Government and CSO Operations

• Government institutions continue to function, but two community support centers run by civil society organization partners have closed.
• Human resources affected include 32 community health workers, 15 doctors, 15 technical staff and management, and 16 CSO staff. Neither government nor partners are covering their salaries. According to the most conservative estimations, about 1700 key populations have been lost from the social support program, over 2000 clients were not tested for HIV, and about 100 new cases were not detected. Due to the closure, dozens of clients didn’t receive specialized medical services provided in those community centers. 

Service Provision

• ART Services: All facilities/service points are operating at full capacity with minimal disruption in ARV supplies, HIV test kits, viral load test kits, other lab test kits, and condoms. Condom stocks are sufficient for the next 12 months.
• Prevention of vertical transmission and Pediatric Services: All facilities are functioning at full capacity.
• HIV Prevention: There are disruptions in the distribution of condoms and other prevention commodities, suspension or reduction of HIV prevention education and awareness campaigns, and delays or disruptions in community-based HIV prevention outreach programs.
• Data Collection: Continues at all facilities, including data quality control and collation.

Immediate Risks or Disruptions

Human Rights and Key Populations

• PrEP Services: Disruption in access for sex workers, men who have sex with men (MSM) and gay men, people who use drugs – due to the disruptions in outreach work.
• HIV Prevention Services: Reduced capacity for sex workers, MSM and gay men, people who use drugs – due to the disruptions in outreach work by CSOs.
• HIV Testing Services: No discontinuation for key populations, but reduced availability of counseling and testing - due to the disruptions in outreach work by CSOs.
• ART Services: Disruption in access for sex workers, MSM and gay men, people who use drugs - due to the disruptions in outreach work by CSOs.
• Stigma and Discrimination: All PEPFAR-funded work has stopped, affecting key populations, adolescent girls and young women, and people living with HIV.
• Adolescent girls and young women (AGYW) HIV Prevention due to the disruptions in outreach work by CSOs.
• Outreach Programs: Discontinuation of AGYW-specific outreach programs.
• Education and Awareness: Reduced availability.
• Mental Health Support: Inability to provide support in HIV prevention programs.
• Counseling and Social Support: Reduction in availability.

Civil Society Impact

• Community-led organizations (CLOs): Reduction/suspension of services, loss of staff, or funding cuts.
• Community-Led Monitoring: Lack of funds to conduct CLM.
• Policy Discussions: Reduced participation due to funding constraints.
• Advocacy: Limited ability to advocate for key issues.
• Policy Design and Societal Enablers: Reduced ability to collect and report data, loss of funding for monitoring activities, increased difficulty in accessing government or donor support.

UN Response

• Consultations: UNAIDS conducted informal consultations with government and civil society partners. The situation is being monitored; regular updates are collected from partners. While testing, ART, and prevention services are available, outreach work is suspended, making most of the hard-to-reach groups inaccessible.