This weekly update summarizes reports on the impact of US funding cuts on national AIDS responses from 20 UNAIDS Country Offices received during the week of 3-7 March 2025. These reports show that an increasing number of US-funded implementing partners—including in Botswana, South Africa and Zambia—have received notices that their funding awards have been terminated. In some cases, these notices have led to the closure of HIV services that had previously been allowed to operate under terms of waivers.

Many national AIDS responses impacted by the freezing or termination of US funding are prioritizing the continuation of antiretroviral therapy for people living with HIV, including the procurement of life-saving antiretroviral medicines (ARVs). Despite these measures, there have been reports of panic and hoarding of medication among people living with HIV who fear that their governments and remaining partners may struggle to maintain these services – and that stockouts will occur. Multiple countries have reported significant impacts to human resources for health supported in part or in full by US funding. This includes 1,952 doctors, 1,234 nurses, and 918 technical and management staff in Kenya; 8,600 healthcare providers and community workers in Côte d’Ivoire; 423 medical and technical staff in Namibia; and about 250 health professionals that provided technical assistance to the HIV program in Angola. The previous week South Africa reported that more than 15,374 HIV response staff at national level and across 27 priority districts were impacted by US funding cuts.

HIV prevention, testing and support services for populations at high risk of infection, as well as community services and structural enablers work, have been hard hit by funding cuts. Many US-funded drop-in centres and other safe spaces for highly stigmatized key populations and adolescent girls and young women have been closed, and US funding for the provision of pre-exposure prophylaxis (PrEP) to these populations has been largely halted. US support to community-led monitoring programmes has been frozen or terminated, and community-led organizations in Kenya and other countries have lost funding to engage in advocacy and policy design.

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