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# US health funding cuts in 2025 and HIV and TB service uptake in Kenya
- URL: https://www.coios.me/us-health-funding-cuts-in-2025-and-hiv-and-tb-service/
- Published: 2026-11-08T13:15:00.000Z
- Updated: 2026-11-08T14:08:00.000Z
- Description: After US health funding to Kenya stopped in early 2025, recorded HIV testing, prevention and treatment fell within two months.
- Author: Daniel Ryan
- Tags: Data, models and systems, Health systems and access, Kenya, #peer-reviewed, #new, #item, #source-2026-11, #score-75

This mixed-methods study examined how the abrupt 2025 halt in US health funding affected health services in Kenya. Monthly national Kenya Health Information System data, January 2024 to September 2025, were described alongside 14 key informant interviews. HIV tests fell from 266,205 in December 2024 to 93,598 in February 2025\. Numbers of people living with HIV on ART, on co-trimoxazole and screened for TB each fell by 72% to 78%. Informants described layoffs, stockouts, failing data systems, clinic closures and worse mental health among laid-off workers. Trends were described without statistical testing and cannot separate service loss from changed care-seeking or reporting failure.

*Why it is interesting: Kenya's routine data show how quickly HIV and TB services fell after an abrupt donor withdrawal. Reporting completeness held at 2024 levels for every indicator except PrEP at drop-in centres, which fell from 71% to 41%.*

Source

[BMC Public Health, 5 November 2026](https://doi.org/10.1186/s12889-026-28888-8?ref=coios.me)

Paper

“We cannot rely on foreign entities to take care of our health… we need to change our mindset”: immediate impacts of the 2025 U.S. government funding cuts on health in Kenya

Authors

Ferguson L, Lakati AS, Emoto S, Wanyonyi HB, Adji FR, Tompoi W et al.

DOI

10.1186/s12889-026-28888-8

Full text

[Open copy](https://pmc.ncbi.nlm.nih.gov/articles/PMC13741585/?ref=coios.me) (open-access copy, PubMed Central)

Type

Peer-reviewed article

Design

Mixed-methods: interrupted time trends in routine Kenya Health Information System service-uptake indicators plus 14 key-informant interviews, 2024-2025

Verdict

New finding

Driver

[Health systems and access](https://www.coios.me/d-health-systems/)