In Tajikistan, 61% of the national HIV program is funded by external sources. The US Government funding amounts to approximately 20% and is the second largest contribution after Global Fund to fight AIDS, Tuberculosis and Malaria, which represent around 40% of the total resources. Contributions from other donors are negligible. 

The US Government is a key partner in developing national HIV programs and strategies including writing country proposals to the Global Fund, strengthening laboratory services, introducing and informing the population about best practices in HIV prevention, integrating HIV with other services, and collecting and providing statistical data for decision-making. In addition, funding from the US Government is key to the functioning and survival of civil society organizations, communities of people living with HIV, and representatives of key populations in the country. 

The suspension of USAID funding has had a profound impact on civil society organizations (CSOs) that provide essential HIV services. This has led to:

• Fragmentation of the HIV response: Vulnerable populations are at greater risk of exclusion and neglect without these services.
• Loss of outreach services: Hard-to-reach populations have limited access to HIV prevention, testing, and treatment.
• Impact on adherence support: People living with HIV (PLHIV) are struggling to maintain antiretroviral therapy (ART) regimens, leading to increased viral loads and poorer health outcomes.
• Suspension of peer support programs: PLHIV are deprived of critical emotional and practical support, which is particularly important in a context of prevalent stigma and discrimination.
• Civil society impact, resilience and response: The suspension of USAID funding has led to a decline in community involvement, which will reduce PLHIV representation in policy and programming, making interventions less responsive to their needs. The loss of participation in regional networks will disconnect Tajikistan's HIV response from global and regional best practices, reducing opportunities for knowledge sharing, capacity building, and resource mobilization.