© WHO / Dan Agostini
Gustavo, a young volunteer distributes HIV and other STIs prevention kit to a resident of the Heliópolis community as part of the prevention activities of the "Heliópolis Investing in Life" project in São Paulo, Brazil, in April 2024.
© Credits

Sustaining HIV, hepatitis and STIs services amid declining health aid

The global health responses to HIV, hepatitis, sexually transmitted infections and other communicable diseases – such as malaria, tuberculosis, vaccine preventable diseases and neglected tropical diseases – have been severely impacted by the recent suspensions and reductions in official development assistance for health.

Over 20 million people are at risk of losing access to life-saving HIV medications, while critical health services are facing major disruptions. These interruptions threaten the continuity of essential health services, leading to setbacks in preventing new infections and increasing the risk of a resurgence in epidemics, potentially reversing decades of progress.

This page provides links to key data and updates on reported disruptions in health service delivery, as well as technical resources, guidance and recommendations to help countries, ministries of health and communities sustain the provision of essential services during this challenging period.

It also offers practical information for communities and most vulnerable people on managing potential treatment interruptions due to service disruptions, drug shortages or stockouts.

Our collective efforts focus on ensuring the continuity of care, minimizing setbacks and working toward sustainable, long-term solutions to protect the health of vulnerable populations.

75 out of 106

surveyed countries

reported disruptions in at least one essential health service area.

Read more

Operational guidance


Sustaining priority services for HIV, viral hepatitis and sexually transmitted infections in a changing funding landscape
This operational guidance provides a structured approach to support countries in sustaining priority services for HIV, viral hepatitis and sexually transmitted...

Global webinar

Webinar recording

Webinar presentations


Short presentation (PDF, 4,7 Mb)

Full presentation (PDF, 6.6 Mb)

Presentation in French (PDF, 3.7 Mb)

Supporting documents

Example of mapped baseline set of services and interventions for a country priority-setting exercise 
Check-list version (MS Word, 115 kB) | Adaptable version (xlsx, 30 kB)

Mapping interventions: the responsible expert group or committee maps and compiles a comprehensive list of interventions to be considered in the priority-setting process. The basis of the list may be interventions that are already included in national policies and strategies. Please refer to WHO recommendations and guidance to identify granularities withing specific services and interventions to determine the baseline list. Defining interventions with sufficient specificity is critical, including distinctions between general population services and those tailored to specific population groups. This enables more accurate scoring against priority-setting criteria.

Criteria/scoring threshold table (MS Word, 35 kB)

Criteria may be scored in different ways. For rapid exercises, a simple colour-coded scoring may be used as a minimal approach for scoring each criterion: green, yellow or red indicating high, moderate or low performance on that criterion. The table presents guidance on how common criteria may be scored.

Fact sheet examples – A. Cost–effectiveness and B. Budget impact (MS Word, 45 kB)

List of priority-setting process planning and self-check questions (MS Word, 780 kB)

Reports

The impact of suspensions  and reductions in official development assistance on health systems: Strategic information and analytics report No 1

This report provides information on the recent WHO surveys on the impact of suspensions and reductions in official development assistance (ODA) on health...

To better understand and respond to the urgent challenges that countries are facing in terms of the impact on health systems caused by recent suspensions...