International donor funding for HIV programmes falls by US$2.1bn in 2025

Byanyima said countries that relied on international assistance for nearly 60 per cent of their HIV programmes were already closing community organisations, scaling back prevention services, laying off health workers and limiting access to lifesaving treatment.

The report attributed the decline largely to reduced disbursements from the United States, the world’s largest HIV donor, and warned that the funding cuts had disrupted community-led HIV prevention, testing, treatment and support services in many countries.

The report urged countries to increase domestic investment, strengthen national ownership of HIV programmes, integrate HIV services into broader health systems and expand equitable access to new HIV prevention technologies.