Trump

vast development It has been made to deal with global HIV epidemics over the last 20 years. The number of people who died due to HIV -related causes has decreased by 51% since 2010. The number of new infections per year decreased from 2.1 million in 2010 to 1.3 million (39%) in 2023.

This is the influence of rollouts in large global programs for prevention and treatment during this period. 2003, around 400,000 Those who live in low -income and intermediate income countries were able to approach the anti -retro virus treatment for life to manage the virus. There is more than that today 25 million people.

Much of this success is due to the role of the president’s emergency plan for AIDS relief established by George W. BUSH in 2003. PEPFAR now accounts for about 70%of its total funds for global response to HIV. And it was a rare example of successful sectarian support in the United States.

Or at least until the Trump administration includes PEPFAR in an attack on US aid in January. HIV spending under PEPFAR was included in the initial freeze of the aid subsidies imposed on the administrative order. And on February 27, US Secretary of State Marco Rubio signed a reduction in the USAID subsidy, including US global HIV funding. There was a program in which PEPFAR in South Africa supported funds. end As an immediate effect; And UNAIDS sent it letter We have confirmed that the United States is stopping the organization.

Although there has been no details of how the PEPFAR program has not yet come out, this program has been in the form of the current form and now has a hope for the remaining remaining.

It was an amazing autumn in the organization. Late 2024 In 55 countries, more than 20 million people (including more than 560,000 children) were funded. To prevent new infections, it supports more than 90% of the use of the use of a pro -pylak before exposure. Test funding for 83.8 million people in 2024 (77 million last year); We directly supported 342,000 medical staff around the world.

As a tool for global soft power, many people have been assumed that many people will survive the reduction of swing discipline in the administration because of the importance of PEPFAR, the support of the dual parties and the relatively unprecedented focus of its activities. This is not true.

Later, the sectary support began to weaken early two years ago. In 2023, as the Republican’s hostility to the program increased, former President George W. Bush I warned Congress Do not stop support for PEPFAR. In March 2024, the command and funds were renewed, but for 12 months, not usual five years. The criticism that Trump informed PEPFAR in January this year, which was notified to Congress, increased. Four nurses supported funds through PEPFAR Mozambique performed abortions (entirely legally). While the investigation began and the investigation began, the Republican Party insisted on further investigation.

Trump is expected to restore the controversy. Mexico City Policy. The problem of abortion has already increased its sensitivity and contributed to the renewal demands of some Republicans. The administrative order to remove funds from the World Health Organization was another indicator of the travel direction, and the signal was safe for even relatively confusing support for the health fund.

Further Reading: The Second President Trump’s position may threaten abortion rights and women’s health care worldwide.

Whatever the reason and politics of PEPFAR’s decline, the US ending to the US HIV program is a disaster for low -income and middle -income countries. For example, in South Africa, PEPFAR supports about 17%of the world’s largest HIV program. About 8 million people live in HIV, about 5.5 million people are treated, and most are supported by PEPFAR funds. Immediately challenges are now to support funds for continuous treatment within a few weeks and months before finding a source of alternative safety funds.

But even if you can find new funds, the knock impact will be serious. The confusion caused by the initial freeze was huge. In addition, the crisis that solves HIV also affects wider health problems, especially sexual and reproductive health care. no way report The US support, which was announced before confirming the destruction of PEPFAR, suggested that over the next 10 years, 565,000 new infections and 601,000 deaths could be caused.

In countries with higher US funds for HIV programs, many low -income and intermediate income countries will be more difficult to prevent funding in order to account for about two -thirds of HIV prevention and treatment budgets. Peter Piot, head of Unaids high Countries such as Zimbabwe and Zambia are prospects for countries with anti -HIV drugs.

Treatment programs in Lesotho, Eswatini and Tanzania are already To close. Among the 350,000 affected 350,000, there are more than 10,000 pregnant women who live with HIV, which requires treatment to prevent the birth of a child from passing the virus.

The tragedy of the end of PEPFAR is one of the clear success stories that aid can support and change life and nation. It played an important role in turning the tide of the epidemic. The program also helped people with viruses to live a complete and active life and helped greatly reduce the number of newly infected people. The pens stroke not only was a threat but also reversed.

It is essential to depend less on the global HIV response single donor. However, in response to US aid cuts, a large donor does not retreat, and when a large donor does not go back to the US aid cuts, the gap can be quickly filled to minimize the damage.