Overview
- Presenting its report in Geneva, UNAIDS called the cuts the most significant setback in decades and projected about 3.3 million additional infections if gaps persist.
- The agency said the global response entered crisis mode after the United States paused HIV funding in early 2025, with only partial restoration through PEPFAR as overall donor support kept falling.
- Prevention has been hardest hit, with roughly 2.5 million people losing access to PrEP and sharp drops in condom distribution such as a 55% fall in Nigeria.
- Community partners have reported deaths linked to clinic closures and disrupted treatment, while treatment access has only partly stabilized and initiation has declined in several countries.
- Donor pullbacks include a planned £150 million reduction in the UK's Global Fund contribution, advocacy campaigns are intensifying, and the rollout of promising tools like long‑acting lenacapavir faces funding and affordability hurdles.