The national tuberculosis program in Ethiopia has assumed greater financial responsibility for implementation of the national response following the withdrawal of U.S. funding and reductions from the Global Fund. With fewer resources, the government has reprioritized activities to focus primarily on life-saving interventions.

Date: 11/25

Region: Africa

Country: Ethiopia

Topic: Health

Policy Lens: Global Health Security

Entry Type: Secondary Effect

Additional Context: This information was included in the “The impact of 2025 funding cuts on TB services” annex of the World Health Organization's, or WHO, 2025 Global Tuberculosis Report. In 2024, USAID accounted for 28% of Ethiopia's tuberculosis funding and the Global Fund for a further 41%. According to the WHO Representative to Ethiopia, the country is also prioritizing stronger domestic investment, political commitment, multisectoral coordination, and expanded use of global innovations in TB control.

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 Ethiopia are not clear.

As early as February 2025, the Ethiopian government pledged to absorb the work of over 5,000 public health workers whose contracts had been funded by the U.S. government, committing to ensure service continuity during the transition. The Ethiopian government has taken these measures to prioritize life-saving interventions, while navigating a funding gap exceeding 60% for necessary tuberculosis services.

Source: WHO