Goal to end AIDS by 2030 ‘more off-track’ after Trump cuts, UNAIDS head says

UNAIDS Director warns Trump's HIV/AIDS cuts will derail global plan to end disease by 2030, impacting prevention and treatment.

Donald Trump's cuts to HIV/AIDS programmes will further derail an already faltering plan to end the disease as a public health threat by 2030, UNAIDS Executive Director Winnie Byanyima said on Friday, June 13, 2025.

With 1.3 million new infections in 2023, according to the latest data, the world was already “off track,” Ms. Byanyima told journalists in South Africa, a country with the world’s largest number of people living with HIV, at 8 million.

“Less funding means we will get more and more off-track,” she said in the main city of Johannesburg, after meeting President Cyril Ramaphosa to discuss Africa’s HIV/AIDS strategy in light of the U.S. president slashing billions of dollars in foreign aid in February.

“We don’t know yet what that impact will be, but impact there will be: ... already you see in several countries a drop in the number of people going to clinics,” Ms. Byanyima said.

Before the cuts, prevention programmes had brought down new infections, she said, but they were "not coming down fast enough to reach our target of 2023."

Now, with the shuttering of community prevention clinics across Africa, infections would surely rise, though it wasn't clear yet by how much, she said.

The administration's decision to axe swaths of U.S. foreign aid has disrupted the supply of life-saving HIV treatments, with some countries facing potentially running out. In South Africa, about a fifth of whose HIV budget was U.S.-funded, testing and monitoring of HIV patients is already falling.