US HIV Aid Cuts Threaten Millions of Lives, Warns UNAids Chief

Wed Mar 26 2025 04:49:13 GMT+0200 (Eastern European Standard Time)
US HIV Aid Cuts Threaten Millions of Lives, Warns UNAids Chief

Significant reductions in funding could drive a surge in infections and deaths globally.


UNAIDS fears the US funding cuts for HIV programs will lead to devastating impacts on lives and healthcare access.

The decision by the US government to pause foreign aid funding, including essential HIV programs, has sparked devastating warnings from UNAids leadership. According to UNAids Executive Director Winnie Byanyima, this pause could result in an alarming increase of 2,000 new HIV infections each day and more than six million additional deaths over the next four years. This potential reversal comes after significant progress was made in the fight against HIV, reducing deaths from over two million in 2004 to 600,000 in 2023.

Byanyima criticized the halt in funding as already leading to dire consequences, particularly affecting women and girls. The funding cuts were initiated by President Donald Trump shortly after he took office in January, as part of a broader review of government expenditure, resulting in the termination of the majority of the US Agency for International Development's (USAID) programs, which prominently included HIV treatment and prevention efforts. The immediate fallout has seen many US-funded initiatives, such as mother and baby clinics in Africa, face stop work orders and subsequently close, causing critical shortages of life-saving antiretroviral (ARV) medicines.

The urgency in Byanyima’s message is evident as she recalls the detrimental impact reminiscent of the 1990s when HIV medications were scarce in poorer regions, leading to skyrocketing infection and death rates. Despite the US historically being the largest global contributor to HIV treatment and prevention, Byanyima emphasized that the sudden withdrawal of support is catastrophic.

Underscoring the gravity of the situation, Byanyima shared the story of Juliana, a young woman in Kenya reliant on a US-backed program to help mothers avoid transmitting HIV to their babies. The suspension of this program not only deprived Juliana of employment but also jeopardizes her own treatment regimen.

Reports from the World Health Organization (WHO) indicate that up to eight countries, including Nigeria and Kenya, may soon face critical shortages of HIV drugs due to the funding halt. WHO chief Tedros Adhanom Ghebreyesus noted that this disruption in services could reverse two decades of progress made in combating the epidemic.

A looming crisis has been further articulated by South Africa's Treatment Action Campaign (TAC), which envisions a return to a time when vital HIV services were inaccessible. TAC chair Sibongile Tshabalala stressed the urgency, stating, “We can't afford to die, we can't afford to go back to those years where we were suffering.”

Proposing a solution to the administration, Byanyima suggested the opportunity for the US to market a newly developed ARV, Lenacapavir, which could be administered via an injection every six months, potentially benefiting ten million people. This collaboration could yield significant economic benefits for the US while addressing a pressing health crisis.

UNAids is not alone in its struggles, as various UN agencies, like the UN Refugee Agency and UNICEF, are also facing severe funding cuts that threaten essential services in multiple sectors worldwide. The impending humanitarian crises echo the urgent need for a re-evaluation of funding priorities to avert disaster.

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