A survey conducted between June and July 2025 of 68 clinics and eight programs in 32 countries found 47% reported HIV-care disruption, including medications (28%), labs (34%), and clinic operations (47%).

Date: 7/25

Region: Africa

Country: South Africa

Topic: Health

Policy Lens: Global Health Security

Entry Type: Operational Impact

Additional Context: Ellen Brazier, an investigator at the Institute for Implementation Science in Population Health at The City University of New York, presented her findings on the impact of the funding shifts on HIV clinic operations at the 2026 Conference on Retroviruses and Opportunistic Infections.

The International epidemiology Databases to Evaluate AIDS consortium aimed to survey clinics around the world to evaluate the status of HIV-related care in those supported by PEPFAR and not supported by PEPFAR. The survey was conducted online from June to July 2025, and it asked clinics about any disruptions in care, resolutions to those disruptions, and mitigation strategies. Responses from 68 clinics and 8 programs across 32 countries were included in this analysis.

Brazier said of the findings: "These impacts were reported in clinics that did and did not report direct receipt of US government support, indicating that effects were widespread and felt beyond those clinics receiving direct funds."

Source: AJMC