UN Says Trump Aid Cuts Drove 38% Drop in Global PrEP Uptake
Updated
Updated · lovebscott.com · Jun 22
UN Says Trump Aid Cuts Drove 38% Drop in Global PrEP Uptake
1 articles · Updated · lovebscott.com · Jun 22
Summary
A UN report said global PrEP uptake fell 38% from 2024 to 2025, leaving more than 1 million fewer people on the HIV-prevention drug.
U.S. foreign-aid cuts under the Trump administration were cited as the main driver, with the White House's 2027 budget proposal slashing HIV prevention funding to $220 million from just over $1 billion.
A 2026 survey of 79 community-led groups found PrEP delivery dropped 50%, while support services for people living with HIV also fell 50%; services for men who have sex with men and sex workers fell more than 80%.
The setback threatens to reverse prevention gains against a disease that infected 1.2 million people and contributed to 570,000 AIDS-related deaths last year.
A million fewer people are on HIV prevention drugs. Is the global fight against AIDS about to be undone?
With over a billion dollars in U.S. HIV prevention funding cut, which nations now face a looming health crisis?
Global HIV Prevention in Crisis: Funding Cuts, Policy Shifts, and the Threat to Ending AIDS by 2030
Overview
Between 2024 and 2025, global HIV prevention efforts suffered a sharp decline due to a major funding crisis and a worsening human rights environment. This crisis led to severe cuts for community-based organizations, which are essential for delivering HIV prevention, treatment, and testing services. At the same time, more countries began criminalizing same-sex sexual activity and gender expression, creating hostile environments for key populations. These changes made it much harder for marginalized groups to access vital services, putting years of progress at risk and threatening to increase new HIV infections worldwide.