GENEVA, 5 February 2026—UNAIDS welcomes the signing into law of a bipartisan US$ 5.88 billion spending package that reinforces the continued commitment and leadership of the United States in the global response to HIV.

US President Donald Trump signed the consolidated spending package into law on 3 February 2026 which allocates US$ 4.6 billion to bilateral HIV support through the America First Global Health Strategy, US$ 1.25 billion to the Global Fund to Fight AIDS, Tuberculosis and Malaria and US$ 45 million to UNAIDS. 

“I thank President Trump and the US Congress for their continued commitment to HIV and global health,” said Winnie Byanyima, Executive Director of UNAIDS. “This US investment will provide life-saving support for millions of people in partner countries and help to ensure that the global HIV response remains efficient, data-driven and delivers results.”

The law advances the America First Global Health Strategy, which emphasizes the achievement of UNAIDS’ 95-95-95 targets as an integral part of ending AIDS as a public health threat by 2030 and accelerates the strategic shift towards country ownership and self-reliant HIV responses. For more than two decades, US investments have been the leading driver of the global HIV response, saving millions of lives and supporting countries' efforts to end their AIDS epidemics. 

UNAIDS is committed to leverage the funding to provide data and rigorous technical and strategic support to countries and communities most affected by HIV and for the implementation of the America First Global Health Strategy, working closely with the US Government, the Global Fund, partner governments and communities. 

Since the establishment of UNAIDS in 1996, the US Government has been a leading partner of UNAIDS and recently renewed its membership in the UNAIDS Programme Coordinating Board through to 2028.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

For 24-year-old Rakhants’a Lehloibi, growing up in the rural village of Maphutseng, in Lesotho, meant navigating life with a secret he didn’t fully understand. Born with HIV, he spent his earliest years believing the antiretroviral (ARV) treatment he took daily was simply to stop frequent nosebleeds—a story his grandmother told to shield him from the stigma surrounding HIV.

“Life was tough, but my grandmother gave me all the love in the world,” he recalled. “I never felt like I lacked anything—except answers.”

Rakhants’a’s mother died when he was very young, leaving his grandmother to raise him. In 2007, when he was just 4 years old, he became severely ill. Traditional healers were consulted, but their remedies failed. It was only when he was taken to a local clinic that he was tested and diagnosed with HIV.

“Back then, I didn’t even know what HIV was,” he said. “My grandmother told me the pills I was taking were to stop nosebleeds. I believed her.”

In Lesotho—as in much of sub-Saharan Africa—stigma against people living with HIV remains widespread. Many conceal their status to avoid rejection by family and community.

“For years, I took pills but I didn’t understand why. I missed school for clinic visits. I watched my grandmother struggle just to make sure I got my medication,” Rakhants’a said. Eventually, doubting the need for treatment since his nosebleeds stopped, he began skipping doses. “I didn’t know I was putting my life at risk.”

The stigma he faced only deepened his struggle. “Kids at school whispered that I had AIDS. I felt isolated, ashamed and angry. I even thought about running away just to escape the pain. But I kept going. I passed my exams and later moved to the country’s capital Maseru to live with my sister and attend high school.”

UNAIDS country Director for Lesotho, Pepukai Chikukwa, agrees that "Though HIV stigma has reduced over the years, it is still a critical barrier to the AIDS epidemic, obstructing access to life-saving HIV prevention and treatment." Ms Chikukwa adds that it pushes people away from care and increases their risk of infection. Ms Chikukwa noted that “Addressing HIV-related stigma and discrimination requires a coordinated, multi-level, and multi-setting approach involving individuals, communities, organizations and policymakers.”

It was in Maseru that Rakhants’a’s life began to change. At Baylor Clinic, he finally learned the truth about his diagnosis and joined the Teen Club, a support network for young people living with HIV.

“For the first time, I met others like me. I realized I had been born with HIV, passed on from my late mother. That was a turning point.”

Still, the journey was not easy. Poor adherence to HIV treatment meant that Rakhants’a’s viral load was dangerously high. One health worker bluntly told him he was “as good as dead.” Placed on second-line treatment—five pills a day instead of one—he felt overwhelmed.

“At first, it was hard. But instead of giving up, I prayed every day and asked my mother to watch over me. Slowly, things changed. I gained strength, I took my medication properly, and within three months, my viral load was suppressed.”

Today, Rakhants’a uses his voice to fight stigma and inspire others. Through social media and community platforms, he spreads a message of hope and resilience.

“Being HIV positive doesn’t mean your life is over,” he said. “With proper treatment and support, we can live full, healthy lives.”

According to UNAIDS, there are 260,000 people living with HIV in Lesotho and 3200 people became newly infected with HIV in 2024. There were 6,400 children aged between 0 to 14 years, living with HIV. Nonetheless, 97% of people living with HIV know their status, of those, 97% are receiving HIV treatment and 99% of those are virally suppressed. In 2023, 11.3% of women and 18.5% of men aged 15 – 49 years old reported discriminatory attitudes toward people living with HIV.

The United Nations Deputy Secretary-General, Amina Mohammed, joined the 57th meeting of the UNAIDS Programme Coordinating Board (PCB) in Brasilia, bringing a clear message: the UN will stand with governments and communities until AIDS is ended as a public health threat.

In her remarks to the Board, the Deputy Secretary-General commended the inclusive and constructive nature of the deliberations and reaffirmed that the ongoing UN80 reform process will strengthen – not diminish – the global AIDS response. She stressed that reform must be deliberate and protect what works. “There is a sense of urgency, but let me underscore here, we are not in a hurry to fail... We must achieve common ground around all the concerns that the PCB and civil society have aired over the last few weeks in particular,” she said.

Ms. Mohammed warned of growing financial pressures on countries and donors, highlighting the strain on domestic resources in low- and middle-income countries, driven by debt and the cost of debt servicing. “Governments, even if they wanted to prioritize HIV and AIDS as a budget spend, quite frankly are taking away from education, taking away from health, because they cannot meet that [cost],” she said. “Part of what we have to do today with this strategy and with the transitions that we offer in UN80 – and UNAIDS is one of them – is how to convince the international community to come back.”

The UN80 initiative aims to make the UN development system more coherent, integrated, and fit for purpose in a rapidly changing world. For UNAIDS, this means a two-phase transition that preserves its core functions and highest-value contributions to the global AIDS response – leadership and advocacy, convening and coordination, accountability and data, and community engagement.

During its meeting, the PCB adopted landmark decisions that will shape the next phase of the HIV response:

• Global AIDS Strategy 2026–2031: A bold, evidence-informed roadmap grounded in human rights, gender equality, and community leadership. The strategy will guide preparations for the 2026 UN General Assembly High-Level Meeting on AIDS and negotiations for the political declaration.
• UNAIDS and UN80 transition: The Board reaffirmed its commitment to a responsible, inclusive transition of the UNAIDS Joint Programme within the wider UN development system. A PCB Working Group will be established in early 2026 to ensure the process is orderly, transparent, and safeguards UNAIDS’ core functions.

“I have seen many across the agencies that I chair in the UN Sustainable Development Group … This is a really good one. Why? Because it has so much clarity, it has so much of a division of labour, but I think that in this particular case, what has helped it is this nature of inclusion that you have had, and demonstrated, in the PCB, with civil society having such a strong voice,” said Ms Mohammed.

The PCB meeting also featured a one-day thematic discussion on long-acting antiretrovirals, highlighting their potential to transform HIV prevention and treatment. With political will, financing, and partnerships, these innovations can dramatically reduce new infections and accelerate progress toward ending AIDS.

“Ending AIDS remains achievable,” she concluded. “But only if resources match our ambition.”