On July 10th, UNAIDS launched its 2025 Global AIDS Update, AIDS, Crisis and the Power to Transform, which shows that a historic funding crisis is threatening to unravel decades of progress unless countries can make radical shifts to HIV programming and funding.
The report highlights the impact that the sudden, large-scale funding cuts from international donors are having on countries most affected by HIV. Yet it also showcases some inspiring examples of resilience, with countries and communities stepping up in the face of adversity to protect the gains made and drive the HIV response forward.
Some 25 of the 60 low and middle-income countries included in the report have indicated increases in domestic budgets for their HIV responses in 2026. The estimated collective rise among the 25 countries amounts to 8% over current levels, translating to approximately USD 180 million in additional domestic resources. This is promising, but not sufficient to replace the scale of international funding in countries that are heavily reliant.
Despite marked progress in the HIV response in 2024, the weakening aid consensus and significant and abrupt funding shortfalls in the HIV response in 2025 have triggered widespread disruption across health systems and cuts to frontline health workers—halting HIV prevention programmes and jeopardizing HIV treatment services.
