Countries have started negotiating with the State Department about the future of U.S. global health funding. But the organizations that work with some of the most vulnerable communities were not invited into those talks:

My newsletter this week is a little different. While I tend to focus broadly on the impact of U.S. funding cuts on HIV programs, I zeroed in this week on on one woman, Mercy Mdoka. Her story is a window into the needless suffering these cuts have caused:

Botswana's health sector was already reeling as the country's economy unravels. Then the Trump administration cut crucial support to its HIV programs:

The new America First Global Health Strategy prioritizes support for community health workers. So why did the Trump administration just spend nine months firing so many of them:

My latest for @TheLancet on the disruption to Malawi's #HIV response caused by the U.S. aid cuts

“There was total disruption” The Government is attempting to replace and recreate diagnostic, testing, and support services cut following the cessation of US aid. Andrew Green reports from Malawi ✍️ https://t.co/DNd0cmqGZ6

Sovereignty was central in discussions of the future global health response at this year's World Health Summit. But where will that leave vulnerable communities?

At this week's World Health Summit in Berlin, the global south arrived with a welcome vision for the future of the global health response, but it is not without some potential complications:

@Winnie_Byanyima Lydia’s story, reported by the journalist @_andrew_green, is a heartbreaking reminder than when governments suddenly withdraw from development cooperation without a plan, people pay with their lives. https://t.co/Qmcsge9PxD

Why are health workers across sub-Saharan Africa skeptical about the push to end standalone #HIV services?

In its new global health policy, the #Trump administration crows about decades of U.S. investments that have saved 26 million lives. At the same time, though, the strategy condemns the organizations America has partnered with to actually save those lives:

Trump's new global health policy appears eager to cut funding to the NGOs that actually reach communities with HIV services, where government clinics are unable:

It's astonishing that in its new global health strategy, the U.S. would take credit for helping to end the Ebola outbreak in Uganda. In fact, the U.S. global health funding pause completely disrupted and delayed that response, as I reported at the time:

After the #Trump admin's widespread cuts to global health, #Malawi changed the rules for how donors engage with the country:

Sign up for my Substack, https://t.co/tbn5EYG4yv, for coverage of the impact of the Trump funding cuts on the global HIV response and how countries and communities are responding.

Malawi responded quickly after Trump froze HIV programs, ensuring essential services were still up and running. Then officials turned to rethinking their relationship with donors to make sure they would never be put in that position again:

The Trump admin has revived a Biden-era program to get a new, long-acting injectable form of HIV prevention to 2 million people. Good news, right? Except Trump wants to exclude gay men, trans women and sex workers--the people the shot would benefit most:

LATEST NEWS by @_andrew_green @devex : The fight to get #HIV services back on track after the #USAIDcuts in Malawi 🇲🇼 Hear from Simon Sikwese, ED of our partners @IhdcPakachere, to learn about the real-life impact on the national HIV response ⤵️ https://t.co/EmNwBmQ5BS

In a few years, maternal deaths in #Malawi have dropped from 381 to 225 per 100,000 births. Recent US funding cuts are threatening these hard-fought gains. See how @UNFPA is responding to continue to make #motherhood safer: https://t.co/iBUHPqCKQE ✍️ @_andrew_green via @devex

Trump's devastating impact on queer communities doesn't stop at the U.S. border. #LGBTQ abroad are being blamed for losing their countries access to #HIV funding. This cruel backlash is causing people to lose access to health services and go into hiding: