate specific effects on SRHR because services are integrated into broad basic health care, but noted that long-term commitments to UNFPA Supplies for contraception availability and the International Planned Parenthood Federation, which provides SRHR services in over 145 countries, would not be affected.

On September 25^th, 2025, during UNGA80 in New York, the Government of Norway committed NOK55 million (US$5.5 million) to the UNFPA Supplies Partnership for 2025, to expand access to contraceptives and maternal health supplies in 54 countries.

The new funding is intended to help avert an estimated 378,000 unintended pregnancies, more than 1,000 maternal deaths, and more than 6,000 child deaths. Norwegian Minister of International Development Åsmund Grøver Aukrust stated that Norway is committed to protecting sexual and reproductive rights and ensuring access to vital health services as a prerequisite for sustainable development.

The investment will leverage the UNFPA Supplies Partnership’s Match Fund, which encourages countries to increase their own spending on reproductive health. This has led to a fivefold increase in domestic spending on contraceptives since 2020.

On September 18, 2025, the US Department of State, under the leadership of Secretary of State Marco Rubio, released its America First Global Health Strategy, a comprehensive plan to align US global health programs with American national interests, security, and prosperity.

While the plan reaffirms commitment to goals for HIV/AIDS, malaria, and TB, the strategy marks a significant pivot from previous administrations, failing to mention previous administration and historically bipartisan priorities, including maternal and child health, routine immunizations, nutrition, and family planning. The document frames global health as a tool to counter Chinese influence, particularly in Africa.

The strategy is built on three pillars:

• "Making America safer" by improving disease surveillance and outbreak response;
• "Making America stronger" by shifting to bilateral agreements with partner countries; and
• "Making America more prosperous" by protecting the US economy from pandemics and promoting American health products.

The plan outlines a move away from NGO-led program delivery toward direct, multi-year bilateral agreements with recipient governments. The agreements will require co-investment from partner countries and will be tied to performance benchmarks. The US administration aims to finalize the deals with the 87 countries that received US health funding in FY2023 by the end of 2025, which is a timeline seen as highly challenging by global health experts, particularly in light of severe cuts to government global health staff.

The strategy justifies the shift by targeting “inefficient and wasteful” spending, asserting that 60% of current funding goes to overhead and program management rather than frontline services.

Critics raised concerns that the new model poses significant challenges, highlighting that a purely bilateral approach is seen as insufficient to tackle transnational threats, which require the broad, multilateral cooperation offered by institutions like the WHO. Another point of concern highlighted by health experts is the reduced funding for program management and technical assistance, which could weaken the detailed data collection and reporting that have historically allowed for close congressional oversight.

On September 18, 2025, the Verata Nursing Station in Fiji officially reopened following major climate-resilient renovations and the installation of solar power, funded by the KOICA.

The upgrades were completed under the multi-year SHAPE, which is implemented in partnership with the WHO and the MHMS. The project aims to ensure Fiji's health system can keep people safe amid growing climate-related threats such as stronger storms and floods.

Minister for MHMS Hon. Dr Ratu Atonio Rabici Lalabalavu, WHO Representative Dr Mark Jacobs, and KOICA Fiji Country Director Ms Hankyulsam Cho all highlighted the importance of the collaboration in building stronger, safer, and more resilient health services for the people of Fiji.

The broader SHAPE has also strengthened five other health facilities, installed solar power in 18 facilities, trained over 600 health workers, and improved disease surveillance and community adaptation to climate change impacts.

On September 11^th, 2025, the US State Department announced US$250 million in new public health assistance to the Philippines.

The new funding is intended to address public health challenges, with a focus on tuberculosis and maternal health. The assistance will also support investment in preparedness, detection, and response capabilities to reduce the threat of emerging diseases.

The programming builds on US$63 million in assistance announced during Philippine President Ferdinand Marcos Jr.’s official visit to Washington in July 2025. The US administration highlighted the announcement as a demonstration of its 'America First' foreign assistance approach.

On September 11, 2025, the US House Foreign Affairs Committee introduced two major pieces of legislation: the DFC Modernization Act of 2025, which proposes to increase the US DFC's lending cap to US$250 billion, and a series of bills aimed at reforming the US State Department.

The DFC Modernization Act, which closely resembles a proposal from the Trump administration, would increase the DFC's total lending cap from US$60 billion to US$250 billion. The bill would also allow the agency to invest in HICs for the first time, establish a revolving fund for equity investments, and raise the threshold for congressional notification of investments from US$10 million to US$100 million.

The second set of bills seeks to reform the US State Department by codifying changes made under US Secretary of State Marco Rubio. The proposals include the creation of an undersecretary for foreign assistance and a 'global health compact' model designed to shift funding responsibilities to partner countries, which would include a phase-out of PEPFAR funding. The legislation also suggests tying foreign assistance to a country's alignment with US policy positions.

Former OPIC CEO Robert Mosbacher Jr. expressed concern about linking the DFC bill to the more contentious State Department authorization. A short-term extension for the DFC may be necessary to allow more time for negotiation.

On September 5, 2025, Canadian Secretary of State for International Development Randeep Sarai announced CAD3 million (US$2 million) in humanitarian assistance for Afghanistan's Nangarhar Province, following a magnitude 6.0 earthquake on August 31, 2025.

The WFP will receive CAD1.3 million (US$941,000) for food and logistical services. The ICRC is allocated CAD1 million (US$724,000) to support communities affected by both conflict and the earthquake. Through the CHAF, CARE and IRC will each receive CAD350,000 (US$253,000) for vital assistance including clean water, sanitation, emergency shelter, and health services.

Additionally, Sarai announced that Canada is providing a separate total of CAD36 million (US$26 million) in humanitarian assistance to Afghanistan in 2025. This broader funding supports life-saving assistance such as food, nutrition, emergency health care, and protection services, delivered through UN, Red Cross, and other NGO partners.

On September 4, 2025, the US Department of State announced a plan to provide the HIV-prevention drug lenacapavir to two million people by 2028, a commitment delivered through the PEPFAR and the Global Fund.

The developer of the drug, Gilead Sciences, stated it would offer the drug at no profit for the initiative. The plan follows a similar commitment made in December 2024, which had been put in doubt by funding cuts to the USAID in early 2025. As a key implementing agency for PEPFAR, USAID is on the front lines of the global HIV/AIDS response, working to deliver prevention, treatment, and care services. The funding cuts in early 2025 created significant uncertainty about the US government's ability to follow through on its global health commitments.

The announcement received mixed reactions. Health advocates criticized the target of two million people as too low to have a significant epidemiological impact compared to the estimated 40 million people in need of PrEP in SSA. Experts also raised concerns about implementation, questioning which populations would be prioritized, how logistical challenges like cold-chain and training would be addressed, and what the "at-cost" price from Gilead would be.