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Foreign Aid Cuts Threaten to Reverse Decades of Progress Against HIV/AIDS

A new Lancet HIV study warns that reductions in international funding could lead to millions of additional infections and deaths by 2030, with sub-Saharan Africa and vulnerable populations at greatest risk.

  • The Lancet HIV study projects up to 10.8 million new HIV infections and 2.9 million deaths globally by 2030 due to a 24% reduction in international HIV funding by 2026.
  • Major donor countries, including the U.S., U.K., France, Germany, and the Netherlands, have announced significant cuts to foreign aid, which together account for over 90% of global HIV funding.
  • The U.S., historically the largest contributor, has paused most foreign aid, including PEPFAR, disrupting essential HIV services such as antiretroviral therapy and prevention programs.
  • Sub-Saharan Africa and marginalized groups like sex workers, people who inject drugs, and men who have sex with men are expected to bear the brunt of the funding shortfall.
  • Experts emphasize the urgent need for sustainable, country-led financing strategies to prevent a resurgence of the epidemic and mitigate long-term setbacks in global health progress.
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