Implications of Potential Pepfar Funding Cuts on Nigeria's HIV/AIDS Response: A Critical Review

Nigeria holds the unfortunate distinction of having the second-largest HIV epidemic globally, a complex and multifaceted challenge that demands sustained attention and resources. The U.S. President's Emergency Plan for AIDS Relief (PEPFAR) has been a cornerstone of Nigeria's HIV/AIDS response for two decades. Since its inception, PEPFAR has provided substantial financial and technical assistance, significantly shaping the landscape of HIV prevention, treatment, care, and support services in the country. However, the recent decision to cut PEPFAR funding poses a significant threat to the country's HIV/AIDS response. This review analyzes the contributions of PEPFAR to Nigeria's HIV/AIDS program, examine the potential impact of PEPFAR funding cuts on HIV prevention, treatment, care, and support services, explore the social and economic consequences of funding reductions, identify adaptive strategies and mitigation measures to address the funding gap and provide policy recommendations to strengthen Nigeria's HIV/AIDS response in the face of funding constraints.