Grant Adaptation Measures for Grant Cycle 7

16 May 2025

We would like to share with you an update on adaptation measures for Grant Cycle 7 (GC7) grants. In the context of reduced international funding for health programs, the Global Fund’s objective is to support you in optimizing the use of Global Fund grant investments to preserve and enable lifesaving services.

Grant reprioritization and revisions. Following the contingency measures announced in letters to PRs last month, the Board of the Global Fund has recently agreed on the way forward for grant reprioritization and revisions to start in mid-June.

Below you will find information to support CCMs, PRs and partners in their planning for the reprioritization of investments:

• In the event that the Global Fund needs to reduce allocation funding for GC7, indicative reduced grant amounts will be communicated by mid-June. CCMs will then have a two week period to respond to the Global Fund (more information will follow).
• A programmatic reprioritization approach document will also be shared by mid-June; all reprioritization decisions will need to take into account country context.
• Guidance on revising grants will be shared by mid-June as well. All grant revisions will need to be fully completed and signed by PRs and the Global Fund, with CCMs in agreement, by end-September at the latest.

These slides provide more information [ download in English | Español | Français | Português ] .

This programmatic reprioritization can be used by CCMs, PRs and partners to analyze programs holistically and reprioritize investments from the Global Fund, considering the availability of all sources of funds, domestic and international.

Stakeholder engagement. To ensure meaningful engagement of all stakeholders, we suggest CCMs start planning, for meetings to take place during the second half of June.

As a partnership, we must ensure all members of the CCM, including civil society, the communities most impacted by the diseases, governments, technical and bilateral partners, are part of an inclusive, robust and evidence-based conversation on how to reprioritize grants. CCMs are therefore encouraged to consider whether they can allocate CCM funding to support wider engagement and consultation, especially for civil society and communities.

These discussions and the program choices may prove difficult, but we must stay focused on the mission to save as many lives as we can in this challenging funding landscape.

More information on lifesaving services and meaningful engagement is available in the full version of the Operational Update [ download in English | Español | Français | Português ] .

Co-financing commitments and deferral of activities. In the meantime, we continue to ask CCMs and PRs to:

1. Continue engaging with relevant ministries and country stakeholders, to ensure the host country is meeting its co-financing commitments for GC7 grants to maintain programmatic progress, strengthen sustainability and support a gradual transition from external financing. 
2. Actively work with your Global Fund Country Teams to align on the final list of grant activities to defer or pause – this will help create more space for reprioritization of investments to protect funding for lifesaving services.

Global Fund Country Teams are available to support you through the next steps as needed.

The Global Fund is committed to continuing to work in partnership with CCMs, PRs and in-country partners during these uncertain times, to address challenges and seek solutions together. We thank you for your efforts in the fight against the three diseases and saving lives.