On Sept. 22, 2025, The Gates Foundation will give $912 million to the Global Fund to Fight AIDS, Tuberculosis and Malaria, philanthropist Bill Gates announced on Monday as he urged governments to reverse global health funding cuts.

Speaking at a Reuters Newsmaker event in New York, Gates said the world was at a crossroads, with millions of children at risk of dying if funding drops too steeply.

The Gates Foundation’s pledge matches its donation in 2022. That was the last time the Global Fund, a Geneva-based independent nonprofit, raised money on its three-year budget cycle. The announcement follows deep aid cuts from governments around the world, led by the United States.

According to the U.S.-based Institute for Health Metrics and Evaluation, global development assistance fell by 21% between 2024 and 2025 and is now at a 15-year low. That could still change, said Gates, with organizations like the Global Fund trying to raise money before the end of the year. But if the trajectory remains the same, progress that cut child mortality in half since 2000, saving 5 million lives a year, could be in jeopardy, he said in a statement.

Gates said that there was still an opportunity to save millions of lives and end some of the deadliest childhood diseases by the time he will have donated the rest of his fortune in 2045.

According to the U.S.-based Institute for Health Metrics and Evaluation, global development assistance fell by 21% between 2024 and 2025 and is now at a 15-year low. That could still change, said Gates, with organizations like the Global Fund trying to raise money before the end of the year. But if the trajectory remains the same, progress that cut child mortality in half since 2000, saving 5 million lives a year, could be in jeopardy, he said in a statement.

Gates said that there was still an opportunity to save millions of lives and end some of the deadliest childhood diseases by the time he will have donated the rest of his fortune in 2045.