Public health officials are sounding alarms about looming crises, emphasizing that “Livelihoods will be lost – and lives will be lost.” These funding cuts are already instigating fears and operational halts at crucial health facilities nationwide.
The Health Ministry of Uganda has revealed intentions to shut down all specialized clinics for HIV/AIDS and tuberculosis (TB) due to the withdrawal of USAID funding. This situation also impacts essential pharmacies that dispense antiretroviral medications, which previously served approximately 1.5 million Ugandans living with HIV.
The closure of these clinics will necessitate a reliance on public hospitals, which are ill-equipped to provide the specialized care required.
Flavia Kyomukama, a representative from the National Forum of People Living with HIV/AIDS Networks Uganda, characterized the developments as a profound betrayal. “We are still grappling with the shock of their actions; it is incredibly hard to comprehend,” she stated.
Experts are cautioning that the severe cuts enacted by the Trump administration could lead to a systemic breakdown of the international aid and development framework. The United States has historically been a leader in global humanitarian assistance, with a budget allocation of $71.9 billion for 2023.
The loss of USAID jeopardizes essential programs, particularly PEPFAR, which plays a crucial role in the global fight against HIV/AIDS.
Analysts suggest that the consequences will ripple beyond Uganda, threatening stability in countries reliant on aid. Support systems for refugees, partially funded by USAID, may also be at risk, potentially leading to migration crises.
Brian Aliganyira, director of Ark Wellness Hub in Uganda, described the current climate as one of “total panic” within both the community and the health sector. Clinicians are depleting their essential supplies, raising concerns about a potential resurgence of HIV infections. He cautioned, “Without the necessary support, HIV will escalate, and lives will be lost.”
