Tag Archives: AIDS

Fight to end AIDS: ‘This is not just a funding gap – it’s a ticking time bomb’

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The 2025 Global AIDS Update released on Thursday by UNAIDS – the global body’s agency fighting AIDS and HIV infection – warns that a historic funding crisis now threatens to unravel decades of hard-won gains unless countries radically rethink how they fund and deliver HIV services.

Yet even amid these challenges, many of the most-affected countries are stepping up. Of the 60 low and middle-income nations surveyed in the report, 25 have signaled plans to increase domestic HIV budgets in 2026 – a clear sign of growing national leadership and commitment to the response.

Although promising, such efforts are not sufficient to replace the scale of international funding in countries that are heavily reliant on global donors.  

Global emergency   

Despite marked progress in the HIV response in 2024, this year has seen many disruptions to HIV prevention programmes and treatment services, due to abrupt funding shortfalls in Washington and other major donor capitals.  

Even before the large-scale service disruptions, reported data for 2024 showed that 9.2 million people living with HIV still did not have access to life-saving treatments, contributing to 75,000 AIDS-related deaths among children in 2024.  

“This is not just a funding gap – it’s a ticking time bomb,” said Winnie Byanyima, UNAIDS Executive Director, as many AIDS-relief programmes are being defunded, pushing people out of critically needed care.  

If US-supported HIV treatment and prevention services collapse entirely, UNAIDS estimated that an additional six million new HIV infections, and four million additional AIDS-related deaths could occur between 2025 and 2029. 

Call for solidarity

Despite the grim landscape, “there is still time to transform this crisis into an opportunity,” said Ms. Byanyima, as countries and communities are stepping up to protect treatment gains.  

As of December 2024, seven countries in sub-Saharan Africa had achieved the 95-95-95 targets: 95 per cent of people living with HIV know their status, 95 per cent of those are on treatment, and 95 per cent of those on treatment are virally suppressed.  

While such successes must be maintained and further scaled up, the global HIV response cannot rely on domestic resources alone.  

“In a time of crisis, the world must choose transformation over retreat,” said Ms. Byanyima.  

“Together, we can still end AIDS as a public health threat by 2030 – if we act with urgency, unity and unwavering commitment,” she added.   

AIDS still killing one person every minute as funding cuts stall progress

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More than 30 million people are receiving lifesaving treatment worldwide however, making the UN’s AIDS response a “clear example of a multilateral success,” said Amina Mohammed, UN Under Secretary-General on Thursday, as the General Assembly reviewed progress being made to end AIDS and prevent HIV infections.

‘Series of threats’

“Global commitment is fading. Funding is falling. And HIV services and systems to deliver them are being disrupted,” she said, highlighting the “series of threats” that could undo all the progress achieved in the fight against HIV in past decades.

As funding dwindles, clinics are closing and treatment supplies are diminishing, putting already vulnerable populations such as adolescent girls and young women, at greater risk of contracting the disease.

As funding from PEPFAR – the US programme leading global efforts to combat HIV in Africa – faces the risk of permanent cuts, the UN global programme on HIV/AIDS (UNAIDS) warns of devastating consequences.

Without continued support, an estimated four million additional AIDS-related deaths and more than six million new infections could occur by 2029.

‘Keep up the fight’

“We cannot let short-term cuts destroy long-term progress,” said Ms. Mohammed. “We need to keep fighting.”

The funding crisis must be urgently addressed. With half of sub-Saharan African countries spending more on debt servicing than on healthcare, Ms. Mohammed stressed the need for debt relief, tax reform, and increased international support.

“Low and middle-income countries need sustainable HIV financing and stronger national leadership in the fight against AIDS,” she said.

She also called for an end to attacks on human rights, warning that punitive laws, vigilante violence, and hate speech against marginalised groups worsen stigma and drive people away from lifesaving services. “Protecting health means protecting human rights,” she said.

Many community-led organizations are now being defunded and dismantled, just when their work is needed most. Ms. Mohammed urged the UN and its partners to support these groups and their vital contributions.

“The end of AIDS is not a mystery,” she said, adding that while eliminating the disease by 2030 is still achievable, “success is not guaranteed.”