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Trump Ends USAID, Uganda HIV Deaths Surge

4/23/2026

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Story summary
  • U.S. President Donald Trump dissolved USAID in 2025, leaving Uganda’s HIV clinics understaffed and triggering a rise in deaths.
  • Secretary of State Marco Rubio issued a narrow exemption restoring some HIV medicines but not distribution networks.
  • Shutdown ended SIKYOMU’s transport subsidies, forcing patients to skip visits or sacrifice food for medication.
  • Researchers say African governments spend below 15 percent of health budgets, leading U.S. to push cost-sharing under its Health Strategy.