2.3 million people living with HIV globally will face disruption in timely ART delivery due to terminated U.S. awards. Nearly 80% of these cuts or delays in treatment are concentrated in South Africa, Uganda, India, and Eswatini.
Date: 11/25
Region: Global
Country: Global
Topic: Governance & Rights
Policy Lens: Democracy & Governance
Additional Context: While countries report a 10% increase in disengagement from treatment, as well as drops in initiation that have severe consequences for individuals and health systems, Clinton Health Access Initiative has not yet recorded disruptions of the magnitude of worst-case scenarios. Explanations for this include the high proportion of ART services provided with support from the U.S. Centers for Disease Control and Prevention, which did not lose its PEPFAR funding when USAID was eliminated; Ministry of Health resilience and adaptation of government clinics to absorb clients; community mobilization; and lags in data collection that may be concealing greater shortfalls—or increases in re-engagement in care.