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US actions harm global efforts to prevent and treat HIV in dozens of countries, new report says

US actions harm global efforts to prevent and treat HIV in dozens of countries, new report says

Summary

A new report shows that changes made by the Trump administration disrupted a major U.S. program fighting HIV/AIDS around the world. These disruptions caused many clinics to close, staff to be laid off, and services for vulnerable groups to be cut in dozens of countries.

Key Facts

  • The President’s Emergency Plan for AIDS Relief (PEPFAR) has saved over 26 million lives since 2003.
  • Last year, PEPFAR was hurt by cuts to global health grants and the breaking up of the U.S. Agency for International Development.
  • A survey of 166 groups in 46 countries found many had awards ended or payments delayed in the past year.
  • These funding cuts led to the closure of over 1,700 clinics and the loss of more than 16,000 full-time jobs.
  • Despite orders to keep HIV testing and treatment going, many groups reported disruptions to these crucial services.
  • Services for groups most affected by HIV, such as sex workers and transgender people, were often stopped.
  • Spending on HIV prevention dropped by 51% between fiscal years 2024 and 2025.
  • Local partner organizations were more likely than international ones to lose funding and close service sites.
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