Caribbean HIV Services in Crisis: 80% of Organizations Face Severe Disruptions Amid US Funding Pause

A new rapid assessment conducted by UNAIDS and PANCAP between March 27 and April 22, 2025, reveals that 80% of HIV service organizations in the Caribbean are experiencing severe service disruptions and financial instability due to the US Government’s funding pause issued in January 2025.

The findings show widespread disruption of essential HIV services. HIV prevention and testing services have been universally disrupted. Capacity building was the most severely affected, with 80% of organizations reporting suspensions or significant reductions. Social protection services were disrupted in 75% of cases, while human rights programming was affected in 67% of organizations.

Dr. Richard Amenyah, Director of the UNAIDS Multi-Country Office for the Caribbean, stated that these organizations are more than service providers—they are the backbone of the HIV response, reaching vulnerable communities that formal systems often miss. He emphasized the urgency to protect decades of progress.

The survey also showed that only 25% of organizations can sustain services for two to six months without alternative funding, and 64% are uncertain about their ability to continue. Increased health risks, reduced access to care, and worsening mental health—including depression and isolation—have already been reported among vulnerable groups.

In response, UNAIDS and PANCAP are calling for immediate action to address the funding crisis and sustain life-saving HIV services. A regional dissemination meeting will be held on Wednesday, June 11, 2025, with participation from CARICOM Deputy General Secretary Dr. Armstrong Alexis, regional experts, governments, and civil society, to discuss strategies for a more resilient and sustainable HIV response.

Dr. Wendy Telgt Emanuelson, Director of PANCAP, stressed the importance of collective action and listening to those most affected, stating the region must emerge stronger and more resilient.