Overview
- UNAIDS reports abrupt reductions in 2025 international HIV assistance, with OECD estimating a 30–40% drop in external health financing versus 2023 and the Global Fund raising just over €9 billion of the €15 billion it sought.
- Prevention is being hit hardest, with reduced access to PrEP, declines in voluntary medical male circumcision, and more than 60% of women-led community groups suspending services as 570 girls and young women were infected daily in 2024.
- WHO’s Africa office urges governments to boost domestic investment and embed HIV services in primary care to protect gains as external support wanes.
- Scientific advances are progressing, including WHO‑recommended lenacapavir offering six months’ protection and first public rollouts in South Africa, Eswatini and Zambia under a no‑profit supply plan for two million people over three years.
- The global burden remains high at 40.8 million people living with HIV, 1.3 million new infections and about 630,000 deaths in 2024, with UNAIDS warning of up to 3.3 million additional infections by 2030 and Pakistan reporting a sharp surge with modelling pointing to as many as 40,000 new cases in 2025.