Communique of the Developing Country NGO (DCNGO) Delegation on the key outcomes from the 53rd Global Fund Board Meeting

The 53rd Global Fund Board Meeting was unprecedented as discussions centred on grant reprioritization for the current grant cycle 7 (GC7), in addition to preparations for GC8 beginning in 2026. It convened amid a confluence of global challenges — including escalating geopolitical and financial conflicts, climate shocks, and significant shortfalls in donor funding—that are deepening inequalities and accelerating the erosion of civic space. These intersecting crises have placed immense strain on health systems and threaten the continuity of essential HIV, TB, and malaria services, particularly for marginalized and criminalized communities. Most affected will be community systems that sustain responses and uphold and protect human rights. At the same time, language to affirm key principles — rights, equity, protection— is at risk from disappearing from strategic and operational discourse, raising concerns about the future of a truly inclusive and effective global health response that leaves no one behind.

The Developing Country NGO (DCNGO) Delegation developed this document for civil society and community groups who did not attend the 53rd Global Fund Board meeting on key items.