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Overcoming disruption, transforming the AIDS response

World AIDS Day 2025 arrives at a moment when global progress needs renewed energy, creativity and commitment. While UNAIDS has highlighted setbacks caused by funding cuts and global instability, this moment also reveals the strength of communities, innovators and health systems that continue to push forward despite the challenges. Across the world — and especially in South Africa — people are finding new ways to rebuild momentum, support those affected, and drive a more resilient response to HIV.

In 2024, an estimated 40.8 million people were living with HIV globally. There were about 1.3 million new infections and 630,000 AIDS-related deaths. Since 2010, these numbers have fallen by more than half, demonstrating what is possible when investment, science and community-led action work together. The disruptions of 2025 have threatened that progress, yet they have also underscored the central role of collaboration and local leadership in sustaining the response.

Transforming the AIDS response now means more than returning to old systems. It requires restoring financial and political support, while also strengthening the human rights frameworks that allow people to access care without fear or barriers. It also depends heavily on community organisations, youth-led groups, health workers, social innovators and civil society networks that have kept education, prevention and care alive even when resources were limited. These efforts show the power of people-driven health leadership.

South Africa remains one of the countries most affected by HIV, and the disruptions of 2025 have added pressure to clinics, community programmes and prevention efforts. However, the country also continues to demonstrate resilience and innovation. New youth education models, technology-enabled care, integrated health services and community mobilisation efforts are helping people stay connected to treatment and support. Local organisations, researchers, and social-impact partners are working together to build systems that can withstand uncertainty and protect decades of progress.

World AIDS Day is a reminder that protecting this progress is possible. By re-investing in public health, expanding access to prevention, strengthening education programmes, and building partnerships across sectors, the AIDS response can emerge stronger and more equitable. Communities affected by HIV continue to show leadership, courage and determination — and their work remains central to shaping the next chapter of the global response.

The future of the AIDS response is not only medical. It is a story of resilience, collaboration and shared responsibility.

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