The U.S. is cutting its $45 million annual HIV aid to Namibia, shifting from direct funding to technical support only — a move tied to America First policies and Namibia’s refusal to share sensitive health data. While Namibia has exceeded global HIV targets despite the change, similar tensions are brewing across Africa, with Kenya, Zambia, Ghana, and Zimbabwe also resisting data-sharing or facing stalled agreements. This marks a broader pivot in U.S. global health funding — including a parallel $400 million cut to South Africa — as donor nations push countries toward self-sustaining health systems.

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