Aid cuts have shaken HIV/Aids care to its core – and will mean millions more infections ahead

Reports highlight devastating impact of slashed funding, especially in parts of Africa, that could lead to 3.3m new HIV infections by 2030

In Mozambique, a teenage rape victim sought care at a health clinic only to find it closed. In Zimbabwe, Aids-related deaths have risen for the first time in five years. In Ethiopia and the Democratic Republic of the Congo (DRC), patients with suspected HIV went undiagnosed due to test-kit stocks running out.

Stories of the devastating impact of US, British and wider European aid cuts on the fight against HIV – particularly in sub-Saharan Africa – continue to mount as 2025 comes to an end, and are set out in a series of reports released in the past week.

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US to demand countries share data on ‘pathogens with epidemic potential’ in return for health aid

Draft template seen by the Guardian has no reference to countries receiving benefits for sharing information, such as guaranteed access to medicines developed as a result

The US wants countries to agree to hand over information on bugs that could cause large-scale disease outbreaks in return for restoring aid to tackle health problems such as HIV and malaria, according to government documents.

The Trump administration is seeking new bilateral aid agreements with dozens of countries, after an abrupt withdrawal from existing arrangements at the start of this year. The agreements form part of a new America First Global Health Strategy announced in September.

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Thailand to let Myanmar refugees work to counter aid cuts and labour shortages

The move, welcomed by UN, will allow thousands of people living in camps to support themselves and their families

Thailand is setting a global precedent this month by giving refugees permission to work in the country in an effort to tackle aid cuts and its own labour shortages.

More than 87,000 refugees living in nine refugee camps along Thailand’s border with Myanmar have been totally reliant on handouts of food and foreign aid.

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Trump’s aid cuts in east Africa led to unwanted abortion and babies being born with HIV – report

Doctors, nurses, patients and other experts describe the loss of decades of progress in beating the virus in 100 days after Pepfar was disrupted

Aid cuts in east Africa have led to cases of babies being born with HIV because mothers could not get medication, a rise in life-threatening infections, and at least one woman having an unwanted abortion, according to interviews with medical staff, patients and experts.

A report by Physicians for Human Rights (PHR) sets out dozens of examples of the impact of disruption to Pepfar – the president’s emergency plan for aids relief – in Tanzania and Uganda.

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US destruction of contraceptives denies 1.4m African women and girls lifesaving care, NGO says

Incineration of $9.7m of contraceptives to lead to 174,000 unintended pregnancies and 56,000 unsafe abortions, IPPF says

A decision by the US government to incinerate more than $9.7m (£7.3m) of contraceptives is projected to result in 174,000 unintended pregnancies and 56,000 unsafe abortions in five African countries.

More than three-quarters of the contraceptives (77%) were destined for the Democratic Republic of the Congo, Kenya, Tanzania, Zambia and Mali, according to the International Planned Parenthood Federation (IPPF), an NGO global healthcare provider and advocate of sexual and reproductive rights.

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UK’s aid cuts ‘will hit children’s education and raise risk of death’

Cutting aid budget to 0.3% of national income will hurt many African countries, says FCDO impact assessment

Labour’s deep aid cuts will hit children’s education and increase the risk of disease and death in some African countries, according to the government’s own impact assessment.

Keir Starmer announced earlier this year that he would reduce the aid budget to 0.3% of national income, from 0.5%, to fund increased spending on defence.

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‘It’s a madhouse’: US state department workers reeling after Trump’s firings

About 3,000 workers have left the agency through firings and buyouts in a move Democrats and staff call ‘unlawful’

Workers at the US state department say firings, resignation buyouts, a proposed budget cut of 48%, and reorganization under the Trump administration has left staff with low morale and will likely have long-term impacts.

Foreign programs and services aimed towards LGBTQ+ communities, maternal and reproductive health, and minority groups have been removed or cut in place of far-right ideological policies being pursued by a 26-year-old senior adviser and Trump appointee at the agency.

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Trump administration to destroy nearly $10m of contraceptives for women overseas

As part of president’s end to foreign aid, destruction of the long-acting contraceptives will cost US taxpayers $167,000

The Trump administration has decided to destroy $9.7m worth of contraceptives rather than send them abroad to women in need.

A state department spokesperson confirmed that the decision had been made – a move that will cost US taxpayers $167,000. The contraceptives are primarily long-acting, such as IUDs and birth control implants, and were almost certainly intended for women in Africa, according to two senior congressional aides, one of whom visited a warehouse in Belgium that housed the contraceptives. It is not clear to the aides whether the destruction has already been carried out, but said they had been told that it was set to occur by the end of July.

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High-risk HIV groups facing record levels of criminalisation as countries bring in draconian laws

Curbs on LGBTQ+ rights and a halt to US funding may reverse decades of progress in fight to end Aids epidemic, warns UNAids

People at higher risk of HIV, such as gay men and people who inject drugs, are facing record levels of criminalisation worldwide, according to UNAids.

For the first time since the joint UN programme on HIV/Aids began reporting on punitive laws a decade ago, the number of countries criminalising same-sex sexual activity and gender expression has increased.

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Lobbyists linked to Donald Trump paid millions by world’s poorest countries

Somalia, DR Congo and Yemen among states forced to sign deals and barter their minerals for aid or military support

Some of the world’s poorest countries have started paying millions to lobbyists linked to Donald Trump to try to offset US cuts to foreign aid, an investigation reveals.

Somalia, Haiti and Yemen are among 11 countries to sign significant lobbying deals with figures tied directly to the US president after he slashed US foreign humanitarian assistance.

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Toll of Trump’s USAID cuts on Australian aid revealed, with projects to help children among hardest hit

International development council describes consequences as ‘dire’ as 120 Australian projects affected by loss of more than $400m

The Trump administration’s gutting of foreign aid has seen a $400m hit to Australian projects, with 120 projects affected, at least 20 offices closed and people left without crucial support for health, education, humanitarian and climate change issues, the Australian Council for International Development (Acfid) has found.

Acfid has surveyed its members and their partners, who deliver projects on the ground, on the impact of the US Agency for International Development (USAID) cuts, which took effect when the president, Donald Trump, froze funding for 90 days from 20 January.

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Malawi battles mpox as cases of the infectious disease surge in Africa

Medicine shortages plus limited testing and hospital capacity exacerbated by withdrawal of USAID as outbreak gathers pace across countries in the region

Malawi’s ministry of health has announced three new cases of mpox in the capital, Lilongwe, bringing the number of confirmed cases to 11 since the country’s first was reported in April.

Malawi is one of 16 countries in Africa reporting mpox outbreaks as health officials battle with vaccine shortages as well as limited testing and hospital capacity.

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Trump’s aid cuts blamed as food rations stopped for a million refugees in Uganda

UN World Food Programme says $50m is urgently needed amid fears that Uganda may now begin forced repatriations

Food rations for a million people in Uganda have been cut off completely this week amid a funding crisis at the United Nations World Food Programme, raising fears that refugees will now be pushed back into countries at war.

The WFP in Uganda warned two weeks ago that $50m (£37m) was urgently needed to help refugees and asylum seekers fleeing conflicts in the Democratic Republic of the Congo, South Sudan and Sudan.

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Chaos unleashed by Musk’s Doge is starting to wane – what does that mean?

Tech billionaire plans to hang up the chainsaw as he steps away from ‘efficiency’ role amid Tesla sales slump

“This is the chainsaw for bureaucracy!” screamed Elon Musk, wielding the power tool before a cheering crowd at a rightwing political conference. The tech titan promised to slice and dice the US federal government and save taxpayers a trillion dollars. Oozing confidence, the world’s richest person seemed unstoppable.

That was February. Last week Musk announced that he is hanging up his chainsaw and stepping back from his role overseeing the unofficial “department of government efficiency”, or Doge, to focus on Tesla, his beleaguered electric vehicle company. The news led some to hope the chaos unleashed by Doge is finally waning.

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EU will struggle to fill gap left by USAID as European countries cut their budgets

NGOs warn of ‘some difficult years’ ahead as increasing humanitarian needs meet shrinking finances

The dismantling of the US Agency for International Development (USAID) has captured headlines, but “very regrettable” reductions in European aid budgets are also contributing to a void in support for some of the poorest people in the world’s most fragile states, according to MEPs and NGOs.

Isabella Lövin, a deputy chair of the European parliament’s development committee, said USAID cuts would have “very dramatic consequences around the world”. But she also criticised recent decisions by EU member states to reduce their aid budgets as “very regrettable” and “wrong”. It would be impossible for the EU to fill the gap, she added.

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Trump official who oversaw dismantling of USAID leaves US state department

Under Pete Marocco’s lead, nearly all USAID staff was fired, with funding slashed and contractors dismissed

Pete Marocco, the Trump administration official who played a major role in dismantling the US Agency for International Development (USAID), has left the state department, a US official said on Sunday.

Donald Trump’s administration has moved to fire nearly all USAID staff, as billionaire Elon Musk’s so-called “department of government efficiency” has slashed funding and dismissed contractors across the federal bureaucracy in what it calls an attack on wasteful spending.

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US bombing of Yemen compounding dire humanitarian situation – rights groups

Anti-Houthi air campaign, details of which were revealed in Signal scandal, has brought further destruction to country

A ramped-up US bombing campaign on Yemen has killed civilians and brought further destruction and uncertainty to the poorest country in the Middle East, compounding an already dire situation after Donald Trump cut aid, according to local people, humanitarian workers and rights groups.

“Now the rampant bombing has started, you never know which way things will go,” said Siddiq Khan, who works as a country director in Yemen for the aid charity Islamic Relief.

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NYU canceled talk on USAID cuts for being ‘anti-governmental’, doctor says

University called Dr Joanne Liu, ex-head of Doctors Without Borders, after planning to speak on Gaza and federal cuts

The former international head of Doctors Without Borders says she was left “stunned” after New York University canceled her presentation because some of her slides discussing cuts at the United States Agency for International Development (USAID) could be viewed as “anti-governmental”.

Dr Joanne Liu, a pediatric emergency physician at Sainte-Justine hospital and a professor at McGill University in Montreal, Canada, who also served as the former international president of Médecins Sans Frontières (Doctors Without Borders), told CTV News last week that she was scheduled on 19 March to give a presentation at her alma mater on challenges in humanitarian crises.

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US evangelical groups urge Trump to spare HIV/Aids program from aid cuts

Christian organizations helped create Pepfar, credited with preventing 25m early deaths, particularly in Africa

Christian evangelical organizations instrumental in creating the US program that has saved millions of lives from HIV/Aids are pressing the Trump administration to rescue the scheme from crushing cuts to foreign assistance.

The state department has said that the two-decade-old President’s Emergency Plan for Aids Relief (Pepfar), which is estimated to have prevented 25m early deaths, is exempt from the cancellation of most US overseas aid. But the program is heavily reliant on logistical support from the US Agency for International Development (USAid), which has seen most of its projects killed off.

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Trump confirms detention of Palestinian activist Mahmoud Khalil: ‘the first arrest of many to come’ – live

Trump says Ice took the Palestinian student protester into custody after his executive order

Secretary of state Marco Rubio has announced that USAid will cancel the majority of its programs, while the rest will be folded into the state department.

Writing on X, Rubio said:

After a 6 week review we are officially cancelling 83% of the programs at USAID.

The 5200 contracts that are now cancelled spent tens of billions of dollars in ways that did not serve, (and in some cases even harmed), the core national interests of the United States.

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