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Global HIV funding cut by 25% in 2025, US support declines

Donor government funding for the global HIV response fell by 25% in 2025, primarily due to a decline in US support. This comes as a US official presented a mislabelled map of Africa at a global Aids conference.

  • Donor government funding for the global HIV response decreased by 25% in 2025 compared to the previous year.
  • The decline in funding was attributed to a steep reduction in US support.
  • A senior US state department official displayed a map of Africa with scrambled and mislabelled country names at the Aids 2026 conference.

Global donor government funding for the HIV response saw a 25% reduction in 2025 from the previous year, according to a report by UNAids and KFF released at Aids 2026. This decrease was entirely due to a significant decline in US support.

The funding cuts coincide with disruptions to Pepfar, the President’s Emergency Plan for Aids Relief. Studies presented at Aids 2026 indicated that more than half of Pepfar implementing partners in 46 countries reported at least one terminated award, leading to over 1,700 closed HIV service sites. Furthermore, over 77,000 fewer children living with HIV globally received Pepfar-supported treatment in fiscal year 2025 compared to 2024, a 14% decline, with South Africa alone seeing a 45% drop.

Separately, a senior US state department official presented a map of Africa with mislabelled country names during a session at the 26th International Aids Conference in Rio de Janeiro at the end of July. The error reportedly occurred due to an over-reliance on AI tools.

Why this matters: The reduction in global HIV funding and disruptions to programmes like Pepfar put decades of progress in the HIV response at risk, potentially leading to an increase in new HIV acquisitions and loss of lives.

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