PEPFAR crisis: US policy changes over global aid
6 February 2025. Related: News.
NOTE: PEPFAR funds are just starting to reach some projects but only for limited services (18 Feb)
On 20 January 2025, President Trump froze international aid programmes including PEPFAR.
Even though a waiver means that some US-funded services will continue, at least in the short-term, many HIV clinics in low and middle-income countries are still closed.
- The current crisis WILL be resolved.
- Clinics that are closed WILL reopen or new clinics will provide care.
- Access to HIV meds WILL start again.
Many thousand of people are now working to restore services, but this might take time.
News and resources below relate to the changes in US policy to block includes information about PEPFAR.
i-Base reports
- Impact of US elections and executive orders on global health: waiver covers PEPFAR with restrictions
Timeline review of the first 12 days with key links.
Information for people living with HIV
- What happens after stopping ART? What is my risk?
- Why did my HIV clinic close last week and when will it reopen?
- Can fewer doses make my meds last longer as my clinic is closed?
- How will we get meds in Pakistan if there is the USAID ban?
Other daily news
i-Base listing news and resources
- US government documents
- Community resources
- Scientific impact and medical journals
- Mainstream news
- Court actions and legal challenges
- Information for people living with HIV
CHANGE list of news and resources (Google doc)
List of resources by this international activist community network.
Activist organisations
CHANGE
pepfarwatch.org/pepfar-funding-freeze/
CHANGE is an international network of more than 1000 HIV advocates. It was launched in January 2025 after the first news about changes in US policy.
QR code for WhatsApp network
Email: contact.change.2025@gmail.com
HealthGAP
healthgap.org
International AIDS Society
iasociety.org
International Treatment Preparedness Coalition (ITPC)
itpcglobal.org
Treatment Action Group (TAG), New York
treatmentactiongroup.org
HIV i-Base: PEPFAR resources (this page)
i-base.info/PEPFAR
Survey
How has PEPFAR STOP WORK affected you and your organisation (Google docs)
About PEPFAR
- 20.6 million people on ART.
- 83.8 million people with HIV testing.
- 2.3 million adolescent girls and young women for HIV prevention.
- 2.5 million on PrEP (90% globally) including LA injections.
- 6.6 million orphans and vulnerable children.
- 342,000 health workers supported.