As a result of U.S. foreign aid funding cuts, PEPFAR has stopped collecting disaggregated data on key vulnerable populations. Lack of this data means that policymakers and implementers lose critical visibility into whether services are reaching those most vulnerable to HIV, undermining evidence-based decision making.
Date: 8/25
Region: Global
Country: Global
Topic: Health, Gender Equality & Inclusion
Policy Lens: Global Health Security
Additional Context: Reportedly, implementing partners were asked to re-enter Q1 data without breakouts by key groups, including men who have sex with men, sex workers, and people who use drugs. According to a report by the Center for Global Development, several indicators have been dropped from reporting, and some previously mandated disaggregation that was required is now optional for partners. This report, entitled "Analyzing USAID Program Disruptions: Implications for PEPFAR Programming and Beneficiaries" can be found here.
This information was first published in an August 2025 research brief by Physicians for Human Rights entitled "On the Brink of Catastrophe: U.S. Foreign Aid Disruption to HIV Services in Tanzania and Uganda.” This research brief draws on 29 oral history interviews, including five focus groups, with doctors, nurses, peer counselors, people living with HIV, key population members, and non-governmental organization staff conducted in Tanzania and Uganda in April 2025. To document the impacts of the U.S. foreign aid freeze and HIV funding cuts, the multidisciplinary study team used purposive and snowball sampling in Moshi and Dar es Salaam, Tanzania and Fort Portal, Kampala, Kasese, and Tororo, Uganda. Participants had explicit control over how personal information was shared, with consent and demographic forms tailored to individual preferences.
Source: Physicians for Human Rights (PHR)

