New survey reveals 80% of HIV service organizations face severe disruptions, threatening decades of progress in the Caribbean
KINGSTON, JAMAICA, 10 June 2025—Caribbean HIV service organisations are experiencing severe service disruptions and financial instability that threaten to reverse decades of progress in the HIV response due to the funding pause issued by the US Government in January 2025.
A rapid assessment, which was conducted by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the Pan Caribbean Partnership against HIV and AIDS (PANCAP), among some of the main organizations, between March 27 and April 22, 2025, reveals there has been widespread disruptions to essential HIV services. HIV prevention and testing services—critical for maintaining the region’s progress toward ending AIDS—have faced universal disruption. Capacity building for organizations was the most severely impacted with 80% of them reporting suspensions or significant reductions in services. Social protection services have seen 75% disruption, while human rights programming, a cornerstone of the Caribbean HIV response, has been affected in 67% of cases.
“We cannot allow the progress we have made in the Caribbean to be reversed. The findings paint a stark picture of a fragile funding ecosystem that has left our most vulnerable communities without critical support,” said Dr. Richard Amenyah, Director of the UNAIDS Multi-Country Office for the Caribbean. “These organizations are not just service providers—they are the backbone of our HIV response, reaching populations that formal health systems often cannot access.”
The survey also found that only 25% of organizations can sustain services for two to six months without alternative funding, while 64% are uncertain about their ability to continue operations. Already, organisations reported increased health risks, reduced access to care, and heightened mental health challenges, including depression and isolation, among some of the region’s most vulnerable citizens.
UNAIDS and PANCAP are calling for immediate action to address the funding crisis and ensure the continuity of life-saving HIV services across the Caribbean. They will host a regional dissemination meeting on Wednesday, June 11, 2025, featuring the CARICOM Deputy General Secretary, Dr Armstrong Alexis, and other regional experts, along with Government and civil society representatives, in a dialogue on building sustainable HIV responses in times of funding uncertainty.
“This meeting represents a critical opportunity for our region to come together, share experiences, and develop collective strategies for resilience,” said Dr. Wendy Telgt Emanuelson, PANCAP Director. “We must ensure that the voices of those most affected are heard and that we emerge from this situation stronger, more resilient and sustainable.”
For registration to the June 11 dissemination meeting:
https://us06web.zoom.us/meeting/register/7-tlPLP4S-y1ppLKx_5aNw#/registration
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Media Contact:
Jaevion Nelson
UNAIDS Caribbean Multi-Country Office
nelsonj@unaids.org
+ 1 876 459 3211
Richard Francois
PANCAP Coordinating Unit
rfrancois.consultant@caricom.org
+592 627 6282
UNAIDS
The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals.
WHAT IS PANCAP?
PANCAP is a Caribbean regional partnership of governments, regional civil society organisations, regional institutions and organisations, bilateral and multilateral agencies and contributing donor partners established on 14 February 2001. PANCAP provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, and coordinates the response through the Caribbean Regional Strategic Framework on HIV and AIDS to maximise efficient use of resources and increase impact, mobilise resources and build the capacity of partners.
What are the Global AIDS Strategy 2021–2026 targets and commitments?
If targets and commitments in the strategy are achieved:
- The number of people who newly acquire HIV will decrease from 1.7 million in 2019 to less than 370 000 by 2025
- The number of people dying from AIDS-related illnesses will decrease from 690 000 in 2019 to less than 250 000 in 2025.
- The goal of eliminating new HIV infections among children will see the number of new HIV infections drop from 150,000 in 2019 to less than 22,000 in 2025.
What are the 95-95-95 Targets for ending AIDS?
- 95% of People Living with HIV know their HIV status;
- 95% of people who know their status on treatment; and
- 95% of people on treatment with suppressed viral loads.
HELPFUL LINKS:
Global AIDS Strategy 2021–2026, End Inequalities, End AIDS
https://pancap.org/pancap-documents/global-aids-strategy-2021-2026-end-inequalities-end-aids/
Caribbean Regional Strategic Framework on HIV and AIDS (CRSF) 2019-2025
https://pancap.org/pancap-documents/caribbean-regional-strategic-framework-2019-2025/