Feature Story

Impact of US funding freeze on HIV programmes in Kazakhstan

12 March 2025

  1. CDC-Funded Programs:
    • CDC-funded programs continue operations with ICAP as the implementer, applying the conditions of the Temporary Restricting Order (TRO) and the Limited Waiver to Pause focusing on health system strengthening, laboratory support, and medical worker capacity-building. 
  2. USAID-Funded Activities:
    • Status: Remain paused as the waiver related to USAID funding has not been operationalized.
  3. Global Fund (GF):
    • The Global Fund is considering using savings to maintain the national electronic register as an immediate mitigation measure, with the National Center taking ownership and transitioning it to national hosting.
  4. Reduction in Services:
    • HIV Testing and Outreach: 90% reduction for key populations, affecting four HIV-servicing NGOs in two regions. These regions account for 20% of the population of people who use drugs and 9% of the population of men who have sex with men (MSM).
    • Impact: Expected to affect national targets on new case detection, treatment adherence, and PrEP scale-up.

Politically Relevant Updates

  1. Government Mitigation Measures:
    • Domestic Funding: There is a commitment to use domestic funding to cover outreach work gaps in two regions, allowing AIDS centers to contract outreach workers, given that the funding pause will lead to termination after the 90-day freeze.
  2. Civil Society Response:
    • Mitigation Strategies: Some of the mitigation strategies and innovations by civil society (including community) include maintaining services through volunteering, applying for social contracting, shifting outreach workers to AIDS center contracts, transitioning to web outreach, reviewing plans with mid- and long-term scenarios, and engaging in dialogue with the Global Fund on the uptake of some service funding after the 90-day pause and once there is more clarity on the final decision.
    • National Consultation: Convened by UNAIDS with national partners to assess risks and possible scenarios.
    • Joint UN Team Meeting: Conducted to assess the potential impact on cooperation, technical assistance, and partnerships.
    • Community Engagement: Civil society and community representatives actively involved in maintaining services and planning for mid- and long-term scenarios.

UN Response:

  • National Consultation: Convened by UNAIDS with national partners to assess risks and possible scenarios.
  • Joint UN Team Meeting: Conducted to assess the potential impact on cooperation, technical assistance, and partnerships.
  • Community Engagement: Civil society and community representatives actively involved in maintaining services and planning for mid- and long-term scenarios.