The Trump admin said it would prioritize ending mother-to-child HIV transmission. Health workers say it cut services

In Mbeya, Tanzania, pediatrician Theopista Masenge was abruptly told in January 2025 to stop a program supporting HIV-exposed infants, children and pregnant women after receiving a letter directing operations to halt from the then-dismantled U.S. Agency for International Development (USAID). More than a year later, Masenge says disruptions to HIV/AIDS services for children and pregnant women persist across Tanzania, even as limited U.S. funding returned. A July study by amfAR, with Johns Hopkins University, surveyed 166 organizations in 46 countries funded through PEPFAR and found 63% reported disruptions to mother-to-child transmission prevention; 22% ended those services entirely.