PEPFAR under review: what’s at stake for PEPFAR’s future
The US President’s Emergency Plan for AIDS Relief (PEPFAR) faces a pivotal moment, confronting one of its most challenging periods since its launch in 2003. The new policy priorities of the administration of US President Donald Trump, along with reports of 21 abortion services performed under PEPFAR-funded service providers in Mozambique, has intensified discussions about PEPFAR’s future.1 With PEPFAR’s authorisation set to expire on March 25, 2025, and a US State Department-mandated 90-day review of foreign aid underway,2 HIV and global health stakeholders have a short time to pursue urgent reforms to safeguard the future of this vital programme.