PEPFAR, Global Fund, and the future of HIV care

PEPFAR, Global Fund, and the future of HIV care

In this week’s edition of This Week in Global Development, we unpack the precarious state of the U.S. President's Emergency Plan for AIDS Relief, or PEPFAR. Despite ongoing congressional support, a significant disconnect between allocated funds and State Department disbursements has left major implementing agencies such as the U.S. Centers for Disease Control and Prevention operating on less than half their usual budget. As bridge funding begins to dry up and transition plans for bilateral health deals stall, the real-world consequences are starting to emerge — from shuttered drop-in centers in Nairobi to drastic service cuts in Uganda — and are putting key populations at immediate risk.

When it comes to on-the-ground implementation, the Global Fund to Fight AIDS, Tuberculosis and Malaria is increasingly expected to fill the vacuum left by the dismantling of USAID projects. This shift toward using the Global Fund’s infrastructure for large-scale health transitions has been fraught with technical hurdles, however, including performance issues with the fund’s wambo.org procurement platform and the looming policy implications of the expanded global gag rule.

To dig into these stories, Editor Rumbi Chakamba sits down with Devex reporters Andrew Green and Jenny Lei Ravelo for the latest episode of our weekly podcast series.

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Episoder(244)

Special Edition: AI in practice: Bridging the implementation gap

Special Edition: AI in practice: Bridging the implementation gap

Across the global development landscape, artificial intelligence promises to redefine how health, education, and social protection services are delivered. However, moving past small-scale piloting to ...

6 Okt 27min

Special edition: Reimagining financing for development and growth

Special edition: Reimagining financing for development and growth

The fundamental question of how development and growth are financed is undergoing a profound transformation. Over the course of a series of original essays and op-eds, The Next Frontier – a Devex seri...

2 Okt 33min

Inside the US global health overhaul and Buffett's philanthropic strategy

Inside the US global health overhaul and Buffett's philanthropic strategy

The United States is set to implement one of the biggest overhauls of its global health assistance in decades. The new strategy will reshape how billions of dollars flow to 35 countries, shifting grea...

1 Okt 35min

The Power to Decide: Reclaiming Sovereignty in a Digital Era

The Power to Decide: Reclaiming Sovereignty in a Digital Era

In this special edition episode of This Week in Global Development, sponsored by Public Digital, Devex's Alan Robbins sits down with Public Digital's Lauren Kahn and Mike Bracken CBE. Recorded at Deve...

30 Sep 29min

Global Progress in the AI Era: As Anthropic urges caution on AI, its ‘beneficial deployments’ work grows

Global Progress in the AI Era: As Anthropic urges caution on AI, its ‘beneficial deployments’ work grows

Anthropic co-founder and CEO Dario Amodei made headlines recently by calling for slowing the development of increasingly powerful AI models to give safety measures time to catch up. That only increase...

25 Sep 30min

Live from UNGA: Navigating the new era of multilateralism

Live from UNGA: Navigating the new era of multilateralism

This week we are closely tracking the conversations at the 81st session of the United Nations General Assembly and what they mean for the global development sector. From U.S. President Donald Trump’s ...

24 Sep 20min

The Gates Foundation's latest AI pledge, and a look ahead to UNGA 81

The Gates Foundation's latest AI pledge, and a look ahead to UNGA 81

This week, we report on the Gates Foundation’s 2026 Goalkeepers Report, which includes a $1 billion pledge to make AI more inclusive. The funding aims to expand access across health, education, agricu...

17 Sep 38min

Special edition: The real funding gap isn't money

Special edition: The real funding gap isn't money

In this special episode of the This Week in Global Development podcast, sponsored by Rippleworks, Devex Senior Editor for Special Coverage Catherine Cheney sits down with Doug Galen, CEO of Ripplework...

15 Sep 32min

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