Beyond PMTCT—Women’s Leadership, Rights, and Health Must Be at the Center of the crisis response. Rapid Assessment Report
The USAID funding freeze is having a profound impact on women living with HIV and the grassroots organizations that provide essential support. Our latest report, "No More Business as Usual," highlights the critical challenges faced by women and calls for urgent policy and funding action.
"When I went to the facility for medication, I was turned away. At the same time, I lost my job as a community case worker. Now, I am struggling to cover my son's school fees, and he has been sent home. As a single mother, I have no one to help me." — HIV program beneficiary and community health worker, Malawi
The report reveals that one in four women living with HIV have had to skip treatment due to financial barriers, including transportation costs and clinic fees. Over 60% of women-led HIV organizations have lost funding or been forced to suspend essential programs, leaving entire communities without access to vital services. Nearly 30% of pregnant and postpartum women have struggled to access infant formula and maternal healthcare, putting both their health and the health of their children at risk.
The findings underscore the urgent need for sustained, flexible funding for community-led responses and a recommitment to protecting the rights, health, and well-being of women living with HIV.
Note: This survey was conducted to understand the initial impacts of the funding freeze on women living with HIV. However, the termination of essential PEPFAR/USAID-funded programs and contracts on February 27, 2025, gives these findings new significance. As critical services disappear, the health, rights, and well-being of women living with HIV are placed at even greater risk.
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