Episode
PEPFAR, Global Fund, and the future of HIV care
- Published
- Mar 26, 2026
- Duration seconds
- 1868
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Summary
In this week’s edition of This Week in Global Development, we unpack the precarious state of the U.S. President's Emergency Plan for AIDS Relief , or PEPFAR. Despite ongoing congressional support, a significant disconnect between allocated funds and State Department disbursements has left major implementing agencies such as the U.S. Centers for Disease Control and Prevention operating on less than half their usual budget. As bridge funding begins to dry up and transition plans for bilateral health deals stall, the real-world consequences are starting to emerge — from shuttered drop-in centers in Nairobi to drastic service cuts in Uganda — and are putting key populations at immediate risk. When it comes to on-the-ground implementation, the Global Fund to Fight AIDS, Tuberculosis and Malaria is increasingly expected to fill the vacuum left by the dismantling of USAID projects. This shift toward using the Global Fund’s infrastructure for large-scale health transitions has been fraught with technical hurdles, however, including performance issues with the fund’s wambo.org procurement platform and the looming policy implications of the expanded global gag rule. To dig into these stories, Editor Rumbi Chakamba sits down with Devex reporters Andrew Green and Jenny Lei Ravelo for the latest episode of our weekly podcast series.