Latin America/Caribbean Regional Impact

PrEP for key populations and community-led monitoring are on hold.

As of March 2025, only four months of PrEP supply remained, but the Ministry of Health has received authorization from the Global Fund to purchase more. A USAID project delivering PrEP through private facilities is now limited to providing self-testing. Only 11 of 30 promoters supporting doctors to initiate key populations on PrEP have been rehired.

Prevention programmes for key populations have been disrupted with increased risk of loss to follow-up in last mile communities. Community-run delivery sites have stepped in to serve users who lost access due to the stop work order.

PEPFAR provided 80% of PrEP services in the country. PrEP services have been suspended with the exception of pregnant and lactating populations; the Ministry of Health anticipates this will lead to a 30-50% increase in new infections.

PrEP distribution to key populations was initially suspended before being taken over by the Ministry of Health.

There is sufficient stock of PrEP for 6-12 months, but access to PrEP for key populations and adolescent girls and young women has been disrupted.