The UNAids Executive Director has reiterated that cuts in US funding for HIV/AIDS programs could lead to a dramatic rise in new infections and fatalities. The halt on foreign aid is affecting treatment and preventive services, especially in vulnerable populations.
US Funding Cuts to HIV Programs Could Lead to a Public Health Crisis

US Funding Cuts to HIV Programs Could Lead to a Public Health Crisis
UNAids chief warns that reduced US support for HIV/AIDS programs could result in increased infections and deaths.
The head of UNAids has issued a stark warning regarding the potential consequences of recent cuts to US funding aimed at combating HIV/AIDS, projecting an alarming increase in new infections and fatalities. According to Executive Director Winnie Byanyima, the suspension of foreign aid by the US government could result in an additional 2,000 new HIV infections occurring daily and over six million deaths over the next four years.
The cutbacks signal a profound reversal in the global efforts against HIV, particularly concerning the dramatic decrease in related deaths—from over two million in 2004 to approximately 600,000 in 2023. Byanyima emphasized that the ramifications of the US decision are already being felt, particularly among women and girls who are heavily impacted by the loss of support.
These drastic funding reductions followed President Donald Trump's announcement to pause foreign aid on his first day in office as part of a broader spending review, leading to the termination of various programs operated by the US Agency for International Development (USAID). The abrupt end to many HIV treatment and prevention programs has resulted in ceased operations at crucial mother and baby clinics in African nations and severe shortages of life-saving anti-retroviral (ARV) medications.
Byanyima expressed her determination to avert a return to the 1990s, a time of great suffering when access to HIV medication in poorer countries was limited. The US has long been the leading global contributor to HIV treatment and prevention, and while she acknowledged the US’ past generosity, she argued that the rapid withdrawal of essential resources has inflicted considerable damage.
Despite ongoing appeals, there has been little indication that US policymakers intend to amend their course. Moreover, other traditional aid donors in Europe are also contemplating funding reductions. UNAids has indicated a lack of alternative support from other countries to make up for the anticipated shortfalls.
In recent statements made in Geneva, Byanyima detailed the case of Juliana, a Kenyan woman employed at a US-funded initiative aimed at helping new mothers access treatment to prevent their babies from contracting HIV. With the program’s suspension, Juliana faces job loss and the risk of losing necessary medical treatment while breastfeeding her youngest child.
The World Health Organization (WHO) previously reported that several countries, including Nigeria, Kenya, and Ukraine, are on the verge of exhausting their ARV supplies due to the US funding cuts. WHO Director-General Tedros Adhanom Ghebreyesus cautioned that such disruptions could potentially undo two decades of advancements in combating the disease.
Byanyima also advanced a proposal to the Trump administration to consider marketing a newly developed US ARV, lenacapavir, which is administered via injection every six months. She highlighted that the initiative could yield considerable benefits in terms of profits and job creation within the US while simultaneously supporting millions of affected individuals globally.
UNAids is just one of multiple UN agencies grappling with funding losses, with others like the UN Refugee Agency considering significant workforce reductions and UNICEF warning that progress in reducing child mortality could be at risk due to diminished resources.