#unaids-and-unitaid

#unaids-and-unitaid

The freezer is filled with blue-lidded tubes of cows' blood, ready to be defrosted and used to feed the colony of mosquitoes. Nombuso Princess Bhembe tends the mosquitoes at Eswatini's national insectary, part of the southern African country's push to eliminate malaria.

The EESC warns against 'excessive increases' on the grounds that they could fuel illicit trade, thereby recycling one of the tobacco industry's oldest false narratives arguments against stronger regulation.

The IACHR expresses its concern regarding the working conditions faced by some Cuban workers participating in medical missions, highlighting complaints of unfair compensation and excessively long working hours.

On that sunny March morning, in a small health center in Lobamba, a rural area of Eswatini, this 32-year-old sex worker has just become one of the first people in the world to receive lenacapavir, a drug that, administered twice a year, offers nearly 100% protection against HIV.

Kelly Chibale describes the drug discovery process as a fairy-tale quest, stating, 'It doesn't mean that there aren't surprises or miracles. They do happen, but you have to kiss many frogs before you meet the prince.' This metaphor illustrates the challenges and unpredictability in finding effective medicines.

In late 2025, the United States shocked the world by suspending global health aid, leading experts to predict 700,000 additional deaths annually, primarily among children. This prompted the US to propose unusual bilateral health agreements with developing countries, which have drawn criticism for being exploitative.

Congress has kept key drug assistance funding at $900.3 million annually since 2014. New enrollments for state programs jumped 30% from 2022 to 2024, in part because states cut off pandemic-era Medicaid assistance. As of January, at least 18 states have pulled back their Ryan White AIDS Drug Assistance Programs, known as ADAPs, in some way.

In 2025, the administration of US President Donald Trump ordered the US Agency for International Development to be closed; this year, it withdrew the country from 66 international organizations. Other Western nations that are plagued with high levels of debt and pressure to prioritize domestic challenges have slashed their foreign aid, too. According to projections, official development assistance dropped by 9-17% in 2025, amounting to some US$55 billion.

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There is little doubt that this is what African countries need if they are serious about universal health coverage - ensuring that every member of their populations has access to this fundamental human right. But such an approach has never been implemented in Africa. Some of the reasons for this are outlined in a report on health financing by the Africa Centres for Disease Control and Prevention (Africa CDC), the continent's public-health agency based in Addis Ababa, published last week (see go.nature.com/3o9wxfc).

Aid cuts could lead to more than 22 million avoidable deaths by 2030, including 5.4 million children under five, according to the most comprehensive modelling to date. In the past two decades there have been dramatic falls in the number of young children dying from infectious diseases, driven by aid directed to the developing world, researchers wrote in the Lancet Global Health. But that progress was at risk of reversal because of abrupt budget cuts by donor countries, including the US and the UK.

The effort in Malawi, one of the world's poorest countries and badly hit by the aid cuts, has seen an astonishing 1.3 million children already vaccinated against the disease in just four days after emergency supplies were airlifted in by the World Health Organization (WHO) just over a week ago. Malawi declared the outbreak after the virus was detected in two environmental samples taken from two sewage plants in Blantyre, the country's second-largest city and where the only known victim lives.