Post Reports The global fight against HIV/AIDS, in chaos
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Apr 7, 2025 
Katharine Houreld, the Nairobi correspondent for The Washington Post, shares insights into the current chaos in the global fight against HIV/AIDS, influenced by drastic U.S. foreign aid cuts. She tells the poignant story of Mary, a mother in Kenya, highlighting the dire consequences of funding disruptions. Clinics are closing, medications are rationed, and vulnerable communities are severely impacted. Houreld emphasizes the ongoing struggle for resources and the resilience of individuals confronting these challenges every day.
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Mary's Story
- Mary, a former sex worker in Kenya, supports her eight children, four of whom are adopted.
- She's an activist for sex workers' and women's rights and is deeply involved in her community.
HIV Prevalence and Prevention
- HIV is prevalent among sex workers and some of their children in Mary's neighborhood.
- However, effective medication has helped prevent mother-to-child transmission in recent years.
PEPFAR's Impact
- PEPFAR, launched in 2003, has drastically reduced HIV/AIDS deaths in Kenya.
- Deaths dropped from over 150,000 to 20,000 between PEPFAR's inception and 2023.