UNAIDS Country Director reports on the impact of funding cuts to the HIV response

The HIV response in Zambia, known as a model of success in sub-Saharan Africa, is now facing major challenges following the abrupt and significant cuts to US funding. It has led to widespread disruption: clinics have closed, prevention services have been scaled back, and thousands have lost access to lifesaving medication. Yet the Zambian government and partners are stepping in to protect the progress made. 

In this interview, UNAIDS Country Director for Zambia, Isaac Ahemesah, details the fallout from these funding decisions on health services, vulnerable communities, and the country’s ability to sustain progress against HIV-and outlines what is urgently needed to avert further health crisis. 

Q: How have the US funding cuts impacted the HIV response in Zambia? 

Zambia has long relied on international aid, including substantial support from PEPFAR. Three years ago, the US government’s commitment stood at approximately US$ 402 million, which was subsequently reduced to US$ 392 million, and most recently to US$ 367 million. Despite these reductions, the contribution remains significant, not only to the HIV response, but to Zambia’s overall health sector. To put it in perspective, of the US$ 600 million in total US support to Zambia for development last year, US$ 367 million, around 60%, was allocated to HIV. 

However, the abrupt funding cuts led to the termination of key programmes. More than 11 000 health workers supporting the HIV response, and approximately 23 000 health workers providing services for malaria, tuberculosis, and other health needs, were impacted. 

Several essential initiatives were stopped. These include the closure of 32 wellness centres that served over 20 000 key populations, including LGBTQ+ people, sex workers, and people who inject drugs, across seven of Zambia’s ten provinces. These centres offered critical services such as HIV testing, treatment, and support. 

All DREAMS programmes, which supported adolescent girls and young women in 22 districts, have also been shut down. This has cut off access to HIV prevention, life skills, and economic empowerment activities for thousands of vulnerable girls. 

HIV prevention services have also been disrupted. Sixteen standalone centres providing voluntary medical male circumcision - a proven HIV prevention method - have ceased operations. Nearly half of Zambia’s pre-exposure prophylaxis (PrEP) services, which help prevent HIV infection, were funded by the US and have now been discontinued. 

Community-led monitoring programmes, which ensured quality and accountability in HIV care, have also been terminated. Furthermore, the Smart Health electronic medical records system, along with platforms used for forecasting and quantifying medical supplies, is no longer operational, making it increasingly difficult to manage patient care and maintain drug inventories.

Q: What will happen if the DREAMS programme is not reinstated? 

Currently, Zambia records approximately 23 000 new HIV infections annually, with about 8700 occurring among young people aged 15 to 24. Notably, 60% of infections in this age group happen among girls.Without support for prevention and treatment interventions, new HIV infections could surge to 180 000 per year by 2030. Among young people, infections could rise to over 60 000 annually by 2030. 

Gender-Based Violence (GBV) remains a growing concern in Zambia, and each GBV case carries a heightened risk of HIV transmission. Addressing this requires a coordinated, multi-sectoral approach that extends beyond HIV alone to include family planning and reproductive health services. National partners are working to reinvigorate this multi-sectoral response so that all relevant sectors-education, gender, internal affairs, and others-actively share responsibility for the HIV response. 

Given the challenges, there is a pressing need to pursue local initiatives and mobilize alternative funding sources to support adolescent girls and young women, safeguarding their health and rights. 

Q: Are there concerns about supplies of HIV medicines? 

Yes, there is significant concern. At present, Zambia has sufficient antiretroviral (ARV) medication to last until the end of the year. However, the US has announced an additional US$50 million cut in funding for medicines and health commodities, effective from next year, due to concerns about drug theft. This will make it extremely difficult to ensure an uninterrupted supply of ARVs, particularly for the most vulnerable populations. There have already been reports of people living with HIV receiving reduced quantities of medication - less than the standard three- to six-month supply - due to ongoing uncertainty and challenges in stock management. 

Q: What is UNAIDS doing to support Zambia during this crisis? 

At the onset of the US funding freeze, UNAIDS immediately partnered with the Ministry of Health to convene national leadership and all key stakeholders. This was critical to coordinate a unified and effective response to the sudden disruption. We quickly led an impact assessment to understand how the freeze was affecting Zambia’s HIV response on the ground. This provided the data needed to guide urgent decisions. 

One of our first steps was to work with the government and partners, we helped define a minimum package of essential HIV services that could realistically be maintained with the reduced resources available. We costed this package at about US$ 147 million and presented it to the Cabinet and Presidency for consideration in the national budget. 

At the same time, we supported the development of the HIV Sustainability Roadmap, which explores alternative domestic financing options. This includes innovative approaches such as leveraging health insurance schemes and introducing total market strategies-for example, making PrEP and vaginal rings available through pharmacies. 

 We also worked closely with the Ministry of Health to revise policies to better fit the current context. For example, we supported allowing longer antiretroviral therapy refills—for up to six months–—to reduce the burden on both patients and the health system. We also helped adjust HIV testing protocols to manage limited supplies more effectively and piloted new service delivery models outside traditional health facilities to expand access. 

 At the operational level, we partnered with WHO, UNICEF, UNFPA, and others to monitor weekly stock levels of HIV commodities, ensuring timely responses to shortages. We support civil society organizations, especially those representing key populations, in transitioning clients from closed wellness centers to public health facilities, helping maintain continuity of care. 

To address broader systemic challenges, UNAIDS contributed to the restructuring plan for the Zambia Medicines and Medical Supplies Agency to improve accountability and strengthen the supply chain. 

Our Resource Allocation Forecasting Tool was used to estimate the real cost of sustaining Zambia’s HIV response, which we estimated at around US$ 150 million annually. This tool helps the government and partners plan budgets more effectively. 

UNAIDS acts as the central hub for information-sharing and advocacy around the impact of US funding cuts. We regularly present needs assessments to the UN Country Team and support ongoing fundraising discussions to urgently mobilize resources to sustain services. 

Finally, we have supported training for health workers to promote respectful, non-discriminatory care for key populations now accessing mainstream health services. This is vital to ensure no one is left behind despite the challenges. 

Q: What is the solution to ensure sustainable financing for Zambia’s HIV response, and avoid such a crisis in the future? 

The key to sustainable financing lies in increasing domestic funding and reducing reliance on external donors. While the recent US funding cuts were abrupt and challenging, this situation was not entirely unexpected. For years, Zambia and other countries have been encouraged to take greater ownership of their HIV responses. The real surprise was the speed and scale of the funding reductions. 

To protect its HIV response, Zambia must now mobilize domestic resources. This includes engaging local philanthropic organizations, expanding the role of national health insurance schemes, and ensuring that HIV services are fully integrated within these systems. Innovative models like risk pooling and market-based access to prevention tools, such as making PrEP and vaginal rings available through pharmacies, will also be key to expanding reach and ensuring continuity. 

On the global level, the HIV response must increasingly pivot toward long-acting treatment and prevention options, such as injectable PrEP and antiretroviral treatment. These innovations can help simplify adherence and improve outcomes. 

Zambia is also exploring total market approaches, where the private sector helps supply prevention and treatment services. In addition, local production of ARVs could help reduce costs and improve supply chain stability. 

Critically, the country has already shown that essential HIV services can be maintained on smaller budgets, provided resources are used efficiently. But for long-term sustainability, the government must take the lead. This means prioritizing HIV in the national budget and exploring innovative domestic revenue sources, such as earmarked taxes on alcohol, tobacco, or health products. 

While international partners will remain important, the responsibility for a predictable, sustainable HIV response now rests squarely with Zambia itself—to protect the lives and health of its 1.4 million citizens living with HIV, and to ensure that no one is left behind. 

Q: What’s your message to the international community? 

Today, I believe the global HIV response stands at a crossroads. The decisions we make now will either help the world achieve Sustainable Development Goal 3.3—the target of ending AIDS as a public health threat by 2030—or risk a devastating reversal. 

If we ease up, we could see a return to the 1990s, when new HIV infections spiraled out of control, HIV-related deaths surged, and the global economy suffered greatly.

All we ask for is a final push— a sustained commitment to support countries in fulfilling their promises to end AIDS as a public health threat. I urge the US government and all other donors to reconsider the recent funding cuts. We need to keep our foot firmly on the accelerator until we reach the finish line. 

Otherwise, my greatest fear is that we will return to the dark days of the epidemic, with significant increases in new infections and deaths. 

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads the global effort to end AIDS as a public health threat by 2030 as part of the Sustainable Development Goals. 

Following the US funding cuts in January, UNAIDS is working closely with governments and partners in affected countries to ensure that all people living with or affected by HIV continue to access life-saving services. For the latest updates, please visit unaids.org 

Governments at the 78^th annual World Health Assembly have adopted a global Pandemic Agreement. The Joint United Nations Programme on HIV/AIDS (UNAIDS) and other stakeholders played an important role in supporting the process by advocating for an agreement that centres equity and human rights.

Responding to the news, Winnie Byanyima, Executive Director of UNAIDS, said:

“Amid the devastating crisis in global health funding, this truly global agreement offers a ray of hope. It is an affirmation that multilateralism remains possible, and indeed the only way to fight the viruses that exploit global divisions but refuse to respect borders.

I congratulate South Africa and France as Co-Chairs; Australia, Brazil, Egypt and Thailand as Vice-Chairs—each representing their region—and WHO Director-General Dr Tedros for this landmark achievement. 

The text is a commitment that global equitable access will be a guiding principle in pandemic preparedness, prevention and response. Crucially, governments will attach conditions to public funding—which means that, when a pharmaceutical company takes public money, it should come with clear conditions requiring equitable access. And it makes technology transfer a priority.

While the Agreement is a product of compromise—and governments should treat it as a floor, not a ceiling—still, it gives humanity some of the tools needed to ensure the next pandemic does not repeat the horrific inequity of HIV and COVID-19. It is our chance to break the pandemic-inequality cycle—and governments should be bold and swift in their implementation.”

Ms Byanyima will discuss the implications of the Pandemic Agreement on the sidelines of the World Health Assembly at an event organized by the Global Council on Inequality, AIDS and Pandemics on Wednesday 21 May, 08:30 – 10:00 CET. Find out more about UNAIDS’s engagements at #WHA78 here.

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.

Chhum Vy, an outreach worker for Men’s Health Cambodia (MHC), lives in Steung Meanchey, a low-income neighborhood in southern Phnom Penh. She has converted her rental house into a makeshift community centre for gay and transgender people who live in the area. To get there you pass through a Buddhist temple compound, then head down narrow streets, just wide enough for a motorbike.

Ms Vy has taped health promotion posters to the walls and arranges HIV testing and prevention tools in a corner of her living room floor. Clients leave their shoes at the door and sit in a circle on the ground for her sensitization sessions.

“I work every day, seven days a week, sometimes in the evening depending on the needs of the client,” she said.

She is on the frontlines, tackling the toughest challenge facing Cambodia’s HIV response. While new infections in the southeast Asian nation are declining among all other groups, they are increasing among gay men and other men who have sex with men. The reasons for this are complicated.

Ron Sopheab said he has lost many gay friends to AIDS. In the early 2000s one of his friends committed suicide when his family kicked him out of the house, refused to even eat with him and allowed him just a small bed outside.

The MHC workers and clients agree that stigma and discrimination against both men who have sex with men and people living with HIV have declined since those days.

“A little remains, but it is at a lower level,” Mr Sopheab said.

However, he noted that gaps in Cambodia’s progressive HIV response can still leave people susceptible to stigma and discrimination. Despite practicing safer sex in his regular life, Mr Sopheab contracted HIV during three months in a detention center where there was no access to HIV prevention tools. MHC provides him with peer support to remain adherent to treatment and gives him transportation support to attend the clinic when needed.

For Pom Rotha, it is extreme poverty that makes her vulnerable. As she is currently living in a rental room and sometimes cannot afford to pay the room fee, she is unable to renew her national identification. That means she cannot access the social support services that are a lifeline for many Cambodians. She survives through sex work and says about 5% of her clients insist on not using condoms.

“I cannot say ‘no’ because I need the money,” she said. “I try to negotiate, but if it does not work… I let it be.”

MHC provides Ms Rotha with pre-exposure prophylaxis, a preventive medicine known as PrEP, to help her avoid HIV infection if she is exposed. She said this is how she has remained HIV-free despite the risks she’s felt forced to take.

But another danger is far more pervasive. Young gay men are using the internet to find sexual partners either on hookup sites or social media. Many of them do not have the information or support they need to protect themselves.

That is why MHC has developed a digital strategy. This approach complements the physical testing, counselling and peer services it offers in ten provinces. Bun Pheng manages the online content and is himself an influencer. His team develops social media materials and campaigns about HIV prevention and MHC services. Every week they host a Facebook Live featuring experts or celebrity guests. A separate team is responsible for reaching out to clients through the gay social networking apps Grindr and Blued. Part of Mr Pheng’s job is to monitor the online comments, answering questions and interacting with the audience.

“If someone needs services, I refer them to an outreach worker to make an appointment where it’s most convenient,” he said.

Clients are offered a range of options to meet them where they are.

They can come in for testing or be mailed a self-test kit (one option tests at the same time for syphilis). MHC provides counselling before forwarding the testing kits and takes those with reactive results to the lab for confirmation. This varied approach is meant to help reach the 8% of people living with HIV in Cambodia who are not yet aware of their HIV status.

Ms Vy shows off a range of HIV prevention options. She demonstrates correct condom and lubricant use. Then she explains the basics of PrEP.

The Khmer HIV/AIDS NGO Alliance (KHANA) sends a mobile van out every night to provide education and testing in hotspot areas where gay men and transgender people go to find partners.

UNAIDS Country Director to Cambodia, Lao PDR and Malaysia, Patricia Ongpin, said more investments are needed for these community-led approaches tailored for men who have sex with men.

“Communities are responding to the realities of people’s lives in a way that state services can’t,” Ms Ongpin said. “To end AIDS we must channel resources to the organizations with the best chance of reaching those who are now being left behind.”

At the end of Ms Vy’s Sunday evening session clients leave with a bow and a handful of condoms.

“Self-stigma is really high,” Ms Vy reflected. “Societal stigma has reduced a lot, but some people still don’t want to access the services. I even had one case where after counselling a person still decided to stay away from services until she died. That is what we are working to address.”

Arun Seang* works six days a week in a garment factory in Phnom Penh. In the past when he needed time off to go to the HIV clinic he came up with excuses. Now there’s no need. The National Clinic for AIDS, Dermatology and STDs (NCHADS) is open every day, including weekends.

The scheduling suggestion came from a community-led monitoring exercise and community feedback. It was initially implemented as part of an Australia-supported project managed by UNAIDS. When the experiment ended, the clinic maintained a seven-day week due to its popularity.

This is one of several approaches taken to make HIV prevention and treatment services in Cambodia more user-friendly. “The staff are really nice,” Mr Seang said following his Sunday afternoon treatment consultation. “They are welcoming and also, they maintain confidentiality. I feel very safe coming here.”

Integrated community support

Cultivating a sense of trust in the delivery of HIV care has been key to Cambodia’s progress toward ending AIDS. The country is one of the front-runners to reach the 95-95-95 global targets. Currently 92% of people living with HIV are aware of their status. Almost all diagnosed people are on HIV treatment and more than 98% of those on treatment have a suppressed viral load.

These results were unimaginable when Sovann Reatrey learned she was HIV-positive, 26 years ago. “In the early days it was completely different,” she said. “Before there was a lot of stigma and discrimination. Many healthcare providers gossiped about people in the clinic and kept their distance. Now there is a welcoming environment, good communication and close physical interaction.”

At NCHADS she helps achieve this. As an Antiretroviral Users Association (AUA) counsellor her work is fully integrated into the clinic’s operations rather than an add-on. Mrs Reatrey consults with patients when they are first diagnosed and throughout their treatment journey.

“It starts as a friendly discussion. I disclose my status and tell them ‘I am also living with HIV’. Some don’t believe me. They say, ‘you look very healthy, but you are like me?’ I reassure them that it’s true. This builds trust and a relationship so they can discuss their concerns openly,” she explained. “The interaction is not as client and healthcare provider, but rather as a friend and neighbour.”

Nhem Salat, another community worker, enrolls people for HIV treatment. “I smile and encourage them to raise any issues they have when they go to see the doctor,” said Mrs Salat. “It’s all about making them feel comfortable.”

One-stop services

The waiting room isn’t hemmed in by walls. Sunlight and breeze rush through. Rows of colorful flags hang from the ceiling. The space is decidedly—perhaps deliberately—open and bright.

Huge posters invoke celebrity and safety. Singer Nicky Nicky, influencers Yaro and Sinora Roath and drag queen performer Rebecca Chan promote HIV prevention and options including condoms, PrEP (medicine to prevent HIV) and self-testing.

In addition to its standard PrEP service, this month the clinic adds long-acting cabotegravir (CAB-LA), an injectable HIV prevention option that lasts for two months, and the Dapivirine Ring (DVR), a vaginal ring which slowly releases antiretroviral medicine to prevent HIV infection.

Multiple posters invite clients to get tested. Sexually transmitted infection screenings and treatments are available. Non-communicable disease services are provided. Mental health screenings are offered to everyone. Next on NCHADS’s to-do list: more work to make the service offering youth-friendly.

By design, the space is everything for everyone.

“This clinic is a one-stop shop so people can access whatever services they need. People living with HIV don’t want to move around to different places to get healthcare,” explained the clinic’s Deputy Manager, Dr Nhem Chantha.

In his examining room, Dr Chantha, explained to Mr Seang that his viral load will be checked annually. “The U=U (undetectable equals untransmittable) message has been integrated into counseling to all clients. We have a Telegram group, and we also share information on social media platforms. This makes the clients understand the benefit of having an undetectable viral load by taking their treatment so they cannot transmit HIV. Because of this, they are very happy and really adhere to the treatment.”

UNAIDS Country Director for Cambodia, Lao PDR and Malaysia, Patricia Ongpin, noted that the emphasis on community-led care and service integration ensures impact and sustainability. “Partners in government and community are working together to find solutions that get the most out of every interaction and investment,” she said. “When services are friendly and convenient, people will use them. Then we will further reduce new HIV infections and deaths.”

*(name changed to protect privacy)

GENEVA, 19 May 2025— As funding cuts threaten to cause an additional 6 million new HIV infections and 4 million preventable AIDS-related deaths, UNAIDS is calling on governments and partners attending the 78th World Health Assembly (WHA) to recommit to ending AIDS by 2030.

UNAIDS estimates that an additional 2300 people are contracting HIV every day. Without immediate action to dismantle barriers to healthcare, strengthen community-led responses, and unlock sustainable financing, a catastrophic loss of life and millions more new HIV infections could reverse decades of progress.

“I remember the darkest days of AIDS – the millions of lives lost, and the existential threat to global health security. We must not go back,” said UNAIDS Executive Director Winnie Byanyima. “Amid disruption, the international community needs to come together to protect the gains made in the response to HIV and see this battle through to the end.”

A HIV prevention revolution

Long-acting injectable antiretroviral medicines such as lenacapavir – twice-yearly shots that are almost 100% effective in preventing new HIV infections – offer a chance to put the world back on track.

“We have an opportunity today of new, long-acting HIV prevention tools that could fundamentally reshape the HIV response and put us on course to end AIDS by 2030”, said Ms Byanyima. “We need a moonshot approach to mobilize a HIV prevention revolution – to scale-up these potentially revolutionary medicines and make them available and affordable to everyone who needs them.”

UNAIDS, the Global HIV Prevention Coalition, government ministers, community representatives, civil society and the pharmaceutical sector will discuss how to remove barriers to accessing lenacapavir, including pricing, intellectual property issues and regulatory hurdles at a special event on the sidelines of the WHA.

Preparing for future pandemic threats

During #WHA78, member states will adopt a Pandemic Agreement, after three years of negotiations reached a consensus last month. “UNAIDS watched in horror as the world repeated many of the mistakes of the AIDS pandemic with COVID-19. With the Pandemic Agreement, governments have a chance to say, ‘never again.’

“I congratulate South Africa and France as Co-Chairs; Australia, Brazil, Egypt and Thailand as Vice-Chairs — each representing their region — and WHO Director-General Dr Tedros Adhanom Ghebreyesus for this landmark achievement. It is proof that, even in times of crisis, multilateralism and global cooperation can deliver for humanity."

At #WHA78, UNAIDS will underline the importance of implementing the Agreement, embedding equitable, inclusive and rights-based approach, advancing access to medical innovations, centring community systems, and protecting human rights.

Communities at the heart of global health

The recent cuts in external funding for global health and development have devastated community-led organizations that deliver HIV services to people highly vulnerable to HIV. Many have had to close their doors or severely reduce their activities as international funding suddenly stopped.

UNAIDS, Coalition Plus, Frontline AIDS and UNAIDS are co-organizing an event at #WHA78, in collaboration with WHO, focusing on the urgent need to sustain and scale up community-led health systems amidst mounting global crises and shrinking international aid.

Africa’s pathway to sustainable health systems

UNAIDS has been working with governments to develop detailed transition plans towards greater domestic ownership of their HIV responses. Domestic resources already account for more than 60% of the HIV response. In the face of massive cuts to international funding, Global South leaders are stepping up and accelerating efforts, but many countries are still facing huge challenges to increase domestic HIV funding when budgets are being drained by unsustainable debt repayments.

UNAIDS will talk about the urgent need for international financial reform to enable sustainable health financing for Africa in an event co-organized with Nigeria’s Ministry of Health and Social Welfare and the Global Fund to Fight AIDS, Tuberculosis and Malaria, and other partners.

UNAIDS KEY EVENTS AT #WHA78

At the 78th World Health Assembly UNAIDS is calling for urgent action to avoid millions of avoidable HIV infections and AIDS-related deaths.

As the world faces an unprecedented international funding crisis affecting global health security, UNAIDS is calling on governments and partners attending the 78th World Health Assembly (WHA) to urgently recommit to ending AIDS by 2030. UNAIDS is warning that without immediate action to dismantle barriers to healthcare, strengthen community-led responses, and unlock sustainable financing, decades of progress could be reversed and millions of lives put at risk. 

The theme of the 78th World Health Assembly is One World For Health.

During the week, UNAIDS will be advocating for continued global solidarity and sustained political and financial commitment for the global HIV response as part of broader efforts to achieve the Sustainable Development Goals. This includes the need to scale up HIV services, including access to long acting injectables for HIV prevention which are almost 100% effective at preventing infections and could help countries move towards a sustainable HIV response.

UNAIDS will also be pushing for equitable, inclusive and rights-based approaches to pandemic preparedness and response, supported by lessons learned from the gains made against HIV. This means ensuring equal access to medical innovations and the centrality of community systems, data equity, access to innovations and the protection of human rights.

UNAIDS KEY EVENTS AT #WHA78

Wednesday 21 May - 08:30 – 10:00 CET

Ending inequalities in pandemic responses - The pandemic agreement and beyond  

The Pandemic Agreement is a significant step forward in pandemic prevention, preparedness and response, based on the principles of equity and the full respect for the dignity, human rights and fundamental freedoms of all persons. The panel will discuss how to ensure that those principles are adhered to as the Agreement is put into practice.

Panel members:

• Precious Matsoso, Co-Chair of the Intergovernmental Negotiating Body for the Pandemic Agreement
• Nísia Trindade, former Minister of Health, Brazil
• Winnie Byanyima, UNAIDS Executive Director

Venue: Kofi Annan room - UNAIDS/WHO D Building
*WHA delegates can use their WHA accreditation badge to enter the UNAIDS building. Other attendees must register in advance here

To follow online click here

Wednesday 21 May - 18:30 – 21:00 CET

“A new era of HIV prevention; Accelerating access to long-acting prevention options through sustainable prevention systems and financing”  

This High-Level Dialogue organized by the Global HIV Prevention Coalition and co-hosted by UNAIDS in collaboration with UNFPA, WHO and UNDP, the Federal Republic of Brazil and Kingdom of the Netherlands aims to galvanize political leadership, financing, and coordinated action to drive a transformational HIV prevention push. The meeting will serve as a platform for Ministers of Health, global health partners, pharmaceutical companies, and civil society to explore opportunities to expand access to new long-acting prevention technologies as a powerful addition to existing effective options. 

Join UNAIDS leadership, representatives of UN partners and global health stakeholders as they discuss these issues with Ministers of Health, community representatives and leaders of pharmaceutical companies developing long-acting prevention options.

Venue: Kofi Annan room - UNAIDS/WHO D Building
Watch the livestream here

Thursday 22 May - 08:30 – 10:30 CET

The future of domestic health financing is now: Africa’s pathway for sustainable health systems   

The panel discussion will explore how best to achieve financial sustainability of the health sector from different perspectives. Topics would include raising more money through innovative means, improving efficiency, strengthening planning and coordination, public-private partnerships as well as discussing the roles of different actors, including donor partners, and the institutional reforms necessary for success.

Co-organised by the Ministry of Health & Social Welfare of Nigeria, the Global Fund, WHO, UNAIDS and other partners

Venue: Ballroom AE, INTERCONTINENTAL GENEVE

Thursday 22 May - 18:30 – 20:30 CET

Communities at the heart of global health and health security: Why sustained funding for community-led health systems matters now more than ever.

Co-organised by UNAIDS, Coalition PLUS, Frontline AIDS and WHO, this event will bring together Ministers of Health, civil society leaders, donors, and global health institutions to explore sustainable solutions to safeguard and scale up community-led health systems amid global crises and decreasing aid.

Venue: Kofi Annan room - UNAIDS/WHO D Building 

To attend in person, please register here
To attend online, please register here

The government of Côte d’Ivoire is transforming access to health services, including HIV services, in its commitment to achieve Universal Health Coverage (UHC).

The government has made UHC registration mandatory and nearly 60% of the population is already enrolled, demonstrating the country’s political will to build a resilient and equitable health system.

A central priority of the Government’s UHC agenda—supported by the World Bank, the Global Fund and UNAIDS—is to ensure that all people living with HIV, estimated at over 400 000 people, are fully enrolled in the national health insurance scheme. Special attention is being given to identifying modalities through which the poorest and most vulnerable people living with HIV will benefit from free coverage under UHC.

In 2022, UNAIDS conducted an evaluation of Côte d’Ivoire’s social protection system through the lens of the HIV response. This work informed the 2024–2028 National Social Protection Strategy, which now explicitly recognizes people living with HIV as a priority vulnerable group.

“This is an urgent plea—I want all people living with HIV to have free access to the UHC card because many people simply cannot afford to contribute. I’m calling on the government to cover their premiums,” said Tinhidé Adéline, Community Counsellor.

Efforts are underway to integrate HIV-related services and products into the UHC benefits package. Over the past three years UNAIDS, in partnership with the Network of Organizations of People Living with HIV (RIP+), has mobilized communities and advocated with national authorities to ensure people living with HIV are enrolled in UHC, ensuring that stigma and exclusion do not stand in the way of health and dignity.

“UHC is a real opportunity for people living with HIV because being HIV-positive is often a barrier to accessing health insurance,” says Filbert Guéhi, Chair of the Board, RIP+.

UNAIDS, in collaboration with WHO, is also assisting RIP+ in developing a budgeted community-based strategy to sensitize and register people living with HIV in UHC to guarantee that services reach those most in need. This community-driven approach to UHC enrollment for people living with HIV represents a major step forward in ensuring equitable access to health care for vulnerable populations.

Advocacy continues to establish a sustainable national mechanism to automatically enroll the most vulnerable people living with HIV in the non-contributory Health Insurance Scheme. A two-year pilot initiative on this is currently being supported by The Global Fund and The World Bank. This is a vital step toward ensuring no one is left behind, and toward harnessing UHC as a powerful lever in the fight to end AIDS by 2030.

Ensuring full inclusion of people living with HIV in the roll out of UHC was a commitment made by the government at the annual session of the National AIDS Council in 2023 chaired by the Vice-President of Côte d’Ivoire Tiémoko Koné and in presence of the First Lady Madame Dominique Ouattara. This initiative is a cornerstone of the Government’s long-term strategy to transition towards a sustainable, nationally owned HIV response to end AIDS as a public health threat by 2030.

GENEVA, 16 May 2025–Ahead of International day against Homophobia, Biphobia and Transphobia (IDAHOBIT), May 17, UNAIDS stands in solidarity with LGBTQI+ communities.

Despite gains in the HIV response, LGBTQI+ communities continue to be left behind. While new HIV infections have dropped 35% among adults globally since 2010, they have risen by 11% among gay men and by 3% among trans people. Stigma, discrimination and criminalization, as well as restrictions on the ability for community organizations to form and operate act as barriers to accessing essential healthcare.

“We pay tribute to our colleagues who are part of the LGBTQI+ community,” said Winnie Byanyima, UNAIDS Executive Director. “We celebrate your courage, your authenticity, and your resilience even in the face of adversity for the community. We must continue supporting and promoting partnerships of LGBTQI+ movements with people living with HIV, women and girls and other key populations. In unity, communities can find the power to disrupt injustice and drive the changes that are required to end AIDS.”

Organizations led by gay men and other men who have sex with men have increasingly come under threat due to new or strengthened repressive laws, harmful policing practices, violence and a shrinking civic space. Research has found that HIV prevalence among gay men and other men who have sex with men is ten times higher in countries where there are legal barriers to civil society groups operating.

Recent cuts in aid funding have also had a devastating impact on community-led organizations, undermining their ability to provide healthcare, peer-led outreach and defending their rights.

"Threats to the lives and dignity of LGBTI people are escalating worldwide and cuts to foreign and development aid, as well as rollbacks in diversity, equity and inclusion policies, are only making it worse — especially for our communities,” said Julia Ehrt, ILGA World Executive Director. “Every day, we see projects and organizations to advance safety, well-being, and dignity being shut down.”

The 2025 IDAHOBIT theme “The Power of Communities” celebrates the power of collective action, highlighting that communities have been the driving force for progress not just for LGBTQI+ people, but for everyone. In the HIV response, community organizations play a critical role in the HIV response because they are trusted by their peers, able to reach the most marginalized people and groups and can deliver services based on people’s needs.

They also provide critical data to improve policies and advocate politically for access to services and to end stigma and discrimination.

UNAIDS fears that the growing pressure and attacks on communities combined with huge financial cuts from international donors will have catastrophic consequences on the HIV response. The loss of peer-led services will lead to higher levels of stigma and discrimination, creating even more barriers to life-saving prevention, testing and treatment.

Activism and the work of communities have driven the HIV response for decades. UNAIDS affirms that access to health is a right for all. A community-led HIV response is essential to end AIDS as a public health threat by 2030.

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.

PHNOM PENH, 16 May 2025—UNAIDS Executive Director, Winnie Byanyima, saw firsthand Cambodia’s strong progress towards ending AIDS as a public health threat during her 12-16 May mission. Among other achievements, the country treats 100% of people who are aware of their HIV status. Key approaches include national roll-out of modern HIV prevention and treatment tools, community-led service delivery and social protection. During the visit she discussed the sustainability of the response with the Royal Government and partners. 

“Cambodia’s HIV response demonstrates that ending AIDS is possible for low- and middle-income countries when we combine political will, community leadership and international support,” Ms Byanyima said.

Cambodia is on track to achieve the 95-95-95 Global AIDS Strategy targets. Currently 92% of people living with HIV are aware of their status. Almost all diagnosed people are on treatment, while more than 98% of those on treatment have achieved a suppressed viral load. Since 2010, new infections have decreased by 45%. This is higher than the overall global results and more than three times faster than the average Asia-Pacific rate of decline. 

The country employs a multisectoral approach that includes social assistance and free healthcare access for people living with HIV and key populations. It has also prioritized peer- and community-led voluntary counselling and testing, adherence support and prevention services. To achieve and sustain epidemic control there must be continued investments, including increased domestic financial ownership of the response.

H.E. Prime Minister Samdech Thipadei Hun Manet thanked the United Nations for its support of Cambodia’s socio-economic development and expressed appreciation for UNAIDS’ active role in strengthening its HIV response. 

“When we talk about building human capital, we must pay attention to the health of the people,” he said.

Prime Minister Hun Manet stressed the importance of deepening this cooperation and partnership while announcing a new financial contribution to UNAIDS. 

“This contribution is symbolic of the importance Cambodia places on UNAIDS, the HIV response, and the multilateral system,” Ms Byanyima said. “It sends a signal to donors and to other Association of Southeast Asian Nations countries about the importance of continued investment in ending pandemics.”

In a meeting with the UNAIDS Executive Director, community representatives called for continued funding for people-centered strategies, as well as support to end stigma and discrimination. 

Ms Byanyima’s mission included a visit to the National Clinic for AIDS, Dermatology and Sexually Transmitted Diseases in Phnom Penh. The clinic is a model for service integration and community-led care. Open seven days a week, it provides peer-led counseling, testing and treatment for HIV and sexually transmitted infections, non-communicable disease services, mental health screening and multiple pre-exposure prophylaxis (PrEP) options. PrEP is the use of antiretroviral therapy by HIV-negative people to avoid contracting the virus if exposed.

In Siem Reap, Ms Byanyima joined the Health Action Coordinating Committee and Joint Forum of Networks of People Living with HIV and Key Populations awareness raising campaign on U=U (undetectable equals untransmittable). U=U refers to the scientific fact that people living with HIV who have an undetectable viral load through successful treatment have zero chance of passing the virus to a sexual partner. Cambodia has embraced this concept to not only increase treatment adherence but also stop stigma and discrimination against people living with HIV.

“HIV cannot harm us if we take our ARV medication correctly, regularly, and consistently,” said Sorn Vichheka, Coordinator of the Cambodian Community of Women Living with HIV at the U=U event. “When our viral load is undetectable, we cannot transmit the virus to our partners. This means we can live freely—we can dream, work, love, have families, and even have children, just like anyone else.”

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.