Additional Context: Data compiled by UNAIDS in 2026 show that HIV funding disruptions severely affected prevention, testing, critical interventions to address barriers to care, and community-led services. The findings draw on data from countries worldwide and a survey of 79 community-led organizations across 47 countries.

According to UNAIDS, the current funding landscape for global HIV response requires a shift away from donor dependence towards country ownership and domestic financing, with continued global solidarity. Effective integration into national systems and long-term sustainability of the HIV response requires deep transformations. The sustainability roadmaps are articulating a coherent, costed pathway to an HIV response and providing a natural anchor for aligning donor agreements behind a single national vision.

Devex Researcher Note: The U.S. has historically provided 75% of all international HIV financing. While some funding in this area was reinstated, new deals are being made directly with countries through America First global health agreements that often include HIV funding among other health priorities. Reported across various contexts, implementation is lagging on domestic plans to replace lost global health programs. In Zimbabwe, for example, where the government announced that it would absorb over 15,000 community health workers affected by USAID cuts, many community health workers report never having been reinstated. A worker in Kenya reports that her government job pays half of what she had made through USAID, and that payments are often irregular or cease altogether.

Source: UNAIDS