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%.
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