US phases out $45M annual support for Namibia HIV program

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WINDHOEK, Namibia (AP) — The United States will start phasing out its financial support for Namibia's HIV response programs, the latest among southern African countries to feel the effects of the withdrawal of foreign aid by the U.S. administration.

The U.S. will provide Namibia with $45 million for its HIV response in the 2027 fiscal year but the country will then start funding its own HIV programs, with the U.S. only providing “technical cooperation," both countries said in statement.

Namibia has received around $45 million annually through the U.S. President’s Emergency Plan for AIDS Relief in recent years. The United States says it has contributed more than $1.1 billion to Namibia’s HIV response since 2003.

While the withdrawal of the funding was expected since the Trump administration’s “America First” approach to foreign aid was announced, it follows Namibia’s rejection of proposed provisions for sharing health data and biological specimens with the United States. Namibia cited privacy, sovereignty and legal concerns for its decision.

The Trump administration has been entering into country-by-country agreements that Washington says will reduce donor dependency, increase domestic financing and safeguard American interests. The U.S. has signed agreements with about 30 countries since late last year, many of them in Africa.

But Ghana rejected a proposed agreement over access to sensitive health data, Zimbabwe withdrew from a $367 million package over similar concerns, and a court challenge has put Kenya’s $2.5 billion agreement on hold. Zambia has also objected to data-sharing demands.

Namibian officials previously said the proposed provisions in their original form were “not in compliance with Namibia’s national laws” and infringed constitutional privacy protections and national sovereignty over biological resources."

Both government are reported to be negotiating a new bilateral health agreement.

The joint statement said Namibia had surpassed UNAIDS targets by achieving a target of 96% of people living with HIV knowing their status, 98% of those diagnosed receiving treatment, and 98% of those treated having achieved viral suppression.

“Over the next year, this support will transition into a technical cooperation model as the HIV response is fully integrated into Namibia’s sustainable national health system, in line with Namibia’s national laws,” the governments said in a joint statement.

The U.S. recently announced the phasing out of more than $400 million in support annually for South Africa's HIV programs. It has also started a "phased drawdown” of the President’s Emergency Plan for AIDS Relief, a program that has supported South Africa’s battle against HIV and AIDS for the past 20 years and is widely credited with saving more than 20 million lives over that period.