The potential impact of reductions in international donor funding on tuberculosis in low- and middle-income countries.

ABSTRACT:

Background

Tuberculosis services in many settings rely heavily on international donor funding. In 2025, the United States Agency for International Development (USAID) was dismantled, and other countries also announced cuts to overseas development assistance. We quantified potential epidemiological impacts attributable to these reductions in international donor funding.

Methods

We calibrated a deterministic tuberculosis model to epidemiological indicators in low- and middle-income countries. We projected three future scenarios assuming: a) levels of funding in 2024 continue through 2035, b) termination of USAID funding from 2025, and c) additional reductions in funding through The Global Fund in line with current donor announcements from 2025. We assumed a reduction in tuberc

SUBMITTER: Clark RA 

PROVIDER: S-EPMC12045416 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature