Additional Context: This quote was collected in September 2025 by a global health expert associated with Physicians for Human Rights, or PHR, documenting the lived experiences of individuals impacted by the transitions in foreign aid, particularly U.S. government funding for HIV/AIDS services. All narrators were recontacted in March 2026 to validate quotes and provide updates.

The name of the respondent has been ommitted by the authors of the report. The officer, who is responsible for district-wide data quality assessment, describes the impact that the U.S. aid cuts have had on the ability to track patients who have disengaged from care. The officer notes that documented rises in viral loads both threaten individual health and the likelihood of durg resistance and transmission.

Devex Researcher Note: Many data systems were supported by community outreach programs funded through PEPFAR, which have since been discontinued. Other data collection and filing systems, such as those in public facilities, report data quality deterioration since the funding cuts. According to PHR, this is largely a result of overstretched staff and the loss of specialized workers due to funding cuts.

Source: Physicians for Human Rights