Overview
- UNAIDS’ World AIDS Day report says clinics have closed, health workers lost pay, and some people have died after services were disrupted by sharp donor pullbacks.
- About 2.5 million people lost access to PrEP in 2025, with prevention indicators plunging in multiple countries, including a 55% drop in condom distribution in Nigeria and steep PrEP declines in Burundi, Uganda and Vietnam.
- The report models up to 3.3 million additional HIV infections by 2030 if prevention programs are not restored at scale.
- Some funding has resumed through PEPFAR and 26 countries report plans to boost domestic HIV spending, yet UNAIDS says gaps remain large and treatment initiations fell in 13 countries.
- UNAIDS also flags a worsening rights environment that hinders access for key populations, while other donors cut back too, with the UK reducing its Global Fund pledge and the White House disputing UNAIDS’ assessment of US responsibility.