Additional Context: This information was included in the “The impact of 2025 funding cuts on TB services” annex of the World Health Organization's 2025 Global Tuberculosis Report. The measures taken include prioritizing cost-effective interventions, integrating data-capturing functions with clinical services, scaling up decentralized medication delivery at a community level, and pursuing greater sustainable financing and multisectoral collaboration.

In 2024, USAID accounted for 13% of South Africa’s tuberculosis-related funding, while the Global Fund committed 32%. Domestic funding accounted for 55%.

Devex Researcher Note: At the time of the Global Fund's eighth replenishment summit, to which the U.S. committed $4.6 billion — down from its $6 billion pledge in the seventh cycle — it had disbursed only $3.12 billion of that prior commitment, forcing mid-cycle grant cuts of 10% or more across the majority of recipient countries. The magnitude of effects on South Africa are not immediately clear. Although many of these measures were already part of national tuberculosis strategy before the aid cuts came into effect, the South African Government explicitly mentions U.S. government funding terminations as a key driver for changes to its tuberculosis strategy after April 2025.

Source: WHO