Deadline today for countries to respond to the Global Fund on revised grant amounts

Jul 14, 2025

Context

The external financing landscape for global health programs has and continues to significantly change and has had substantial impact on lifesaving services in HIV, TB and malaria – and most especially felt amongst key populations and community monitoring systems.

Whilst the Global Fund has received significant donor payments in recent weeks, the prospects for full conversion of the 7th Replenishment pledges remain uncertain. While they continue to pursue full pledge conversion, they are facing a significant gap between current grant commitments and available resources.

Given this challenge, the Global Fund took a decision to reduce the GC7 allocation for the remainder of the grants’ implementation period. This is a difficult and unavoidable decision, which requires countries to reconsider how best to use the remaining GC7 grant amounts together with domestic resources and other sources of funds to keep saving lives.

On 30th June every CCM was notified of each grant’s revised funding envelope, as part of the Grant Cycle 7 Reprioritization exercise.  This means many grants will need to prioritise and/or remove activities from their grants to remain within the new budget amount. Thanks to civil society partners the letters are being collected – click here to see more.

Countries with more than one grant have their first deadline today on the 14th July to review allocations but the rest of countries with one grant have up to 30 September.

What does this mean?

Countries are looking at different levels of cuts. If you want to find out what has been cut from your grant – all information is on this page. For the last couple of weeks countries have been discussing what activities will be cut from grants. This has been an important moment to advocate for the programs and activities that are essential for civil society and communities.  These discussions will continue to take place quickly.  If you are a member of the CCM, please continue to ensure that you are part of the decision making about where to cut.  If you are not on the CCM, reach out to your CCM to ensure that your voice is heard.

Which activities will be cut?
The decision will be taken by the CCM and the Principle Recipient (PR), with support from the Country Teams in Geneva.  Although each country can make decisions about what to cut, the Global Fund has released guidance about which activities are recommended to be prioritized (not cut) and which could be deprioritized.  This can be a useful tool when you are advocating for programs.

What if you would like support or have challenges to report?
If you have questions, or need additional support in this process, or if you are facing challenges, there are several options available including great tools that have been developed. Please reach out for support:

  • Contact the CRG Learning Hub in your region.  Contact information for each of the hubs is available here
  • Write to the Developing Country NGO Delegation at this email address CFP@developingngo.org or submit requests to the Communities Delegation to the Global Fund Board, as described here
  • Contact the Global Advocacy Data Hub using this link
  • Contact the CHANGE Global Fund group.  The link to join the WhatsApp group is here
  • ⁠Contact W4GF with gender-linked priorities and challenges.

Guidance, resources, and advocacy tools

Several groups have released materials to support engagement with this process. You may find links to these resources here:

  1. More recently this guidance on GC7 Mid-cycle Reprioritisation download in English Español and Français
    and Revision provides guidance for Principal Recipients (PRs), Country Coordinating Mechanisms (CCMs), and the Global Fund Secretariat on the Grant Cycle 7 (GC7) mid-cycle reprioritization and revision process. It replaces previous guidance on confirming grant amounts and revisions for this specific exercise. The outlined approach and timelines apply only to grants undergoing reprioritisation through revision, not to those still in grant-making under the reduced allocation. It replaces the Global Fund operational guidance on reprioritisation This is also available in Español | Français | Português and can be used to support countries’ dialogue and decision-making. The content of this document aims to support country stakeholders to decide on the reprioritization of interventions. It is not meant to be prescriptive, and decisions on reprioritization will need to be adapted to country context and follow WHO normative guidance. These slides provide more information This is also available in Español | Français | Português.
  2. A community guide to the GC7 re-prioritization.
  3. Non-Negotiables for and by Key Populations in the Reprioritisation and Revision of Global Fund Programmes in Grant Cycle 7
  4. The CCM Dashboard
  5. Key Resources to understand and navigate the Global Fund’s GC7 adaptation processes
  6. Civil Society Alert: Global Fund GC7 Programmatic Reprioritization: Protect Community System Strengthening (CSS) and Community-Led Monitoring (CLM)
  7. Women4GlobalFunds feminist Manifesto of Non-Negotiables for HIV, TB and malaria. These are the lifesaving priorities that must be preserved — even in times of crisis.
  8. There is also a TB Community GC7 reprioritization support package for TB affected communities and civil society, to help engage in the country level GC7 reprioritization process – to ensure essential and lifesaving TB interventions are maintained.
  9. The Advanced HIV Disease (AHD) Advocacy Toolkit is now available and designed for communities, PLHIV networks, and civil society groups participating in the Grant Cycle (GC7) reprioritisation.

What’s happening today?

If the Global Fund does not hear from CCMs by 17:00 (Geneva time) on 14 July 2025, they  will proceed on the basis that the new grant amounts set out in this letter have been approved. Should the CCM wish to propose revised grant amounts, the CCM Chair and Vice Chair are respectfully requested to respond to this letter (with all CCM members in copy) by 17:00 (Geneva time) on 14 July 2025 using the form available here.

The Global Fund guidance to countries also says “Upon Global Fund confirmation of the final grant amounts, the CCM, Principal Recipients and the Global Fund Secretariat will work together on any next steps required to complete the reprioritization and reinvestment process for each of the Grants. This process may differ based on the scope of change to the Grant. Our goal is to facilitate swift implementation of the revised grant activities during the remainder of the Grants’ terms. Additionally, all activities agreed to be deferred as part of the adaptation measures introduced in April 2025 will remain paused unless re-approved for implementation by the Global Fund.”