Andrew Green
@theandrewgreen.bsky.social
Global health correspondent. Dispatches from the frontlines of the suddenly uncertain global AIDS response: https://theforsaken.substack.com/. 2025 Alicia Patterson Fellow.
Reposted by Andrew Green
The world agreed on a strategy to end AIDS known as 95-95-95: 95% of people with HIV should know their status, 95% of the diagnosed should be on medication, 95% should have the virus suppressed.
By 2022, the world reached 87-89-94. Then Trump killed aid funding.
foreignpolicy.com/2025/12/01/t...
By 2022, the world reached 87-89-94. Then Trump killed aid funding.
foreignpolicy.com/2025/12/01/t...
The End of Ending AIDS
As the Trump administration pledges to meet global health targets, it has terminated some of its best tools for doing so.
foreignpolicy.com
December 1, 2025 at 4:10 PM
The world agreed on a strategy to end AIDS known as 95-95-95: 95% of people with HIV should know their status, 95% of the diagnosed should be on medication, 95% should have the virus suppressed.
By 2022, the world reached 87-89-94. Then Trump killed aid funding.
foreignpolicy.com/2025/12/01/t...
By 2022, the world reached 87-89-94. Then Trump killed aid funding.
foreignpolicy.com/2025/12/01/t...
Reposted by Andrew Green
The End of Ending AIDS foreignpolicy.com/2025/12/01/t...
The End of Ending AIDS
As the Trump administration pledges to meet global health targets, it has terminated some of its best tools for doing so.
foreignpolicy.com
December 1, 2025 at 10:32 PM
The End of Ending AIDS foreignpolicy.com/2025/12/01/t...
This World AIDS Day, I have been reflecting on the communities I have visited across four different countries - Uganda, Thailand, Malawi and Botswana - that are suffering from the cuts enacted by the Trump administration: theforsaken.substack.com
Forsaken | Andrew Green | Substack
The uncertain future of the global AIDS response. Click to read Forsaken, by Andrew Green, a Substack publication with hundreds of subscribers.
theforsaken.substack.com
December 2, 2025 at 1:13 AM
This World AIDS Day, I have been reflecting on the communities I have visited across four different countries - Uganda, Thailand, Malawi and Botswana - that are suffering from the cuts enacted by the Trump administration: theforsaken.substack.com
Reposted by Andrew Green
On World AIDS Day, a time for mourning, for anger and for recommitting to the fight to end AIDS: theforsaken.substack.com/p/world-aids...
World AIDS Day
Today is for mourning, for anger and for recommitting to the global fight to end the epidemic
theforsaken.substack.com
December 1, 2025 at 7:40 PM
On World AIDS Day, a time for mourning, for anger and for recommitting to the fight to end AIDS: theforsaken.substack.com/p/world-aids...
Reposted by Andrew Green
AIDS-related deaths in Malawi fell from 80,000 in 2003 to 14,000 last year — on track to end the epidemic by 2030, thanks to PEPFAR and the programs it funded.
Now all that progress has been abandoned, and health workers are scrambling: “It’s like a bomb has been dropped on us.”
Now all that progress has been abandoned, and health workers are scrambling: “It’s like a bomb has been dropped on us.”
The End of Ending AIDS
As the Trump administration pledges to meet global health targets, it has terminated some of its best tools for doing so.
foreignpolicy.com
December 1, 2025 at 4:42 PM
AIDS-related deaths in Malawi fell from 80,000 in 2003 to 14,000 last year — on track to end the epidemic by 2030, thanks to PEPFAR and the programs it funded.
Now all that progress has been abandoned, and health workers are scrambling: “It’s like a bomb has been dropped on us.”
Now all that progress has been abandoned, and health workers are scrambling: “It’s like a bomb has been dropped on us.”
On World AIDS Day, a time for mourning, for anger and for recommitting to the fight to end AIDS: theforsaken.substack.com/p/world-aids...
World AIDS Day
Today is for mourning, for anger and for recommitting to the global fight to end the epidemic
theforsaken.substack.com
December 1, 2025 at 7:40 PM
On World AIDS Day, a time for mourning, for anger and for recommitting to the fight to end AIDS: theforsaken.substack.com/p/world-aids...
Is this the end of ending AIDS? My latest dispatch for @foreignpolicy.com: foreignpolicy.com/2025/12/01/t...
The End of Ending AIDS
As the Trump administration pledges to meet global health targets, it has terminated some of its best tools for doing so.
foreignpolicy.com
December 1, 2025 at 12:24 PM
Is this the end of ending AIDS? My latest dispatch for @foreignpolicy.com: foreignpolicy.com/2025/12/01/t...
Reposted by Andrew Green
South Africa received $453m in #PEPFAR support last year.
💉But new US political decisions — including an executive order halting aid — are freezing funding and blocking access to long-acting HIV prevention.
✍️ @kerrycullinan.bsky.social
@globalfund.bsky.social @healthza.bsky.social
📖⬇️ & 🙏🔁
💉But new US political decisions — including an executive order halting aid — are freezing funding and blocking access to long-acting HIV prevention.
✍️ @kerrycullinan.bsky.social
@globalfund.bsky.social @healthza.bsky.social
📖⬇️ & 🙏🔁
South Africa May Be Excluded From Future US Grants For HIV Amid Political Row - Health Policy Watch
The United States (US) government has not sought a meeting with South Africa to discuss the resumption of its HIV grant, and it won’t supply the country with
healthpolicy-watch.news
November 24, 2025 at 8:29 PM
South Africa received $453m in #PEPFAR support last year.
💉But new US political decisions — including an executive order halting aid — are freezing funding and blocking access to long-acting HIV prevention.
✍️ @kerrycullinan.bsky.social
@globalfund.bsky.social @healthza.bsky.social
📖⬇️ & 🙏🔁
💉But new US political decisions — including an executive order halting aid — are freezing funding and blocking access to long-acting HIV prevention.
✍️ @kerrycullinan.bsky.social
@globalfund.bsky.social @healthza.bsky.social
📖⬇️ & 🙏🔁
Countries have started negotiating with the State Department about the future of U.S. global health funding. But the organizations that work with some of the most vulnerable communities were not invited into those talks: theforsaken.substack.com/p/no-seat-at...
No seat at the table
Washington has started talks with African countries about future health funding. In Botswana, most NGOs are not included.
theforsaken.substack.com
November 21, 2025 at 3:10 PM
Countries have started negotiating with the State Department about the future of U.S. global health funding. But the organizations that work with some of the most vulnerable communities were not invited into those talks: theforsaken.substack.com/p/no-seat-at...
Why are faith-based organizations the only NGOs invited to the bilateral global health negotiations the State Department has organized in Botswana? theforsaken.substack.com/p/no-seat-at...
No seat at the table
Washington has started talks with African countries about future health funding. In Botswana, most NGOs are not included.
theforsaken.substack.com
November 20, 2025 at 9:51 PM
Why are faith-based organizations the only NGOs invited to the bilateral global health negotiations the State Department has organized in Botswana? theforsaken.substack.com/p/no-seat-at...
Reposted by Andrew Green
Ramaphosa just told an EU-SA summit that the US has changed its mind and they're now discussing attending the G20 "in one shape, form or another". No mention of whether that includes Trump, but his tone didn't make it sound like the US representation would be at that level
x.com/CyrilRamapho...
x.com/CyrilRamapho...
November 20, 2025 at 4:13 PM
Ramaphosa just told an EU-SA summit that the US has changed its mind and they're now discussing attending the G20 "in one shape, form or another". No mention of whether that includes Trump, but his tone didn't make it sound like the US representation would be at that level
x.com/CyrilRamapho...
x.com/CyrilRamapho...
With negotiations over bilateral health agreements underway across Africa, what does it mean that organizations providing services for gay men, sex workers and other vulnerable communities weren't invited to the talks? theforsaken.substack.com/p/no-seat-at... @thelastmileusaid.bsky.social
No seat at the table
Washington has started talks with African countries about future health funding. In Botswana, most NGOs are not included.
theforsaken.substack.com
November 20, 2025 at 2:43 PM
With negotiations over bilateral health agreements underway across Africa, what does it mean that organizations providing services for gay men, sex workers and other vulnerable communities weren't invited to the talks? theforsaken.substack.com/p/no-seat-at... @thelastmileusaid.bsky.social
I'm on the BBC's Health Check talking about the crisis caused by U.S. funding cuts for HIV programs in Botswana: www.bbc.com/audio/play/w...
BBC Audio | Health Check | The disappearing mid-life crisis
The trend in wellbeing over our lifespans is changing, driven by unhappier young people
www.bbc.com
November 20, 2025 at 7:07 AM
I'm on the BBC's Health Check talking about the crisis caused by U.S. funding cuts for HIV programs in Botswana: www.bbc.com/audio/play/w...
Reposted by Andrew Green
The breakthrough HIV prevention shot lenacapavir has arrived in Eswatini and Zambia just months after U.S. approval, marking what advocates call an unusually fast global deployment of a game-changing drug to LMICs that need it most.
Global Health NOW 11.19.25
Lenacapavir Rollout Reaches Africa; and The Perils of Migrating While Pregnant.
mailchi.mp
November 19, 2025 at 8:53 PM
The breakthrough HIV prevention shot lenacapavir has arrived in Eswatini and Zambia just months after U.S. approval, marking what advocates call an unusually fast global deployment of a game-changing drug to LMICs that need it most.
Reposted by Andrew Green
A #DOGE leader who decimated the US health department is in charge of negotiating MOUs with African countries for new health grants.
@altusaid.altgov.info
@thelastmileusaid.bsky.social
@panaction.bsky.social
healthpolicy-watch.news/us-steams-ah...
@altusaid.altgov.info
@thelastmileusaid.bsky.social
@panaction.bsky.social
healthpolicy-watch.news/us-steams-ah...
DOGE Man Drives US Bilateral Health Agreements With African Countries - Health Policy Watch
Some commentators have described the terms of the bilateral MOUs as "extractive" as they fail to offer African countries access to the health products that
healthpolicy-watch.news
November 18, 2025 at 8:19 AM
A #DOGE leader who decimated the US health department is in charge of negotiating MOUs with African countries for new health grants.
@altusaid.altgov.info
@thelastmileusaid.bsky.social
@panaction.bsky.social
healthpolicy-watch.news/us-steams-ah...
@altusaid.altgov.info
@thelastmileusaid.bsky.social
@panaction.bsky.social
healthpolicy-watch.news/us-steams-ah...
Reposted by Andrew Green
My newsletter this week is a little different. While I tend to focus broadly on the impact of U.S. funding cuts on HIV programs, I zeroed in this week on on one woman, Mercy Mdoka. Her story is a window into the disruption and suffering these cuts have caused: theforsaken.substack.com/p/mercy-mdoka
Mercy Mdoka
Late on a Wednesday night in mid-August, Mercy Mdoka sat down to draft her will.
theforsaken.substack.com
November 13, 2025 at 7:20 PM
My newsletter this week is a little different. While I tend to focus broadly on the impact of U.S. funding cuts on HIV programs, I zeroed in this week on on one woman, Mercy Mdoka. Her story is a window into the disruption and suffering these cuts have caused: theforsaken.substack.com/p/mercy-mdoka
My newsletter this week is a little different. While I tend to focus broadly on the impact of U.S. funding cuts on HIV programs, I zeroed in this week on on one woman, Mercy Mdoka. Her story is a window into the disruption and suffering these cuts have caused: theforsaken.substack.com/p/mercy-mdoka
Mercy Mdoka
Late on a Wednesday night in mid-August, Mercy Mdoka sat down to draft her will.
theforsaken.substack.com
November 13, 2025 at 7:20 PM
My newsletter this week is a little different. While I tend to focus broadly on the impact of U.S. funding cuts on HIV programs, I zeroed in this week on on one woman, Mercy Mdoka. Her story is a window into the disruption and suffering these cuts have caused: theforsaken.substack.com/p/mercy-mdoka
U.S. officials confirmed yesterday the termination of support for Botswana's voluntary medical male circumcision program. Circumcision can reduce HIV transmission by up to 60%. But PEPFAR will drop its support amid sweeping cuts to prevention services in Botswana and across the continent.
November 12, 2025 at 2:09 PM
U.S. officials confirmed yesterday the termination of support for Botswana's voluntary medical male circumcision program. Circumcision can reduce HIV transmission by up to 60%. But PEPFAR will drop its support amid sweeping cuts to prevention services in Botswana and across the continent.
Reposted by Andrew Green
Countries can no longer rely on US supply chains for the provision of essential medicines.
www.theglobeandmail.com/business/eco...
www.theglobeandmail.com/business/eco...
U.S. pushes drugmakers to reveal confidential details of contracts with Canada, other countries
Washington turning up pressure on manufacturers to lower U.S. drug prices and raise them elsewhere
www.theglobeandmail.com
November 11, 2025 at 10:59 AM
Countries can no longer rely on US supply chains for the provision of essential medicines.
www.theglobeandmail.com/business/eco...
www.theglobeandmail.com/business/eco...
Reposted by Andrew Green
Botswana had been at the forefront of the global AIDS response for decades, but recent economic troubles led to shortages of lifesaving treatment. This collided with U.S. cuts in support to Botswana's HIV programs. Suddenly the country is facing a crisis: theforsaken.substack.com/p/a-differen...
A different kind of crisis
Botswana's HIV response was already reeling when the Trump administration cut PEPFAR funding
theforsaken.substack.com
November 9, 2025 at 3:43 PM
Botswana had been at the forefront of the global AIDS response for decades, but recent economic troubles led to shortages of lifesaving treatment. This collided with U.S. cuts in support to Botswana's HIV programs. Suddenly the country is facing a crisis: theforsaken.substack.com/p/a-differen...
The U.S. has kicked off bilateral negotiations to set up multi-year MOUs that will determine America's global health and security support. The process is already incredibly problematic, as @emilybass.bsky.social spells out: emilysbass.substack.com/p/usa-global...
USA Global Health Negotiations Kick Off Across Africa This Week
African countries can still ensure tight-turnaround meetings are meaningful.
emilysbass.substack.com
November 10, 2025 at 5:16 AM
The U.S. has kicked off bilateral negotiations to set up multi-year MOUs that will determine America's global health and security support. The process is already incredibly problematic, as @emilybass.bsky.social spells out: emilysbass.substack.com/p/usa-global...
Botswana had been at the forefront of the global AIDS response for decades, but recent economic troubles led to shortages of lifesaving treatment. This collided with U.S. cuts in support to Botswana's HIV programs. Suddenly the country is facing a crisis: theforsaken.substack.com/p/a-differen...
A different kind of crisis
Botswana's HIV response was already reeling when the Trump administration cut PEPFAR funding
theforsaken.substack.com
November 9, 2025 at 3:43 PM
Botswana had been at the forefront of the global AIDS response for decades, but recent economic troubles led to shortages of lifesaving treatment. This collided with U.S. cuts in support to Botswana's HIV programs. Suddenly the country is facing a crisis: theforsaken.substack.com/p/a-differen...
Reposted by Andrew Green
Experts are raising concern around a template for bilateral agreements between the U.S. and partner governments that includes pathogen sharing and agreements on automatic approval for American products.
US template for bilateral health deals bypasses WHO pandemic negotiations
US template for bilateral health deals bypasses WHO pandemic negotiations
www.devex.com
November 8, 2025 at 6:33 AM
Experts are raising concern around a template for bilateral agreements between the U.S. and partner governments that includes pathogen sharing and agreements on automatic approval for American products.
Reposted by Andrew Green
Trading PABS for PEPFAR:
"EXCLUSIVE: US Ties Global Health Aid to Data Sharing on Pathogens – Undermining WHO Talks" healthpolicy-watch.news/exclusive-us...
"EXCLUSIVE: US Ties Global Health Aid to Data Sharing on Pathogens – Undermining WHO Talks" healthpolicy-watch.news/exclusive-us...
EXCLUSIVE: US Ties Global Health Aid To Data Sharing On Pathogens – Undermining WHO Talks - Health Policy Watch
The United States (US) aims to compel countries that receive its aid to fight HIV, tuberculosis and malaria to share all information about “pathogens with
healthpolicy-watch.news
November 7, 2025 at 8:28 AM
Trading PABS for PEPFAR:
"EXCLUSIVE: US Ties Global Health Aid to Data Sharing on Pathogens – Undermining WHO Talks" healthpolicy-watch.news/exclusive-us...
"EXCLUSIVE: US Ties Global Health Aid to Data Sharing on Pathogens – Undermining WHO Talks" healthpolicy-watch.news/exclusive-us...
Reposted by Andrew Green
Botswana's health sector was already reeling as the country's economy unravels. Then the Trump administration cut crucial support to its HIV programs: theforsaken.substack.com/p/a-differen...
A different kind of crisis
Botswana's HIV response was already reeling when the Trump administration cut PEPFAR funding
theforsaken.substack.com
November 6, 2025 at 2:55 PM
Botswana's health sector was already reeling as the country's economy unravels. Then the Trump administration cut crucial support to its HIV programs: theforsaken.substack.com/p/a-differen...