Government of Guyana, Mount Sinai Health System and Hess Corporation announce five-year extension of national healthcare initiative.

BETTER HEALTHCARE THAN AMERICANS GET

The Mount Sinai Hospital / Mount Sinai School of Medicine

FacebookX

LinkedInWeChatBlueskyMessageWhatsApp\Email

His Excellency Dr. Irfaan Ali, President of the Co-operative Republic of Guyana, today announced a five-year extension of the national healthcare initiative to transform Guyana’s public health system with world-class healthcare services accessible to every Guyanese citizen. This next phase of the initiative, launched in 2022 by the Government of Guyana in collaboration with the Mount Sinai Health System and Hess Corporation, will include establishment of a national cancer center, continued modernization of national health facilities including Georgetown Public Hospital Corporation, and the implementation of one of the world’s most advanced digital health systems.

The continued collaboration will build on significant progress made in the first phase of the national healthcare initiative, where Mount Sinai supported the Guyana Ministry of Health in rolling out the Government’s health system innovations, including over 35,000 child health screenings, the Ministry’s training programs that will graduate nearly 900 nursing assistants in 2025, and a new state-of-the-art pathology lab.

The initiative will continue to be funded jointly by Hess Corporation and the Government of Guyana and led by the Arnhold Institute for Global Health, the arm of Mount Sinai dedicated to advancing the institution's mission of delivering innovative, high-quality healthcare around the globe, and Mount Sinai International, the international ventures arm of the Mount Sinai Health System.

Today’s Signing Ceremony

The President was joined today by Dr. Rachel Vreeman, Chair of Mount Sinai’s Department of Global Health and Health System Design and Director of the Arnhold Institute for Global Health at Icahn School of Medicine at Mount Sinai, and John Hess, CEO of Hess Corporation, for a signing ceremony to establish the five-year extension of the national healthcare initiative.

"The journey to world-class healthcare is not walked alone – it is built through strategic partnerships, bold investments, and a shared vision for excellence. Today, we take another decisive step toward transforming our healthcare system. By uniting the policy, expertise and resources of Hess Corporation, Mount Sinai, and Government along with our local healthcare professionals, we are shaping a future where every citizen has access to cutting-edge, compassionate, and high-quality care. Together, we are not just improving healthcare – we are redefining it,” President Ali said.

CEO John Hess said: “We are proud to support the vision of the Government and the work of Mount Sinai to provide world class healthcare to every Guyanese citizen. Access to affordable and high-quality healthcare is central to the country’s future and its commitment to building shared prosperity for the people of Guyana.”

“At Mount Sinai, we believe global health is local health, and with the Government of Guyana and the Hess Corporation, we’re building a public health system that ensures all citizens of Guyana – especially the most vulnerable – can live healthier, more productive lives,” said Dr. Brendan Carr, Chief Executive Officer, and Professor and Kenneth L. Davis, MD, Distinguished Chair of the Mount Sinai Health System. “This unique public-private partnership serves as a global model, and we are honored be part of this transformational effort.”

“We are incredibly proud to work in partnership with the Government of Guyana to improve access to high-quality healthcare for all Guyanese,” said Dr. Vreeman. “Now, through 2030, we will continue to support and accelerate Guyana’s progress to achieving a healthier country and a transformed health system, setting a new regional and global standard for modern health system development.”

Areas of Focus to Achieve a Healthier Guyana by 2030

The next phase of the national initiative will be organized around the Government’s vision for six key pillars:

• World Class Cancer Care: Establish a first-in-class national cancer center to screen and treat breast, cervical, prostate and other common cancers that cause the most deaths in Guyana. The first phase of cancer services will expand much-needed access to cancer screening, diagnostic and treatment options; the second phase will offer advanced tertiary oncology services to the entire community in Guyana.
• Women’s and Children’s Hospital: Ensure Guyana’s new National Women’s and Children’s Hospital meets international quality standards, is well-managed, and ready to provide high-quality care for all of Guyana’s women and children.
• Community-Centered Care: Complete the transformation of health systems across Guyana’s regions to ensure everyone in Guyana, especially youth and vulnerable people, can receive health screenings, primary care treatment, and supportive services – creating a supportive health ecosystem across the country.
• Quality Improvement: Implement a national program to improve the quality, safety, and delivery of health services – from Georgetown Public Hospital Corporation (GPHC), the country’s largest hospital, to regional hospitals to every health center and post. These initiatives will provide a strong foundation for the growth of a high-quality, modern health system that provides unparalleled care for all.
• Digital Health: Support the implementation of Guyana’s first national electronic health records system and complete the foundations for one of the most advanced digital health systems in the region and the world by 2030.
• Capacity Building: Ensure critical health workforce needs are met by continuing capacity building in health workforce development, resource planning, management, and financing.

Key Accomplishments in First Phase of Healthcare Initiative

Since this national healthcare initiative’s launch in July 2022, significant progress is being made in improving health outcomes. Key accomplishments include:

• Over 35,000 Guyanese children have had comprehensive health screenings completed by the Ministry of Health, with around a quarter referred on for needed services to address vision, hearing, dental, and developmental problems and more.
• Nearly 900 nursing assistants will graduate from the Ministry of Health’s training programs in 2025 and join the health workforce, beginning to close the nursing shortage.
• New guidelines and clinical protocols to grow primary care services for diseases like diabetes are launching nationally, across all of Guyana’s regions.
• New digital protection laws are in place to support the rollout of new digital health systems, and a new Guyana digital health training institute will enroll its first class of digital health professionals early next year.
• A state-of-the-art pathology lab has reduced the time it takes for patients to be diagnosed and receive life-saving treatments.
• Quality improvements at the Georgetown Public Hospital Corporation have improved patient safety and are providing a new model for a national quality improvement program.

 

###

 

Hess Corporation (NYSE: HES) is a leading global independent energy company engaged in the exploration and production of crude oil and natural gas. The company is recognized as an industry leader in environmental, social and governance performance and disclosure. More information on Hess Corporation is available at www.hess.com.

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 600 research and clinical labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time—discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.

Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes approximately 9,000 primary and specialty care physicians and 11 free-standing joint-venture centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida. Hospitals within the System are consistently ranked by Newsweek’s® “The World’s Best Smart Hospitals, Best in State Hospitals, World Best Hospitals and Best Specialty Hospitals” and by U.S. News & World Report's® “Best Hospitals” and “Best Children’s Hospitals.” The Mount Sinai Hospital is on the U.S. News & World Report® “Best Hospitals” Honor Roll for 2024-2025. For more information, visit https://www.mountsinai.org.

 

Research reveals gender bias blind spot among men in local leadership

University of South Australia

Facebook

XLinkedInWeChatBlueskyMessageWhatsApp\Email

Men in local leadership positions are unaware of gender leadership disparities and are less likely to challenge dominant stereotypes compared to women, suggests new research by the University of South Australia.

UniSA researchers interviewed more than 30 people in local leadership roles in regions experiencing industrial transformation, across government, business, sporting clubs, religious organisations and academia. All participants were from communities directly affected by the closure of Australia’s automotive industry in 2017, in suburban Melbourne, northern Adelaide and Geelong. They were interviewed in 2023 about gendered stereotypes that existed when the crisis unfolded and progressed, as well as when COVID hit.

The findings suggest that women and men leaders agreed on what makes a good leader. However, women experienced daily impacts related to gender leadership stereotypes and actively worked to break down these biases. On the other hand, men leaders tended to be unaware of gender differences, believing they didn’t exist.

Lead researcher Dr Lynette Washington says the men in the study largely accepted dominant gender leadership norms without questioning them, limiting their ability to push for alternative leadership styles which might assist to drive real change in regions undergoing a major industrial shift.

“The thing that was most striking was that when we spoke to women, they immediately identified that they were impacted by stereotypes and they undertook detailed, sophisticated work to deconstruct those ideas. They understood how stereotypes impacted them, they thought about that impact regularly and deeply, and it was very much front of mind for them,” she says.

“When we asked the men about gender bias, they didn’t believe that it existed for women or men leaders. And because of that, they couldn’t deconstruct these ideas to understand how they functioned and impacted people in the workplace.”

The research was centred around the concept of ‘place-based leadership’, a collaborative, community-led approach to leadership that aims to improve the social and economic outcomes for a specific community.

Dr Washington says place-based leadership is not much so much about the job a leader is doing but the way they’re doing it – with an emphasis on collaboration, leading through persuasion, soft power and networking.

“It’s about their understanding and care of the place. Many place-based leaders live in the place they lead and key to being a placed-based leader is having a connection or a personal investment,” she says.

“The findings of our study suggest that greater awareness of gender in leadership would help create more inclusive and effective leadership and this could lead to fairer outcomes.”

One of the research participants shared her experience with gender bias in local government. 

“The first time I stood up to speak in council the town clerk said to me, “Well that’s very nice. Now be a good girl and sit down,” she said.

Researchers have documented gender bias in leadership since the 1970s, a phenomenon that US researcher Dr Virginia Schein called “think manager, think male”. Dr Washington explains the issue now is that men must do more to help deconstruct bias.

“If men can’t take that first step of acknowledging gender stereotyping in the workplace is real, they can’t do the work to address it. Women are acknowledging it and working hard to deconstruct and change it, but part of the reason it’s not progressing in the way that it needs to is that men aren’t also doing that work to the degree that is required for change,” she says.

“Without equality in leadership, we can’t access the full wealth of knowledge, experience and ability that exists in places. Left behind places need to access the full range of skills and abilities that they hold to ensure they can meet the challenges ahead.

“Places like the northern suburbs in Adelaide and Geelong in Victoria experienced significant disruption when the car manufacturing industry closed and were also hit hard during the pandemic. We need the best possible leadership in these places and that means challenging old ways of leading and introducing new, more effective leadership styles. One way to do that is to have a greater awareness of gender within leadership.

“This will result in more equal outcomes across the regions.”

To access the research paper: Washington, L., Beer, A., & Kulik, C. T. (2024). Gender, place leadership and levelling up across regions. Contemporary Social Science, 19(4), 583–601. https://doi.org/10.1080/21582041.2024.2441856

…………………………………………………………………………………………………………………………

Contact for interview: Dr Lynette Washington, Research Fellow, UniSA E: Lynette.Washington@unisa.edu.au

Media contact: Melissa Keogh, Communications Officer, UniSA M: +403 659 154 E: Melissa.Keogh@unisa.edu.au

---

Journal

Contemporary Social Science

DOI

10.1080/21582041.2024.2441856 

Article Title

Gender, place leadership and levelling up across regions

 

HKUST researchers’ breakthrough method reveals clouds amplify global warming far more than previously understood

Better technology to prepare for climate change

Hong Kong University of Science and Technology

Facebook

XLinkedInWeChatBlueskyMessageWhatsAppEmail

 

image: 

Prof. SU Hui (left) and Prof. WU Mengxi (right), both from the Department of Civil and Environmental Engineering of HKUST, have created a new method that significantly improves accuracy in climate predictions.

view more 

Credit: HKUST

Tropical marine low clouds play a crucial role in regulating Earth’s climate. However, whether they mitigate or exacerbate global warming has long remained a mystery. Now, researchers from the School of Engineering at the Hong Kong University of Science and Technology (HKUST) have developed a groundbreaking method that significantly improves accuracy in climate predictions. This led to a major discovery – that tropical cloud feedback may have amplified the greenhouse effect by a staggering 71% more than previously known to scientists.

The effects of tropical low clouds are difficult to investigate because they are influenced by a variety of factors. Commonly used low cloud controlling factors often struggle to separate the influence of local sea surface temperatures (SSTs) from that of temperatures in the free troposphere – the lowest layer of Earth’s atmosphere, casting uncertainty in projections.

Adding to the complexity are the substantial differences in cloud dynamics between two main stratocumulus regions on Earth, namely the tropical Pacific and Atlantic, based on observations.

A research team led by Prof. SU Hui, Chair Professor at the Department of Civil and Environmental Engineering and Global STEM Professor at HKUST, has developed a new method to untangle the matrix.

To overcome the limitations in existing literature, the research team evaluated the performance of 28 state-of-the-art climate models. Instead of assigning arbitrary weightings to the Pacific and the Atlantic, they developed a Pareto optimization approach to conduct this assessment. This was achieved by down-weighting models that perform poorly in both regions while retaining those that are Pareto-optimal.

“Our new Pareto optimization approach provides a more robust and universally applicable framework for evaluating models against multiple observational constraints,” said Prof. Su, corresponding author of this study.

Subsequently, the team combined this approach with Bayesian methods to derive a priori constraints for the tropical shortwave cloud feedback (SWCF). “Compared with previous studies which also utilized observations to constrain the marine low cloud feedback, one significant difference in our work is the choice of cloud controlling factors,” Prof. Su elaborated.

After comparing the model outputs to satellite observations, they successfully identified two critical cloud controlling factors that effectively capture the effects of SST warming patterns – local SST and lower troposphere temperature at approximately 3 km altitude.

The results revealed a 71% increase in the SWCF compared to model projections alone. Prof. WU Mengxi, the first author of this work and a Research Assistant Professor at the Department of Civil and Environmental Engineering, explained the findings meant Earth’s climate can be much more sensitive to rising carbon dioxide levels than many models have previously estimated.

“Although tropical low clouds can provide a cooling effect, our study rules out the possibility that the cooling effect could become stronger with surface warming caused by increasing greenhouse gases,” he said.

“The results not only narrow the uncertainty in one of the largest unknowns in climate science, but also enable more accurate predictions of how much warming we might expect. This allows us to prepare better for the challenges of climate changes.” Prof. Wu added.

The findings were recently published in Nature Communications, in a paper titled “Multi-Objective Observational Constraint of Tropical Atlantic and Pacific Low-Cloud Variability Narrows Uncertainty in Cloud Feedback”. Prof. J. David NEELIN of the University of California, Los Angeles, was a collaborator.

---

Journal

Nature Communications

DOI

10.1038/s41467-024-53985-w 

Method of Research

Observational study

Subject of Research

Not applicable

Article Title

Multi-objective observational constraint of tropical Atlantic and Pacific low-cloud variability narrows uncertainty in cloud feedback

 

Distinct patterns of soil bacterial and fungal communities in the treeline ecotone

Higher Education Press

Facebook

XLinkedInWeChatBlueskyMessageWhatsAppEmail

The treeline ecotone serves crucial ecological functions such as maintaining biodiversity and supplying nutrients to downstream areas.The upward shift of the alpine treeline driven by global climate change has been extensively observed across many mountain ecosystems worldwide. Knowledge of variations in belowground microbial communities in the treeline ecotone, as well as the influence of microtopographic factors (e.g., slope aspect) on these changes will be essential to understand how microbial communities in the treeline transition zones of alpine ecosystems respond to global warming and their potential effects on soil carbon dynamics. This study revealed distinct community characteristics, co-occurrence patterns, and assembly processes between bacterial and fungal communities. The results uncovered that microbial communities responded greatly to treeline shift than slope aspect, and also imply that the upward shift of the alpine treeline may increase the stochasticity of microbial communities. The researchers’ finding appeared January 25, 2025 in Soil Ecology Letters.

 

A series of studies on the geographical distribution pattern of soil microbial communities have been conducted by Yuan Ge's team at the Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, and many interesting findings have been obtained. For example, they found higher soil nutrients, archaeal and metazoan richness, and microbial functions at the treeline elevation, indicating a strong edge effect of treeline on microbial diversity and functions. They also found consistent elevational patterns in bacterial alpha diversity and microbial functions (i.e., multifunctionality) across both slope directions. However, variations in belowground microbial communities in the treeline ecotone and the influence of microtopographic factors (e.g., slope aspect) on these changes are not well understood.

 

Professor Ge said, "The Qinghai-Tibet Plateau has the highest natural treeline in the Northern Hemisphere. We chose to study the Sygera Mountain located in southeastern of the Qinghai-Tibet Plateau, which has been observed experiencing an upward shift in the treeline over the past century due to the changing climate conditions. Therefore, the Sygera Mountain provides a proper and high-quality platform for microbial distribution studies in the treeline ecotone."

 

In this study, they found that oligotrophic species such as Acidobacteriota, Chloroflexi, Verrucomicrobiota, and Ascomycota were predominantly enriched above the treeline, whereas copiotrophic species like Proteobacteria, Gemmatimonadota, Actinobacteriota, and Firmicutes were more abundant below the treeline. This finding is closely related to the the degree of carbon starvation of microorganisms, as the Soil Carbon Availability Index (CAI) were higher below the treeline,suggesting that microorganisms in this area had access to more available carbon, which favored the enrichment of r-strategists.  In addition, they found that keystone bacteria were more critical for maintaining network stability above the treeline, while fungi were the keystone taxa for network stability below the treeline. This result indicates that treeline shift may change the co-occurrence patterns and bacterial-fungal interactions.

 

"We also used the iCAMP analysis to analyze and quantify the community assembly processes of microorganisms for both individual bins and the entire community," said Professor Ge. Homogeneous selection and dispersal limitation played dominant roles in shaping bacterial and fungal communities, respectively. Despite the different dominant assembly processes in bacterial and fungal communities, both of which showed higher dispersal limitation and lower homogeneous selection below the treeline. This suggests that the upward shift of the treeline will increase the stochasticity of microbial community.

 

"The study enhances the understanding of microbial ecology in treeline ecosystems and provides indicative insights into how microbes in alpine ecosystems might respond to climate change and the potential ecological consequences that may ensue."

 

Global warming not only endangers the balance of natural ecosystems but also poses a threat to human food supply and living environments. Monitoring and understanding how microbes in alpine ecosystems might respond to climate change is more than ever our current missions.

---

Journal

Soil Ecology Letters

DOI

10.1007/s42832-024-0287-6 

Method of Research

Experimental study

Subject of Research

Not applicable

Article Title

Distinct patterns of soil bacterial and fungal communities in the treeline ecotone

 

THE LANCET HIV: Proposed cuts to foreign aid could result in millions of HIV deaths and soaring rates of global HIV infections, new modelling study estimates

The Lancet

Facebook

XLinkedIn
MessageWhatsAppEmail

• 
  
• 
  
• 
  
• 
  
• New modelling analysis suggests that proposed funding cuts by major donor countries to foreign aid could undo decades of progress made to end HIV/AIDS as a public health threat and new infections and deaths could surge back to levels not seen since the early 2000s.
   
• The study estimates there could be between 4.4 million to 10.8 million additional new HIV infections by 2030 in low-and-middle income countries (LMICs) and between 770,000 to 2.9 million HIV-related deaths in children and adults by 2030.
   
• The greatest impact from potential funding cuts could be in sub-Saharan Africa and among vulnerable populations, including people who inject drugs, sex workers, men who have sex with men, and children.
   
• The authors argue that long-term, strategic planning and international cooperation are crucial for establishing sustainable health systems and country-led HIV treatment and prevention programmes; they call for the global community to unite to advocate for continued support for HIV programmes.
   

A new modelling study published in The Lancet HIV journal highlights the alarming potential impact of significant reductions in international funding for HIV prevention and treatment programmes. The research estimates that, globally, between 4.4 to 10.8 million additional new HIV infections and 770,000 to 2.9 million HIV-related deaths in children and adults could occur between 2025 and 2030 if funding cuts proposed by the top five donor countries, including the USA and the UK, are not mitigated. The most affected populations will likely be in sub-Saharan Africa, and marginalised groups who are already at a higher risk of acquiring HIV, such as people who inject drugs, sex workers, and men who have sex with men, as well as children. 

Since 2015, international donors have contributed approximately 40% of all HIV funding in low-and-middle-income countries (LMICs), making their support crucial to global efforts to treat and prevent HIV. The USA, UK, France, Germany, and the Netherlands together account for over 90% of international funding [1]. However, these countries have all recently announced plans to implement significant cuts to foreign aid, leading to a projected 24% reduction in global international HIV funding by 2026 [2]. In addition, the US government, which is the largest contributor to foreign aid, providing nearly 73% of support, paused all foreign aid funding (with limited exceptions) on 20 January 2025 to allow for a 90-day review and evaluation[3].

Foreign aid programmes, such as the US President’s Emergency Plan for AIDS Relief (PEPFAR) provide HIV treatment and prevention services, including funding health clinics that supply antiretroviral therapy (ART) to treat HIV and prevent its spread, HIV testing, and necessary laboratory services. These programmes also provide health services that go beyond HIV treatment and prevention and can include health systems strengthening, healthcare worker training, and combining HIV services with other health services, including tuberculosis treatment and prevention, and maternal and child health programmes to improve overall health outcomes.  

“The United States has historically been the largest contributor to global efforts to treat and prevent HIV, but the current cuts to PEPFAR and USAID-supported programmes have already disrupted access to essential HIV services including for antiretroviral therapy and HIV prevention and testing. Looking ahead, if other donor countries reduce funding, decades of progress to treat and prevent HIV could be unravelled,” said co-lead study author Dr Debra ten Brink of the Burnet Institute (Australia). “It is imperative to secure sustainable financing and avoid a resurgence of the HIV epidemic which could have devastating consequences, not just in regions such as sub-Saharan Africa, but globally.”

To understand the potential impact of foreign aid funding reductions, the authors used a 26-country mathematical model [4], to estimate the effects of anticipated international aid reductions, including the immediate cessation of support from PEPFAR in all countries currently dependent on foreign aid to support programmes to diagnose and prevent HIV. When extrapolating across all LMICs, if funding reductions continue as planned, they found there could be between 4.4 million to 10.8 million additional new HIV infections by 2030, representing a 1.3 to 6-fold increase in new infections for people at higher risk of acquiring to HIV, compared to if funding levels remained consistent. These cuts could also cause between 770,000 to 2.9 million HIV-related deaths in children and adults by 2030.

“There could be an even greater impact in sub-Saharan Africa, where broader prevention efforts, such as distributing condoms and offering pre-exposure prophylaxis (PrEP – a medication that reduces the risk of getting HIV) are at first risk to be discontinued. This is in addition to disruptions in testing and treatment programmes could cause a surge in new HIV infections, especially in some of the areas where the greatest gains have been made, such as preventing mother-to-child transmission of HIV and paediatric HIV deaths,” added co-lead study author Dr Rowan Martin-Hughes of the Burnet Institute (Australia). 

From 2010 to 2023, many countries that currently received PEPFAR or other foreign aid support have made significant progress in treating and preventing HIV, with an average 8.3% yearly decrease in new infections and a 10.3% decrease in HIV-related deaths. If this trend continues, many countries would be on track to meet global targets to eliminate HIV/AIDS as a public health threat by around 2036.

However, by 2026, if foreign aid is greatly reduced or if PEPFAR funding is ceased entirely without an equivalent replacement, new infections, and deaths could rise back to levels not seen since 2010 and potentially undo all progress made since 2000. Even if support for HIV treatment is restored after 12 to 24 months, the study suggests that the number of new HIV infections could stabilise at levels similar to those seen in 2020, which the authors note still represents a setback that could require an additional 20 to 30 years of investment to end HIV/AIDS as a public health threat.  

“There is an urgent need for innovative, country-led financing strategies and an integration of HIV services into broader health systems; however, this can’t happen overnight. Long-term strategic planning is required for countries to transition from internationally supported to domestically financed programmes. Our study highlights how important international collaboration and investment have been in maintaining progress against HIV,” said study author Dr Nick Scott of the Burnet Institute (Australia).

The authors note some important limitations to their study, including that the foreign aid funding space is unpredictable, and it is unknown whether reductions in international aid will continue to escalate, how PEPFAR will continue, or whether a variety of mitigation efforts and more domestic financing will be introduced. Additionally, the analysis was performed for 26 countries and then extrapolated to all LMICs; therefore, it may not be fully representative of all regions or of all PEPFAR-funded countries. Finally, the authors note that these results are likely an underestimate of the real impacts of immediate and severe funding cuts to HIV programmes globally, especially in the sub-Saharan African region where disruptions to the supply chain, health workforce, and overall health systems could result in much broader health impacts beyond HIV. The wide range in the estimates reflects these various uncertainties. Future research, including optimisation of reduced budgets, could inform countries as to which HIV prevention, testing, and treatment interventions, should be prioritised for maximum impact.
 

NOTES TO EDITORS

The study was conducted by authors from the Burnet Institute in Melbourne, Australia and the Department of Global HIV, Hepatitis and STIs Programmes, World Health Organization (WHO) in Geneva, Switzerland. This study received no external funding. 

Quotes from Authors cannot be found in the text of the Article but have been supplied for the press release. 

[1] The five countries that currently provide over 90% of international HIV funding are the United States of America  (73%), the United Kingdom (9%), France (4%), Germany (3%), and the Netherlands (2%) : https://www.kff.org/report-section/donor-government-funding-for-hiv-in-low-and-middle-income-countries-in-2023-report/#endnote_link_628534-6

[2] For details on specific proposed foreign aid funding reductions by major donor countries, see citations 5-9 in the paper. 

[3] https://www.whitehouse.gov/presidential-actions/2025/01/reevaluating-and-realigning-united-states-foreign-aid/

[4] Using the HIV OPTIMA model, the 26 countries analysed were Albania, Armenia, Azerbaijan, Belarus, Bhutan, Cambodia, Colombia, Costa Rica, Côte d'Ivoire, Dominican Republic, Eswatini, Georgia, Kazakhstan, Kenya, Kyrgyzstan, Malawi, Malaysia, Moldova, Mongolia, Mozambique, South Africa, Sri Lanka, Tajikistan, Uganda, Uzbekistan, and Zimbabwe.

The labels have been added to this press release as part of a project run by the Academy of Medical Sciences seeking to improve the communication of evidence. For more information, please see: http://www.sciencemediacentre.org/wp-content/uploads/2018/01/AMS-press-release-labelling-system-GUIDANCE.pdf if you have any questions or feedback, please contact The Lancet press office pressoffice@lancet.com  

NOTE: THE ABOVE LINKS ARE FOR JOURNALISTS ONLY; IF YOU WISH TO PROVIDE A LINK FOR YOUR READERS, PLEASE USE THE FOLLOWING, WHICH WILL GO LIVE AT THE TIME THE EMBARGO LIFTS: https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(25)00074-8/fulltext

---

Journal

The Lancet HIV

DOI

10.1016/S2352-3018(25)00074-8 

Method of Research

Computational simulation/modeling

Subject of Research

People

Article Title

Impact of an international HIV funding crisis on HIV infections and mortality in low-income and middle-income countries: a modelling study

Article Publication Date

26-Mar-2025