Sustaining HIV gains towards the UNAIDS 95 95 95 targets amid a shifting funding landscape in Sub Saharan Africa

Sub‑Saharan Africa has made major strides toward the UNAIDS 95‑95‑95 goals, but abrupt donor funding cuts—most notably the 2025 suspension of PEPFAR disbursements—now threaten hard‑won progress. A review of 15 studies and reports (2020–2025) shows that decreased financing is already disrupting HIV testing, ART initiation, and viral load monitoring through supply shortages, reduced outreach, and strained laboratory capacity, with projections of sharply rising infections and AIDS‑related deaths if unmitigated. The impacts are uneven, widening inequities between well‑resourced countries and more fragile settings. While emergency stop‑gap measures are essential, long‑term resilience will require stronger domestic resource mobilization, integration of HIV care into primary health systems, expanded digital and community‑led service delivery, and smarter, data‑driven resource allocation to ensure that the region can sustain and localize its HIV response despite the shifting donor landscape.