An amfAR survey of 166 PEPFAR-funded organizations across 46 countries found 63% reported disruptions to services preventing mother-to-child HIV transmission amid US funding cuts; 22% said they had ended those services, despite a US pledge to protect them.
Published in July, the amfAR study, conducted with Johns Hopkins University, surveyed organizations representing 23% of PEPFAR partners. Respondents said 1,714 clinics once supported by PEPFAR closed worldwide in 2025. AmfAR’s analysis of US data also found HIV testing among pregnant women fell 2% and infant testing at least 6% at the end of 2025 compared with a year earlier.
The State Department called the survey’s methodology “flawed” and said the number of children testing positive and on treatment continued to decline. It reported US government-supported HIV treatment for 20.6 million people in more than 50 countries as of September 30, 2025. Experts say declines in pediatric testing and monitoring may signal lost access rather than successful prevention; reporting disruptions also make outcomes harder to assess.
