Policy Updates

On November 21, 2025The Global Fund held its Eighth Replenishment Summit, in Johannesburg, South Africa, co-hosted by the governments of South Africa and the UK on the margins of the G20 Leaders' Summit, securing US$11.3 billion in pledges to sustain the fight against AIDS, tuberculosis, and malaria.

Partners from more than 30 countries pledged support to save lives and strengthen systems for health, marking the first replenishment held on African soil. The summit demonstrated global solidarity despite fiscal tightening, conflict, and global uncertainty, though total pledges fell short of the ambitious target set in the Investment Case and several donors had yet to confirm their pledges.

The US, the Global Fund's largest donor, committed US$4.6 billion. The UK pledged GBP850 million (US$1.1 billion), while Germany confirmed EUR1 billion (US$1.2 billion) and Canada pledged CAD1.02 billion (US$723 million). France noted that its support remained unchanged. Spain increased its pledge to EUR145 million (US$167 million), Italy pledged EUR150 million (US$173 million), the Netherlands contributed EUR146 million (US$169 million), and additional pledges came from many other donors. South Africa committed US$37 million, including US$10 million from the private sector. African countries made solidarity commitments totaling US$52 million. G20 member states reached US$9 billion in commitments.

Within the private sector, the Gates Foundation pledged US$912 million, the Children's Investment Fund Foundation pledged US$135 million, and (RED) committed US$75 million. Overall, private sector support reached US$1.3 billion.

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 April 5, 2025, Canada announced CAD20 million (US$14 million) in humanitarian assistance for Myanmar following the earthquake.

The funding will support emergency relief efforts, including food, water, and healthcare, delivered through trusted partners like the UN and the Red Cross. Canada’s assistance aims to address the urgent needs of displaced families and those affected by the collapse of critical infrastructure in the hardest-hit areas.

On March 21, 2025, Canada announced CAD30 million (US$22 million) in funding to address urgent humanitarian needs in Lebanon, including food, medical and health services, shelter, and clean water.

The funding will be delivered through partners such as the UN, the Red Cross, and NGOs. This pledge is part of Canada’s broader humanitarian response, bringing its total funding for Lebanon in 2025 to CAD41 million (US$29 million). The support aims to alleviate the severe impacts of ongoing conflict, including food insecurity, displacement, and attacks on healthcare infrastructure.

Canada called for all parties to respect the ceasefire agreement and ensure the safety of humanitarian workers, reaffirming its commitment to supporting Lebanon during this crisis.

On December 9, 2024, Canada announced over CAD88 million (US$62 million) in funding over the next three years to the UN CERF, ahead of the high-level pledging event.

The funding aims to address the unprecedented global humanitarian needs, with an estimated 300 million people worldwide requiring emergency food, water, medical, sanitation, and protection services.

On November 29, 2024, Canadian Minister of International Development Ahmed Hussen announced that Canada will provide CAD50 million (US$36 million) in further humanitarian assistance to address the urgent needs of Palestinians in Gaza and the West Bank.

The funding will support the UN, Red Cross, and experienced NGO partners to deliver emergency medical assistance, food, water, protection services, and other life-saving assistance.

Canada has allocated a total of CAD215 million (US$154 million) in ODA to the current crisis in Gaza, including this pledge.

On November 19, 2024, Canadian Prime Minister Justin Trudeau concluded his participation at the G20 Leaders Summit where he announced over CAD68 million (US$49 million) in new investments to address organized crime and drug smuggling, as well as support climate action and protection for women and girls.

Funding included:

• Nearly CAD24 million (US$17 million) to stop drug and human trafficking into Canada, increase collaboration with international security organizations, and enhance the capacities of airports in Latin America and the Caribbean to prevent the shipment of illicit drugs;
• Over CAD25 million (US$18 million) to help restore global biodiversity, support measures to alleviate malnutrition, work with farmers in climate-stressed regions, and enhance food security; and
• Over CAD19 million (US$14 million) to support women and girls in Latin America by preventing discrimination and GBV and encouraging women’s participation in conservation, land and water resource management, and improved health services for at-risk women, including Indigenous women.

Trudeau also secured Canada’s participation in two key global partnerships - the Global Alliance Against Hunger and Poverty and the Global Clean Power Alliance. Throughout the summit, Trudeau also participated in various G20 working sessions to advance progress on global peace and security, focusing on Ukraine and the Middle East.

On November 7, 2024, Canada announced a total of CAD231 million (US$166 million) to support a series of flagship initiatives for peace and security in Africa, as well as building stronger and mutually beneficial partnerships by supporting economic empowerment, climate change action, and gender equality.

The funding was announced by Canadian Minister of Foreign Affairs, Minister of International Development, and Minister of International Trade and Economic Development on the margins of the Canada-African Union Commission High-Level Dialogue in Toronto, Ontario.

Canadian Minister of International Development Ahmed Hussen announced nearly CAD177 million (US$127 million) in funding to advance women’s and youth’s economic and social empowerment, support climate-change adaptation, and skills enhancement through the following projects:

• Supporting the UPSNJP - CAD75 million (US$54 million);
• Leading on funding the Renewed Women's Voice and Leadership in Crisis- and Conflict-affected Contexts - CAD25 million (US$18 million);
• Advancing women and youth’s economic and social empowerment in Senegal - CAD20 million (US$14 million);
• Backing the Climate Resilience through Empowering Women project - CAD15 million (US$11 million);
• Providing resources to AWBG - CAD14 million (US$10 million);
• Contributing to the United Nations Multi-Donor Trust Fund for Kenya - CAD10 million (US$7 million);
• Contributing to FIRST - CAD10 million (US$7 million);
• Strengthening the South Africa Skills Enhancement Program - CAD5 million (US$4 million); and
• Supporting Morocco's WESE - CAD2 million (US$1 million).

Hussen also announced initiatives to strengthening partnership to reduce poverty, provide humanitarian assistance, support economic development, and empowering youth by:

• Creating a new Africa trade and development program at GAC which will support development initiatives that contribute to food security, job creation, gender equality, and environmental sustainability; and
• Enhancing and expanding education and skills training programming to harness economic empowerment.

Additionally, Canadian Minister of Foreign Affairs Mélanie Joly announced CAD54 million (US$39 million) in funding for flagship initiatives and projects in the following key focus areas: peace and security, good governance, strengthened people-to-people ties, and enhancing Canada’s diplomatic footprint. This includes by:

• Supporting youth and women in peace processes;
• Supporting community-led conflict-prevention in Darfur and civilian-led political process throughout Sudan;
• Investing in counterterrorism capacity and threat resilience;
• Working to prevent violent extremism and support SGBV;
• Naming a Special Envoy for Africa and for the Sahel; and
• Formalizing Canada’s relationship with the AU Commission through a new memorandum of understanding.

On October 10 and 11, 2024, the G7's Health Ministerial Meeting took place in Ancona, Italy. The discussion focused on three overarching priorities: Global Health Architecture and Pandemic Preparedness and Response, healthy and active aging, and the One Health Approach.

The G7 Health Ministers Communiqué, released at the end of the meeting, highlights the G7's commitment to supporting SDG #3 through universal health coverage, primary health care, and sexual and reproductive health. This also includes maternal, neonatal, child, and adolescent health, strengthening the global health architecture by investing in PPR, promoting regional manufacturing of health products, and equitable access to quality health services.

The communiqué emphasized the health-related impacts of conflicts with a reference to the crises in Ukraine, Gaza, Lebanon, and Sudan. Furthermore, in the communiqué, the G7 Ministries committed to continue to support Gavi, the Vaccine Alliance and the Global Fund, whose replenishment processes will occur in the upcoming months.

The Civil 7 engagement group, a platform through which civil society can engage with the G7, reacted with a communiqué in which they expressed an appreciation for the re-commitment to ending HIV/AIDS, tuberculosis, and malaria through robust support for the Global Fund in its replenishment next year. This support is crucial to ending the three epidemics as agreed upon in the 2030 Agenda for Sustainable Development.

Finally, the G7 Health Ministers also adopted a policy brief on the opportunities presented by AI for both healthcare providers and patients.

On October 9, 2024, Canada’s Minister of International Development Ahmed Hussen announced an additional CAD15 million (US$11 million) in funding for humanitarian assistance to address the urgent needs of civilians in Lebanon, as well as a public donation matching campaign up to a total of CAD6 million (US$4 million).

The funding will help leading Canadian and international organizations provide food, water, health and protection services, and other life-saving assistance. Additionally, Hussen announced that Canada allocated up to CAD6 million (US$4 million) in donations to the Canadian Red Cross’ Lebanon Humanitarian Needs Appeal and the Humanitarian Coalition’s Lebanon Emergency Appeal.

Each donation made from September 24 to November 3, 2024, will be matched to a maximum of CAD3 million (US$2 million) for each appeal.