2025 was a year of extraordinary change for the global HIV response.
Cuts in official development assistance for health, the closure of USAID, and the issuance of stop-work orders disrupted HIV programs and services throughout the network. Nearly half of CQUIN member countries experienced cuts of more than 50% in health aid from the United States government, and Global Fund awards to network members were reduced by an average of 11% (range 7-16%). As a result, many HIV services were disrupted, as was program monitoring and evaluation (M&E).
In response, the CQUIN network pivoted from its emphasis on differentiated service delivery to support country teams in prioritizing, planning, and adapting HIV programs to the current context. Strategic planning, cross-country exchange and learning, co-creation of practical tools, and targeted technical assistance are positioning member countries to optimize their HIV programs in the context of lower budgets, new donor agreements, and new partners.
CQUIN will continue this work at a three-day in-person meeting for Ministries of Health, recipients of care, and other stakeholders from April 20-22, 2026. The meeting will focus on exchanging practical lessons, tools, and strategies. It will also aim to support countries in shaping their sustainability and transition planning. In response to country priorities, the four focal areas will include:
- Integration of HIV programs into routine health systems
- Adapting M&E programs and mitigating M&E system vulnerabilities
- Ensuring HIV service coverage and quality for key and vulnerable populations
- Prevention and treatment of advanced HIV disease