Immediate Risks and Disruptions 

• Service Closures: US-supported facilities and international NGO-run services have shut down. Some antiretroviral therapy service facilities have closed, and there is no clear referral system in place.
• Supply Chain: antiretroviral supplies, HIV test kits, viral load tests, other lab tests, and male and female condoms are available with minimal disruption to distribution. However, condom stock levels are unavailable or not tracked.
• Service Disruptions: PrEP and HIV testing services have been disrupted. Prevention of vertical transmission and pediatric HIV services remain unaffected. 

Civil Society Impact and Response 

• CLOs: Community-led organizations (CLOs) face a reduction or suspension of services and have limited ability to advocate for key issues. Despite struggles, some CLOs have alternative funding sources. 

UN Response 

• Mitigation Actions: The UN country team has been engaged in actions to mitigate the impact of the USG shift. UNAIDS coordinated PEPFAR implementing partners to assess the impact.