Eswatini has seen new HIV infections drop by 70% since 2010 but U.S. funding cuts have torpedoed prevention and treatment efforts.

Mbabane

Eswatini, a country with one of the highest HIV prevalence rates globally, has seen notable progress in reducing new HIV infections, largely supported by US funding. The Luengo Clinic, which serves about 3,000 patients, relied on US funds for 80% of its costs and half of all AIDS programs.

Recent US funding cuts have jeopardized these advancements, causing concerns about disruptions in treatment and prevention services. Health officials warn that without adequate resources, new HIV infections and deaths could rise, and the ability to track and respond to the epidemic will be severely hampered.

Eswatini fears fight against HIV could be undone by U.S. funding cuts

Every day at the Luengo Clinic here in the small southern African country of Eswatini, about 350 patients living with HIV come to receive life-saving treatments. Until recently, US funding covered 80% of the clinic's costs and half of all AIDS programs. I'm going to actually miss young people coming together and sharing ideas, especially the livelihood part. And also just having a mobile clinic come near by your home, just to make your refills for PrEP and ART and also get free condoms. You see, those things really helped Eswatini a lot. About 3,000 people depend on the clinic for treatment. Now they're in fear for their lives. We're running around to see how can we ensure that those who are in treatment first they must remain on treatment. Make sure that we don't disrupt the services, even if we don't have the budget as I speak, but we need to look for money. Eswatini has one of the highest rates of HIV prevalence in the world, with one in four people infected. Prevention programs have seen new infections fall by more than 70% since 2010, but that could change very quickly. New infections are likely to rebound. It means that the investments that we have made in putting people on treatment is going to be affected. It also means that we are not going to be able to generate the strategic information that is needed to inform us in terms of where are the new infections taking place, who are being infected, why are they being infected, and how many of them are getting infected. This is the kind of value that the UN has brought into the HIV response. Without US funding, Eswatini is bracing for a rise in new infections and deaths.

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