Unida said that at least one status report on the impact of cuts has been received from 55 different countries until the beginning of this week.
That includes 42 projects backed by the emergency plan of the president of the United States for AIDS relief (Pepfar) and 13 that receive some support from the United States.
Two days after President Trump's executive order at the end of January declared a 90 -day break for all foreign assistance, the Secretary of State issued an emergency exemption to resume humanitarian assistance “that save life”, including HIV treatment.
Unaids reported just over a week after there was a general “confusion” about how exemption in the field was implemented.
The 16 reports received from the offices of Unusida Country worldwide during the week of February 17 to 21 show that these exemptions have led to the resumption of some clinical services, such as the treatment of HIV and the prevention of vertical transmission, in many countries that depend largely on US financing.
A future mother is proven for HIV in the Analanjirofo de Madagascar region.
Many not eligible projects
However, it is not clear how long the financing will last in medium Multiple reports that the US government systems and personnel.The UN agency said.
Besides, The critical layers of national AIDS responses are not eligible for these exemptionsIncluding many HIV prevention services and led by the community for key populations and adolescents and young women, according to the UN agency.
At the same time, data collection and analysis services have been interrupted in numerous countries, according to reports received last week, which indicates that the general amount and quality of HIV prevention, tests and treatment services have eroded.
In Ivory Coast, a woman who lives with HIV has three pills to take daily as part of antiretroviral therapy.
Increased waiting times
The staff working in health centers faces higher workloads, and patients are experiencing an increase in waiting times to receive salvation services from lives, said Unida.
Other concerns persist, from the health systems limited to gender -related priorities.
“The US government statements. UU. To UN systems organizations suggest that programs financed by the United States focused on gender equality and transgender populations may not be resumed,” according to the report of the situation of Unusida.
Fresh Data Analysis
The situation report covers a more granular analysis of the great dependence on the response of the global AIDS response of foreign assistance in the United States, extracted from the data sets administered by UNAIDs.
For example, more than half of HIV medications bought for the Democratic Republic of Congo (RDC), Haiti, Mozambique, Tanzania and Zambia are bought by the United States.
Before freezing, the United States government provided two thirds of international financing for HIV prevention in low -income countries, according to estimates of the Global HIV prevention coalition.
The report also appointed the 20 countries that trust more in Washington's funds: RDC, Haiti, Mozambique, Tanzania, Zambia, Uganda, Nigeria, Rwanda, Angola, Kenya, Ukraine, Burkina Faso, Burundi, El Salvador, Zimbabwe, Togo, Nepal, Côte d'Ivoire, Eswati, Eswati.
Services at a stop
According to the UN Agency, civil society and community -led interventions are fundamental to end aid and maintain profits in the future.
People who live with HIV and key populations with greater risk of infection play a crucial role in the maintenance of local services necessary to stay healthy, Unida said.
However, many critical services have stopped. Here are some examples:
- Mozambique: Community workers and trial counselors backed by Pepfar funds are not being paid. As a result, HIV tests are not available in most parts of the country, the registration of new patients is waiting and efforts to support people who live with HIV to adhere to their treatment have committed themselves
- Tanzania: Young people who work as even educators, community health workers or laity counselo
- Rwanda: HIV prevention services at the community level and facilities based on populations with a high risk of HIV infection, including young adolescents and women, homosexual men and sex workers were not covered by exemptions received from the United States government.
- South Africa: The facilities financed by the United States that support homosexual men, such as Men's Health engagement, remain closed
- Ghana: All civil society organizations financed by Pepfar have arrested services to people living with HIV and key populations.
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On the floor in Ivory Coast
Here there is an emblematic snapshot of how the freezing of UN financing has already affected this nation of 27 million Western Africa, where Washington has supported more than half of the total response to help more than 400,000 adults and children living with AIDS.
A mother, holding her two -year -old son in southwest Ivory Coast, discovered that she was seropositive during her pregnancy. (archive)
- The stop order caused a complete closure of the services financed by the Pepfar program, which covers 516 health facilities in 70 percent of the country's health districts and 85 percent of the people living with HIV in the treatment (approximately 265,000 people)
- More than 8,600 employees were affected, including 597 clinical workers (doctors, nurses and midwives) and 3,591 community workers
- Distribution of medicines and transport of diagnostic samples that stop
- The services financed by the United States partially resumed on February 12 after the reception of exemptions, but most HIV prevention services financed by the United States for people with high risk of infection, remain closed
- Other national health programs and systems are affected by freezing, including malaria and tuberculosis control programs and another that serves health of the mother and girl together with the medication and diagnostic supply chain system.
