[AIDS 2026] Health Policy Watch: Adjusting to a post-PEPFAR world

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Health Policy Watch news story

Zambia is hopeful that it can reach an agreement with the United States to salvage funds for its HIV programme, but South Africa remains frozen out of any new US funding for its HIV programme, government officials told journalists at a media briefing at AIDS 2026.

Earlier in the week, acting US global AIDS co-ordinator Jeff Graham told a pre-conference briefing on the America First Global Health Strategy that “there are no critical minerals mentioned in any MOU”.  However, some of the health MOUs – notably with the Democratic Republic of Congo and Guinea – were signed alongside mineral deals.

Florence Riako Anom, co-director of the Global Network of People Living with HIV (GNP+), describes waking up on 21 January 2025 – the day after Trump announced the immediate freezing of all development aid – to a world where access to ARV treatment was no longer safe or guaranteed.

Before the Trump announcement, many African PEPFAR-funded countries had developed sustainability plans to integrate HIV services into primary healthcare to be phased in over five years – but “the disruption moved all of this into a day or two”, said Anom.

Read the full news story here.


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