The global response to tuberculosis remains vulnerable, with 1.25 million deaths in 2023 and a $16.3 billion funding gap for 2027. The US proposes to cut its funding by 55% for 2026, which could increase 10.7 million additional cases and 2.2 million additional deaths by 2030, despite national efforts.
The global health landscape faces a significant reduction in official development assistance and bilateral health aid from major donors such as the US, the UK, Germany and France, putting the health systems of low- and middle-income countries at risk. However, new sources of funding are emerging, such as philanthropic foundations, private sector donors and countries from the Global South. Additionally, reforms are underway to mobilize internal resources and imagine a more resilient and equitable global health architecture.
