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PrEP and condoms fall
A United Nations report found that global HIV prevention declined sharply after U.S. aid cuts, with the number of people who received pre-exposure prophylaxis (PrEP) medication dropping by 38 percent between 2024 and 2025 across initial data from 62 countries.
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The Washington Post said the decline meant more than a million fewer people took PrEP, while it also reported that funding for condoms was cut in some cases by more than 90 percent.
The report described a shift in U.S. priorities under President Donald Trump, including “pauses and disruptions to foreign aid by the United States,” alongside efforts to trim aid by other wealthy countries and domestic funding shortfalls in affected countries.
UNAIDS warned that nearly 9 million people remain untreated, and that cuts to HIV prevention and community support services could cause backsliding.
Mary Mahy, director of data for impact at UNAIDS, said “This is mostly because treatment services were kept up,” even as Trump cut funding around prevention and community-led services.
UNAIDS calls it disruption
In an AFP report carried by مونت كارلو الدولية, UNAIDS warned that the “large cut in international aid puts the fight against this disease at risk,” linking the disruption to declines in testing and in securing PrEP medications and male condoms.
Winnie Byanyima, the executive director of UNAIDS, told AFP that “This is the first time the fight against HIV has faced this degree of disruption since the world mobilized to fight this disease.”
The AFP account said the UN program’s new report detailed measurable effects, including that the number of people taking PrEP declined by 38 percent in about sixty countries studied.
It also reported that in the countries hardest hit by the virus, there was a 22 percent decrease in participation in one of the most important testing programs.
The same AFP report said funds allocated to male condoms fell sharply by 90 percent, while funding for prevention programs declined by 80 percent.
Haiti and Africa face gaps
RFI reported that in Haiti, associations pointed to the suspension of USAID development aid decided by Donald Trump, saying that after six months without the aid they had to reduce activities and terminate HIV prevention missions.
“It's a real hammer blow”
RFI quoted Johnny Lafleur, coordinator of a local NGO, warning that medicines are funded only until December 2025, and said the USAID cut also hits LGBTQ+ associations such as the CHAAPES collective.
The article said Haiti, described as the Caribbean’s most HIV-affected country with more than 150,000 people living with the virus, risks the epidemic worsening as activists denounce growing homophobia since the funding cut.
In Africa, tv5monde reported that almost a year after 83% of USAID programs were frozen, health consequences were being felt across the continent, including that in Malawi one million HIV-positive people are deprived of antiretroviral treatments.
tv5monde also said that in Guinea, two million mosquito nets are missing, and that the removal of projects supported by the U.S. agency—funded at $72 million in 2024 versus $23 million in 2025—led to the layoff of about 500 community workers.
