Additional Context: According to the Clinton Health Access Initiative, funding cuts are reducing the availability of testing services, and fewer tests mean fewer diagnoses, with consequences that ripple across the entire continuum of care. The authors note the need for a shift toward lower-cost products and self-directed models of care through HIV self-testing (HIVST), which has seen an 11% increase in 2025 compared to 2024 across nine reporting countries. Identification rates have been declining in recent years, but this trend may have accelerated as funding disruptions disproportionately affected testing strategies.

Source: CHAI