Two months after the issuance of a waiver for lifesaving services (April 2025), staff of PEPFAR-supported clinics serving hard-hit communities reported severely depleted stocks and stockouts of essential medications and commodities (including antiretrovirals, treatments for opportunistic infections, and vacutainers for blood samples to measure viral load).

Date: 8/25

Region: Africa

Country: Uganda

Topic: Health

Policy Lens: Global Health Security

Additional Context: In Uganda, drug stockouts eased after some funding resumed, but clinics report staff working under short-term salary agreements, leaving services fragile and strained. In some instances, retrenched workers reported being rehired, clinics being restocked, and some community services having been restored through September 30, 2025, the end of the U.S. government fiscal year. These stop gap measures come too late to forestall all harms, but they do underscore that countries and communities have, in some instances, found ways to maintain continuity amid the chaos.

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)