NEW YORK/GENEVA, 4 June 2026—UNAIDS welcomes the release of the United Nations Secretary-General’s report on HIV/AIDS, issued ahead of the UN General Assembly High-Level Meeting on HIV/AIDS taking place in New York on 22–23 June 2026. In the report, UN Secretary-General António Guterres delivers a clear message that the world has made historic gains against HIV, but that the gains are increasingly at risk unless governments urgently recommit to the global AIDS response. 

“The global HIV response is at a critical juncture. Progress is real and measurable, but it is increasingly vulnerable to converging crises,” said Mr Guterres, citing declines in external funding, rising debt burdens, humanitarian emergencies and regression in human rights. 

The Secretary‑General highlights that 31.6 million of the 40.8 million people living with HIV were on treatment in 2024, the highest number ever recorded and that AIDS‑related deaths have fallen by 54% since 2010, reaching their lowest level since the early 1990s. 

The report outlines that countries in eastern and southern Africa—home to the majority of people living with HIV—have led the way. Seven countries in the region achieved the global 95‑95‑95 testing and treatment targets in 2024. 

“These achievements are a shining testament of the progress to end AIDS when political leadership, community action and sustained investment come together,” said UNAIDS Executive Director Winnie Byanyima. 

However, the report underscores that the world is far off track from the 2025 targets set in the 2021 Political Declaration on HIV/AIDS. Some 9.2 million people still lack access to HIV treatment, around 630,000 people died of AIDSrelated illnesses in 2024—double the 2025 target of 250,000 and 1.3 million people became infected with HIV in 2024—3.5 times the 2025 target of 370,000 by 2025.  

The report outlines that progress remains uneven. New HIV infections have risen sharply in the Middle East and North Africa (up 94% since 2010) and have increased in Latin America as well as in eastern Europe and central Asia. 

The report also warns of the need to confront the structural inequities that undermine access to HIV services, close funding gaps and accelerate the expansion of HIV services in sustainable ways. Adolescent girls and young women in sub-Saharan Africa continue to acquire HIV at three to four times the rate of their male peers.  

Key populations and their partners account for 74% of new infections outside sub-Saharan Africa. The Secretary-General warns in the report that declines in external financing for health are projected to drop by up to 40%, with HIV prevention and community-led services most at risk. In western and central Africa, 90% of treatment funding comes from external donors. Prevention programmes in sub-Saharan Africa rely on 80% external funding. 

“Without urgent action to close the funding gap, millions of lives are at stake,” said Ms Byanyima. “We cannot allow financial shocks, backlashes against human rights or political backsliding to reverse decades of progress.” 

The report lays out some of the major opportunities to accelerate progress. Longacting HIV prevention tools, including injectable HIV prevention medicines, are becoming more accessible, with generic versions expected at US$ 40 per person per year, however progress on roll-out is slow.  

Community-led organizations, proven to improve testing, treatment adherence and viral suppression, must be protected, funded and integrated into country ownership plans. New national sustainability roadmaps, developed together with UNAIDS, in more than 30 countries are strengthening domestic ownership of HIV responses. 

The UN Secretary-General calls on Member States to endorse bold new 2030 HIV targets in the Political Declaration on HIV/AIDS due to be adopted at the upcoming High-Level Meeting on HIV/AIDS. The targets will build on the 2025 commitments and aim to ensure continued progress towards the goal of ending AIDS as a public health threat by 2030 and sustaining it into the future.  

“The pathway to end AIDS by 2030 exists and remains open,” concludes Mr Guterres. “But only if we act together.” 

UNAIDS urges all governments to use the upcoming High-Level Meeting on HIV/AIDS to recommit to ending AIDS as a public health threat by 2030, to protect and expand funding for HIV prevention, treatment and community-led services particularly by increasing domestic resources for HIV, to remove punitive laws and policies that fuel stigma and block access to HIV services and to ensure equitable access to innovations, including long-acting HIV prevention and treatment.  

“Ending AIDS is a political choice,” said Ms Byanyima. “With courage, solidarity and investment, we can finish the job.” 

The report of the UN Secretary-General is an instrumental reference to inform negotiations by member states on the new Political Declaration on HIV/AIDS in the lead up to the High-Level Meeting on HIV/AIDS on 22-23 June 2026. More information including this report and the Civil Society Statement for the High-Level Meeting are available on the special UNAIDS web page United Nations General Assembly High-Level Meeting on HIV/AIDS.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

The United Nations Secretary-General António Guterres will present his report on HIV to the 79^th United Nations General Assembly at the UN in New York on 5 June 2025.

The report, The urgency of now: AIDS at a crossroads – progress report on the 2025 targets and strategic directions for the future, contains a review of progress towards realizing the targets and commitments set out in the 2021 Political Declaration on HIV/AIDS and an outline of the work that still lies ahead.

It comes at a critical moment in the global HIV response, when urgent action is needed to protect the hard-won gains and accelerate progress towards ending AIDS as a public health threat.

UNAIDS has been supporting countries to gradually reduce their reliance on external assistance.

The current Global AIDS Strategy 2021–2026 has led the HIV response with a bold vision of ending inequalities that continue to fuel the epidemic. The midterm review of the Strategy, published as part of the annual Global AIDS Update in July 2024, highlighted key achievements and remaining challenges to inform the development of the next phase of the response.

Under the current strategy, fewer people acquired HIV in 2023 than at any point since the late 1980s. Over 30 million people were receiving life-saving antiretroviral therapy, reducing AIDS-related deaths to their lowest level since the peak of 2004. Significant gains have been made in sub-Saharan Africa, underscoring the power of existing interventions to end AIDS as a public health threat by 2030. As the United Nations approaches its eightieth anniversary, the results of the HIV response stand as a powerful testament to the impact of multilateral action and must be protected.

Amid recent challenges and the fragility of the HIV response, the world is falling behind in achieving the 2025 HIV targets. Obstacles to accessing treatment, insufficient prevention programming, a failure to adequately support the work of communities, rising inequalities and a lack of political will and financial support threaten the response.

The next Global AIDS Strategy, for the period 2026–2031, led by UNAIDS, is being developed at a time when the response to the HIV epidemic is at a crossroads. The strategy will be among the most important in 40 years of response to the pandemic. Developed in a context of instability for many countries, in particular with regard to HIV-related funding, the strategy will be crucial for accelerating the achievement of the 2030 Agenda for Sustainable Development and setting the foundation for a sustainable response to HIV post-2030.

This report is also available in Arabic, Chinese, French, Russian and Spanish.

On 19 June 2024, the United Nations General Assembly convened to evaluate the progress made in the response to the AIDS epidemic. The yearly session provided a platform for Member States to reflect on achievements, confront persistent barriers, and chart a course forward towards ending AIDS by 2030. The UN Secretary-General’s progress report formed the basis of the debate. 

Member States celebrated the significant achievements towards ending AIDS, while highlighting ongoing challenges that must be overcome to reach the promise of ending AIDS as a public health threat by 2030.   

The commitment to the 95-95-95 targets and the progress made in eliminating vertical transmission of HIV, especially through the use of decentralized community-based services, were highlighted as pivotal to the success of the HIV response.  

Many member states stressed the crucial role that promoting a human rights-centered approach has had in the fight against HIV. They highlighted the significance of comprehensive multi-sectoral responses, including education on sexuality and robust support for sexual and reproductive health and rights. They pointed to the harm of actions that undermine gender equality and LGBTQI+ rights. They emphasized the shared duty of every country to protect everyone’s human rights.  

The need for continued global solidarity and enhanced multilateral cooperation was emphasized as key to tackling the remaining challenges. Calls for increased domestic and international funding were echoed, noting that sustained investment is crucial to maintaining progress and for expanding access to innovative prevention and treatment options.  

The UN General Assembly annual review served as a poignant reminder of the collective responsibility to uphold the rights and dignity of all people affected by HIV. 

Inspired by the lessons learnt from the AIDS response, the upcoming Summit of the Future scheduled for September 2024 will explore how common challenges can be overcome. 

Against a backdrop of geopolitical shifts and economic uncertainties, the HIV response serves as a beacon of how multilateral solidarity saves and transforms lives. 

1 December 2023 

World AIDS Day arrives at a defining moment.

AIDS-related deaths have fallen by almost 70 per cent since their peak in 2004, and new HIV infections are at the lowest point since the 1980s.

But AIDS still takes a life every minute.

We can — and must — end AIDS as a public health threat by 2030. 

Reaching this goal means heeding this year’s theme: Let Communities Lead.

The path to ending AIDS runs through communities.

From connecting people to the treatment, services and support they need — to the grassroots activism pushing for action so all people can realize their right to health.

Supporting those on the frontlines of the battle against AIDS is how we win.

That means placing community leadership at the centre of HIV plans, programmes, budgets and monitoring efforts. 

We must also remove barriers to community leadership, and ensure space for local civil society groups to take forward their vital work.

Above all, we need funding.

The AIDS response in low and middle-income countries needs over 8 billion dollars more per year to be fully funded.

This must include scaled-up funding for local programmes led by people living with HIV, and prevention initiatives led by communities.

AIDS is beatable.

Let’s finish the job by supporting communities to end this scourge in their neighbourhoods, their countries and around the world.

One year after adopting a new Political Declaration on HIV and AIDS: Ending Inequalities and Getting on Track to End AIDS by 2030, United Nation’s Member States have highlighted the need to work together to speed up progress on implementation.

In advance of the meeting, the UN Secretary General released a report entitled Tackling inequalities to end the AIDS pandemic on the implementation of the political declaration on HIV/AIDS. The report sets out how inequalities and insufficient investment “leave the world dangerously underprepared to confront the pandemics of today and tomorrow”

The AIDS pandemic is responsible for more than 13,000 deaths every week.

The Joint United Nations Programme on HIV/AIDS (UNAIDS) data show that HIV infections and AIDS-related deaths are not currently declining fast enough to end the pandemic by 2030 as pledged.

The Secretary General’s report highlights solutions including (a) HIV prevention and societal enablers; (b) community-led responses; (c) equitable access to medicines, vaccines and health technologies; (d) sustainable financing for the AIDS response and wider pandemic prevention, preparedness and response; (e) people-centered data systems and (f) strengthening global partnerships.

The UN Secretary General’s statement to the General Assembly, delivered by Chef de Cabinet Courtenay Rattray, outlined three immediate steps to reverse current trends and get back on track. “First, we need to tackle intersecting inequalities, discrimination and the marginalization of entire communities, which are often exacerbated by punitive laws, policies and practices”. He called for policy reforms to reduce the HIV risks of marginalised communities including sex workers, people who inject drugs, prisoners, transgender people and gay men. He noted how stigma is obstructing public health: “Stigmatization hurts everyone. Social solidarity protects everyone”.

The second step is ensuring the sharing of health technologies, including long-acting antiretrovirals, to make them available to people in all countries of the world.

The third step is to increase the resources made available to tackle AIDS. “Investments in AIDS are investments in global health security. They save lives – and money.”

In his opening remarks, the President of the General Assembly, Mr. Abdulla Shahid, noted that “equal access to healthcare is an essential human right to guarantee public health, for all. No one is safe until we are all safe. Striving to achieve the 2025 AIDS targets is an opportunity to work together to increase investments towards public health systems and pandemic responses, and to draw on the hard-learnt lessons from the HIV/AIDS crisis for our recovery from COVID-19, and vice versa.”

Over 35 Member States and Observers made statements during the AIDS review, which included contributions on behalf of the Africa Group, the Caribbean Community and the Central American Integration System and the European Union.

Statements emphasised the urgency of stepping up collective action to get on track to meet the 2025 targets, and the importance of an inequalities lens to ensure a successful HIV response.

The President of the General Assembly, the Secretary General, the Africa group, the EU and several Member States stressed the importance of fully financing the HIV response and strengthening investment in Global Health.

The Africa Group, along with many others, spoke about addressing stigma and discriminatory laws which keep people from accessing health care and social services.

The debate made clear that the end of AIDS is possible, but only if countries worked together and were courageous in addressing inequalities. “The most important message today,” noted the Secretary General’s conclusion, “is that if we work together to tackle the inequalities that perpetuate HIV/AIDS, we can still end it as a public health threat by 2030.”

All said in under one minute. This is huge and unequivocal.
The Chef de Cabinet delivers to the UN General Assembly the urgent insistence from the UN Secretary-General that the technologies for new long-acting HIV medicines must be shared globally now. There is no time to lose. pic.twitter.com/t1DWlPsdB3

— Ben Phillips (@benphillips76) June 10, 2022