June 2026 HIV Market Impact Memo

A year after global HIV funding was upended, the damage is still mounting. New nationwide data collected by CHAI across countries in sub-Saharan Africa and Asia tracks what happened to HIV services in 2025 and into early 2026 against the year before — and shows that services have not recovered. People are not getting tested. Children are not getting treatment. Prevention is collapsing at the moment a breakthrough drug is finally within reach.
The data in this memo documents a crisis that is still deepening. The countries most affected are making consequential decisions right now: about which services to cut, which populations to prioritize, and how to sustain care with fewer resources. Those decisions will shape the HIV response for years. They deserve to be made with the clearest possible picture of what is at stake.


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