Immediate Risks and Disruptions 

1. PrEP Services Halted: The halt to pre-exposure prophylaxis (PrEP) services remains a significant public health risk. PEPFAR-supported sites cover 80% of PrEP patients nationwide, with most new cases concentrated in the West and Artibonite Departments. Due to the US funding freeze, PrEP services (except for pregnant and lactating women) have been completely halted, along with communication and community engagement strategies. The National HIV Program (NAC) foresees a monthly rise of 30 to 50% in new HIV infections in the absence of communication and prevention activities.
2. ART Access: As of December 2024, 85% of people living with HIV (PLHIV) had access to antiretroviral therapy (ART). However, beyond the initial halt of ART distribution across all PEPFAR sites, stock shortages and budget cuts threaten the continuity of this coverage. A humanitarian flight from Washington D.C. delivered supplies in February 2025, ensuring ARV availability for the next six months, but sustainability remains uncertain due to unpaid staff salaries and lack of operational support. In addition, 35,000 patients will likely be impacted as access is provided to them through USAID-financed sites. 
3. Supply Chain Challenges: Logistical issues have caused shortages of essential HIV medications and other critical medical supplies. The continuity of the USAID-led Global Health Supply Chain Program is uncertain, which could further disrupt service delivery, as well as causing potential loss of stock 

Politically Relevant Updates 

1. Government and NAC Efforts: The Ministry of Health and the National AIDS Council (NAC) have conducted rapid assessments to identify service disruptions caused by funding cuts, staff shortages, and supply chain challenges. They are prioritizing vital services and exploring alternative funding sources and service delivery models, including on in the short term for guaranteeing access to treatment to 35,000 patients.
2. Stakeholder Coordination: Efforts are being made to ensure continuity of HIV, viral hepatitis, and STI services. Coordination with PAHO/WHO and UNAIDS is ongoing to keep health sector partners informed and aligned.
3. Civil Society Impact: Civil society organizations (CSOs) have been significantly impacted, particularly those providing services for key, priority, and vulnerable populations. The loss of key population-focused interventions has increased vulnerability to stigma and discrimination and weakened responses to sexual and gender-based violence (GBV). Furthermore, access to healthcare, education, nutrition, shelter, psychosocial support, economic empowerment programs for caregivers, and comprehensive sexual and reproductive health and GBV education has been directly affected, including via the DREAMS program. 

Community Impact 

1. Community Resilience and Response: Despite the challenges, community-led initiatives have mobilized to support the government in maintaining critical services. Peer education and sensitization campaigns, community health agents delivering treatment and medication, and psychosocial support services for HIV patients are ongoing.
2. Mental Health Support Initiative: With UNAIDS' support, a stress counselor network has been established to assist community health workers and clients in need.
3. Housing Works Haiti Workshop: On February 19, Housing Works, as part of the Forum of CSOs and Community Led Monitoring (CLM), organized a workshop with key stakeholders under the theme "Together for the Future: Advocating for HIV Services in Haiti." This event highlighted the importance of continued advocacy and support for HIV services. 

 HIV programs in Haiti are facing significant challenges due to funding cuts, supply chain disruptions, and halted services. However, coordinated efforts by the government, international organizations, and civil society are ongoing to mitigate these risks and ensure the continuity of essential services. Community resilience and innovative responses are crucial in maintaining support for those affected by HIV in Haiti.