Communities and Civil Society at the Sixth Preparatory Meeting welcome the Investment Case released by the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) for its Sixth Replenishment during the Preparatory Meeting held in New Delhi on the 7 & 8 February 2019 with the auspices of the Government of India. We acknowledge the rationale provided in the Investment Case which calls for at least US$14 billion based on the Global Plans for the three diseases. We emphasise that the US$14 billion investment is the bare minimum required to achieve the Global Fund Strategy goals for 2017 – 2022. We are concerned that the majority of the increase of investments for the three diseases from US$66 billion in the current cycle to US$83 billion for the next three-year cycle is expected from increased domestic financing. We are alarmed that the total investment including the minimum US$14 billion investment in Global Fund, increased domestic financing and sustained external funding represents only 82% of the required resources leaving a US$18 billion gap to reach the targets set out in the Global Plans.