One year after President Donald Trump froze U.S. foreign aid, HIV treatment still exists across much of Africa — but the outreach, prevention, and monitoring systems that sustained it are fraying. I trace how those losses are reshaping access to care for @devex.com: www.devex.com/news/one-yea...

One year after President Donald Trump froze U.S. foreign aid, HIV treatment still exists across much of Africa — but the outreach, prevention, and monitoring systems that sustained it are fraying. The Aid Report traces how those losses are reshaping access to care across Uganda, Zambia, Malawi, ...

"One year after the #foreignaid freeze, #HIV care in Africa is in retreat.” Great reporting by @theandrewgreen.bsky.social highlights the impacts and voices like Maureen Luba & Kenneth Mwehonge who are living it. A must-read: www.devex.com/news/one-yea...

It has now been one year since President Trump shut down all U.S. foreign aid and began wrecking the global AIDS response. I have spent that year collecting testimonies from the communities most affected by these cuts: www.forsaken.life

It has been a year since Donald Trump and Elon Musk dismantled US foreign aid. Over that time, @theandrewgreen.bsky.social has been tracking the fallout for people living with HIV in southern Africa. All of them said they had just needed a little more time. open.substack.com/pub/theforsa...

Even if Congress passes this budget bill, will the Trump administration spend the money as directed? Experts explored that question in a Devex Pro Briefing.

Reuters: "The U.S. flag had been removed from outside the WHO headquarters in Geneva on Thursday, according to witnesses."

For a well-reported synthesis of all of the horrific global health impacts that have resulted from actions by the Trump administration during its first year in office, read @daniellawler.bsky.social's new piece: www.wfxg.com/news/the-imp...

HIV activists are being cut out of new negotiations for US funding. Speaking to Andrew Green, Cindy Kelemi, ED of BONELA, a Frontline AIDS partner in Botswana, sets out why communities must be included in conversations about how money is spent. https://bit.ly/4aWVbmp

AIDS activists were shut out of the negotiations around America's new bilateral health deals, but they still intend to have their say on how the money is spent: theforsaken.substack.com/p/another-ba...

Another great piece by @theandrewgreen.bsky.social, theforsaken.substack.com/p/another-ba.... "With so much...funding on the table, #HIV civil society groups [will] have their say in how [its] spent regardless of whether they were consulted... They know the risk of their exclusion."

In 2011, Petronas was warned its South Sudan oil wells may be causing congenital disease. Over a decade later, babies are still being born with serious deformities.

U.S. cuts to HIV services have coincided with a downturn in Botswana's economy, leaving the country that once led the continent's HIV response vulnerable to a resurgence in the disease: www.thelancet.com/journals/lan... My latest for @thelancet.com

As the United States inks health financing deals with African countries, the battle for crucial HIV services continues: theforsaken.substack.com/p/far-from-o...

Another US airstrike in Somalia happened yesterday, near Kismayo. AFRICOM released no casualty figures or other information beyond saying it "targeted" al-Shabaab. This is by my count the 87th strike or series of strikes announced by AFRICOM this year, by far the most ever in a year in Somalia.

A Kenyan court pauses parts of the country's new global health agreement with the United States over concerns about patient privacy: www.bbc.com/news/article...

Even as the Secretary of State promised life-saving U.S. aid support would resume earlier this year, officials worked behind the scenes to block funds to crucial programs responding to disease outbreaks according to explosive new reporting from @propublica.org: www.propublica.org/article/usai...

Medical circumcision, a simple, one-time procedure that sharply lowers HIV risk has been a quiet success story in Botswana — until U.S. funding cuts halted the community outreach behind it. I covered the impact for @devex.com with insights from @avac.org and others: www.devex.com/news/us-retr...

The world agreed on a strategy to end AIDS known as 95-95-95: 95% of people with HIV should know their status, 95% of the diagnosed should be on medication, 95% should have the virus suppressed. By 2022, the world reached 87-89-94. Then Trump killed aid funding. foreignpolicy.com/2025/12/01/t...

The End of Ending AIDS foreignpolicy.com/2025/12/01/t...

This World AIDS Day, I have been reflecting on the communities I have visited across four different countries - Uganda, Thailand, Malawi and Botswana - that are suffering from the cuts enacted by the Trump administration: theforsaken.substack.com

On World AIDS Day, a time for mourning, for anger and for recommitting to the fight to end AIDS: theforsaken.substack.com/p/world-aids...

AIDS-related deaths in Malawi fell from 80,000 in 2003 to 14,000 last year — on track to end the epidemic by 2030, thanks to PEPFAR and the programs it funded. Now all that progress has been abandoned, and health workers are scrambling: “It’s like a bomb has been dropped on us.”

On World AIDS Day, a time for mourning, for anger and for recommitting to the fight to end AIDS: theforsaken.substack.com/p/world-aids...

Is this the end of ending AIDS? My latest dispatch for @foreignpolicy.com: foreignpolicy.com/2025/12/01/t...

South Africa received $453m in #PEPFAR support last year. 💉But new US political decisions — including an executive order halting aid — are freezing funding and blocking access to long-acting HIV prevention. ✍️ @kerrycullinan.bsky.social @globalfund.bsky.social @healthza.bsky.social 📖⬇️ & 🙏🔁

Countries have started negotiating with the State Department about the future of U.S. global health funding. But the organizations that work with some of the most vulnerable communities were not invited into those talks: theforsaken.substack.com/p/no-seat-at...

Why are faith-based organizations the only NGOs invited to the bilateral global health negotiations the State Department has organized in Botswana? theforsaken.substack.com/p/no-seat-at...

Ramaphosa just told an EU-SA summit that the US has changed its mind and they're now discussing attending the G20 "in one shape, form or another". No mention of whether that includes Trump, but his tone didn't make it sound like the US representation would be at that level x.com/CyrilRamapho...

With negotiations over bilateral health agreements underway across Africa, what does it mean that organizations providing services for gay men, sex workers and other vulnerable communities weren't invited to the talks? theforsaken.substack.com/p/no-seat-at... @thelastmileusaid.bsky.social

I'm on the BBC's Health Check talking about the crisis caused by U.S. funding cuts for HIV programs in Botswana: www.bbc.com/audio/play/w...

The breakthrough HIV prevention shot lenacapavir has arrived in Eswatini and Zambia just months after U.S. approval, marking what advocates call an unusually fast global deployment of a game-changing drug to LMICs that need it most.

A #DOGE leader who decimated the US health department is in charge of negotiating MOUs with African countries for new health grants. @altusaid.altgov.info @thelastmileusaid.bsky.social @panaction.bsky.social healthpolicy-watch.news/us-steams-ah...

My newsletter this week is a little different. While I tend to focus broadly on the impact of U.S. funding cuts on HIV programs, I zeroed in this week on on one woman, Mercy Mdoka. Her story is a window into the disruption and suffering these cuts have caused: theforsaken.substack.com/p/mercy-mdoka

My newsletter this week is a little different. While I tend to focus broadly on the impact of U.S. funding cuts on HIV programs, I zeroed in this week on on one woman, Mercy Mdoka. Her story is a window into the disruption and suffering these cuts have caused: theforsaken.substack.com/p/mercy-mdoka

U.S. officials confirmed yesterday the termination of support for Botswana's voluntary medical male circumcision program. Circumcision can reduce HIV transmission by up to 60%. But PEPFAR will drop its support amid sweeping cuts to prevention services in Botswana and across the continent.

Countries can no longer rely on US supply chains for the provision of essential medicines. www.theglobeandmail.com/business/eco...

Botswana had been at the forefront of the global AIDS response for decades, but recent economic troubles led to shortages of lifesaving treatment. This collided with U.S. cuts in support to Botswana's HIV programs. Suddenly the country is facing a crisis: theforsaken.substack.com/p/a-differen...

The U.S. has kicked off bilateral negotiations to set up multi-year MOUs that will determine America's global health and security support. The process is already incredibly problematic, as @emilybass.bsky.social spells out: emilysbass.substack.com/p/usa-global...

Botswana had been at the forefront of the global AIDS response for decades, but recent economic troubles led to shortages of lifesaving treatment. This collided with U.S. cuts in support to Botswana's HIV programs. Suddenly the country is facing a crisis: theforsaken.substack.com/p/a-differen...

Experts are raising concern around a template for bilateral agreements between the U.S. and partner governments that includes pathogen sharing and agreements on automatic approval for American products.

Trading PABS for PEPFAR: "EXCLUSIVE: US Ties Global Health Aid to Data Sharing on Pathogens – Undermining WHO Talks" healthpolicy-watch.news/exclusive-us...

Botswana's health sector was already reeling as the country's economy unravels. Then the Trump administration cut crucial support to its HIV programs: theforsaken.substack.com/p/a-differen...

Botswana's health sector was already reeling as the country's economy unravels. Then the Trump administration cut crucial support to its HIV programs: theforsaken.substack.com/p/a-differen...

The new America First Global Health Strategy prioritizes support for community health workers. So why did the Trump administration just spend nine months firing so many of them: theforsaken.substack.com/p/whos-on-th...

The new America First Global Health Strategy prioritizes support for community health workers. So why did the Trump administration just spend nine months firing so many of them: theforsaken.substack.com/p/whos-on-th...

💔 Over 460 patients & companions were murdered in El Fasher’s Saudi Maternity Hospital after an #RSF takeover. @who.int DG @drtedros.who.int: “Appalled & deeply shocked.” ❗Healthcare must never be a target. ✍️ @kerrycullinan.bsky.social @unicef.org @icrc.org

The Trump administration's new health strategy maintains a commitment to global AIDS targets, but experts warn it will undercut the program needed to achieve them.

"Kenyan politics remains plural in form but authoritarian in soul." A truly brilliant analysis of Raila Odinga's political legacy by @newhumanitarian.bsky.social's Patrick Gathara: www.thenewhumanitarian.org/opinion/2025...

It looks like we are witnessing unprecedented levels of #inhumanity and lack of #compassion, as if #migrants were not #human: " #Eswatini, hunger strike of #Cuban man deported from #USA exposes human cost of unlawful transfer arrangement". Read here: share.google/zAOn5ZDDysPC...