On World AIDS Day 2025, Frontline AIDS’ new reports reveal how eight African countries are responding to the shift from international donor funding to sustainable, locally-led HIV responses.
In 2025, Africa experienced the sharpest HIV funding contraction anywhere in the world, with HIV services under immense strain.
Developed with people living with HIV, and civil society organisations, these reports show how governments are stepping up and exploring new ways to protect prevention, treatment, and care for all.
The Transition Initiative is about more than funding: it’s about putting communities at the heart of HIV service delivery, building systems that are resilient, accountable, and locally owned. These country reports offer a detailed view of how countries are navigating this critical moment and the lessons that could shape the global fight against HIV.
FUNDING CUTS RISK REVERSING HIV GAINS
Millions of people are at risk of new HIV infections and AIDS-related deaths due to cuts in funding
and services. This will undermine decades of progress.
National HIV responses disrupted by the
funding cuts
Countries must increase budget allocations to achieve sustainable health systems and address
funding gaps.
HEALTH BUDGET ALLOCATIONS FALLING SHORT OF
AGREED TARGETS
Over-reliance on a single donor has weakened national HIV responses.
2025 Reports
Further reading
2025 MENA Report
2023 Reports
2020 Reports
2019 Reports