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    How economic resilience projects are helping HIV patients survive aid cuts

    PEPFAR cuts have left East African HIV clinics understocked and understaffed. In response, one nonprofit is showing how economic resilience can keep care going.

    By David Njagi // 23 July 2025

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    It was during a visit to Jinja, Uganda, last month that Chris Macoloo, the regional director for Africa at the global nonprofit World Neighbors, grasped the worsening effects of funding cuts to the U.S. President's Emergency Plan for AIDS Relief, or PEPFAR.

    People living with HIV and AIDS, or PLWHA, were receiving only a week’s worth of antiretroviral, or ARV, medication, instead of the two-month supply they had come to rely on. Sometimes, there was no medication at all.

    That meant patients had to make repeated trips to health facilities to check for availability — a costly disruption in terms of transport and incidental spending.

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    More reading:

    ► Cuts to USAID-funded research another blow to global HIV response

    ► Frustration mounts as Uganda faces HIV treatment shortages

    ► PEPFAR at crossroads: Lawmakers debate future of global HIV program

    • Global Health
    • Social/Inclusive Development
    • Economic Development
    • World Neighbors
    • U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
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    About the author

    • David Njagi

      David Njagi

      David Njagi is a Kenya-based Devex Contributing Reporter with over 12 years’ experience in the field of journalism. He graduated from the Technical University of Kenya with a diploma in journalism and public relations. He has reported for local and international media outlets, such as the BBC Future Planet, Reuters AlertNet, allAfrica.com, Inter Press Service, Science and Development Network, Mongabay Reporting Network, and Women’s Media Center.

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