Browsing by Author "Chola M"

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    Africa's defining moment: the time to lead the HIV response is now.
    (2025-May) Chola M; Sikazwe I; Robalo M; Oduro-Bonsrah P; Coutinho A; Sheneberger R; Ozoemene J; M'pele P; Nyamweya D; Stevenson S; Raphael Y; Nene SM; Ataguba J; Chakroun M; Sidibe M; Institute for Global Health and Development, Bissau, Guinea-Bissau.; SCMN Global Health Consulting, Pretoria, South Africa.; Centre for Infectious Disease Research in Zambia, Lusaka 10101, Zambia.; SECTION27, Johannesburg, South Africa.; Fattouma Bourguiba University Hospital, Monastir, Tunisia.; African Health Economics and Policy Association, Accra, Ghana; Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.; Africa Working Group, The G4 Alliance, Cotonou, Benin.; Advocates for the Prevention of HIV in Africa, Johannesburg, South Africa.; Africa Medicines Agency, Bamako, Mali.; Centre for Infectious Disease Research in Zambia, Lusaka 10101, Zambia. Electronic address: Mumbi.chola@cidrz.org.; HIV Trust Fund of Nigeria, Lagos, Nigeria; Nigeria Business Coalition Against AIDS, Lagos, Nigeria.; Kofi Annan Global Health Leadership Program, Africa Centres for Disease Control, Addis Ababa, Ethiopia.; Operation Triple Zero, Nairobi, Kenya.; CIDRZ; Centre for Infectious Disease Research in Zambia (CIDRZ)
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    The global HIV response at a crossroads: protecting gains and advancing sustainability amid funding disruptions.
    (2025-Jul) Matanje B; Masha RL; Rwibasira G; Ngure K; Yahaya HB; Anam FR; Chola M; Subedar H; Chunda L; Holmes CB; HIV, STI, Viral Hepatitis and Other Viral Diseases Control Division, Rwanda Biomedical Centre, Kigali, Rwanda.; Malawi Ministry of Health, Lilongwe, Malawi.; South Africa Department of Health, Pretoria, South Africa.; Global Network of People Living with HIV (GNP+), Nairobi, Kenya.; Center for Innovation in Global Health, Georgetown University, Washington, DC, USA.; Kenya National Syndemic Diseases Control Council, Nairobi, Kenya.; African-led HIV Control Working Group, Centre for Infectious Disease Research in Zambia (CIDRZ), Lusaka, Zambia.; Nigeria National Agency for the Control of AIDS, Abuja, Nigeria.; School of Public Health, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.; Malawi National AIDS Commission, Lilongwe, Malawi. Electronic address: matanjeb@aidsmalawi.org.mw.
    The global HIV response faces a crisis as abrupt funding cuts, particularly from the USA, threaten decades of progress. Governments across Africa report widespread disruptions in essential services, including HIV testing, treatment, and prevention. Reliance on previously stable partnerships and external funding has left many programmes vulnerable to sudden financial shock. Achieving self-reliance will require national health system integration, streamlined service delivery, digital health solutions to extend health system functions, and diversified funding sources, including greater mobilisation of domestic resources, innovative financing, and impact investment. Although some countries have made major strides towards self-reliance, urgent actions are needed to protect against harms to individuals and communities due to service delivery interruptions. Governments should lead efforts to integrate the continuum of HIV services into broader health systems, and donors should pivot towards strategic support, including technical assistance and catalytic funding for commodities and services that mitigate harms. Without decisive action, funding disruptions could result in catastrophic increases in infections and mortality, undermining the global HIV response for the next generation.