Evidence map›Paper›PMID 41732341›Full record

ArticleHealth affairs scholar2026

Impact of US government funding freezes on the HIV response: findings from a rapid survey in 32 countries.

Ellen Brazier, Stephany N Duda, Jeremy Ross, Aggrey S Semeere, Thierry Tiendrebeogo, Cleophas Chimbetete, Denis Nash

Abstract read
In one paragraph

Article in Health affairs scholar, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ellen BrazierInstitute for Implementation Science in Population Health, City University of New York, Graduate School of Public Health and Health Policy, New York, NY 10027, United States.ORCID https://orcid.org/0000-0002-8514-1958
Stephany N DudaDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, United States.ORCID https://orcid.org/0000-0001-6247-9350
Jeremy RossTREAT Asia/amfAR-The Foundation for AIDS Research, Bangkok, 10110  Thailand.ORCID https://orcid.org/0000-0003-3183-2451
Aggrey S SemeereInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID https://orcid.org/0000-0003-1826-2239
Thierry TiendrebeogoNational Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Research Centre, University of Bordeaux, Bordeaux, 33076  France.ORCID https://orcid.org/0000-0002-9393-9732
Cleophas ChimbeteteNewlands Clinic, Harare, Zimbabwe.ORCID https://orcid.org/0000-0002-3756-3523
Denis NashInstitute for Implementation Science in Population Health, City University of New York, Graduate School of Public Health and Health Policy, New York, NY 10027, United States.ORCID https://orcid.org/0000-0002-3280-5386

Funding

East Africa International Epidemiology Database to evaluate AIDS (IeDEA) Regional ConsortiumU01AI069911 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI Leslie Anne Enane, AGGREY SEMWENDERO SEMEERE · 2006 to 2026
$57.7M
Observational Antiretroviral Studies In Southern Africa (OASIS) CollaborationU01AI069924 · NIAID · UNIVERSITAT BERN · PI Cleophas Chimbetete, Mary-Ann Davies · 2006 to 2026
$55.9M
The Asia-Pacific HIV Research CollaborationU01AI069907 · NIAID · FOUNDATION FOR AIDS RESEARCH · PI ANNETTE H SOHN · 2006 to 2026
$44.8M
CCASAnet: Caribbean, Central and South America NetworkU01AI069923 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Pedro Enrique Cahn, Jessica L Castilho · 2006 to 2026
$41.6M
"Enhancing Cancer Research in Central Africa IeDEA"U01AI096299 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Denis Nash, Marcel Yotebieng · 2011 to 2026
$35.8M
Harmonist: A Scalable Toolkit for Standardizing and Coordinating Data Sharing Across International Research NetworksR24AI124872 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Stephany Norah Duda · 2016 to 2026
$12.5M
NIAID NIH HHS R24 AI124872NIAID NIH HHS U01 AI069907NIAID NIH HHS U01 AI069911NIAID NIH HHS U01 AI069923NIAID NIH HHS U01 AI069924NIAID NIH HHS U01 AI096299
6 · The paper itself

Abstract

Introduction: After the freezing of US foreign assistance in January 2025, the International Epidemiology Databases to Evaluate AIDS (IeDEA) conducted a rapid survey among clinics and programs actively participating in the research consortium to assess the status of HIV-related service delivery in mid-2025. Methods: In June-July 2025, an online survey was distributed to 103 IeDEA-participating clinics/programs in 41 countries in sub-Saharan Africa, Latin America and the Caribbean, and Asia-Pacific. Survey domains included US funding-related disruptions in service delivery, medication availability, laboratory services, clinic operations, and attendant mitigation strategies. Responses were received from 76/103 (74%) clinics/programs in 32/41 (78%) countries. Descriptive statistics were used to characterize disruptions in HIV-related care and mitigation measures. Results: Almost half of responding sites reported disruptions in HIV-related services (47%) since January 2025, along with disruptions in medication availability (28%), laboratory services (34%), and non-research clinic operations (47%). Among those reporting disruptions in HIV-related services, only 14% reported that all disruptions were fully resolved at the time of the survey. Conclusion: Given anticipated reductions in global HIV funding, government- and community-led monitoring of HIV prevention and treatment services and care outcomes are critical for informing national responses and averting reversal of progress in ending the epidemic.

Indexed as

clinic operationsfunding disruptionsHIV careservice deliveryUS government

Identifiers

PMID41732341
PMCPMC12925645

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.