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UNAIDS Warns U.S. Aid Cuts Could Roll Back AIDS Fight by Two Decades

The UN agency cautions that frozen U.S. funding is disrupting clinics; it could trigger millions of additional HIV cases without renewed international support.

Overview

  • The U.S. revoked $4.3 billion in pledged AIDS funding and froze over 80 percent of USAID programs at the start of 2025.
  • UNAIDS projects that a full halt of PEPFAR could lead to more than six million new HIV infections and over four million additional AIDS deaths by 2030.
  • In Nigeria, PrEP coverage plummeted by 85 percent in early 2025, highlighting acute disruptions in prevention services.
  • Germany’s planned pledge to the Global Fund has been cut to up to €1 billion over three years, down from €1.3 billion previously, deepening the financing gap.
  • The rollout of lenacapavir, a twice-yearly prophylactic injection hailed as a breakthrough, depends on securing sustainable donor and domestic funding.