HIV/AIDS is a big health problem in many African countries and the U.S. offers help by giving money through USAID and PEPFAR (President’s Emergency Plan for AIDS Relief). This money helps people get treatment, prevention, and care for HIV/AIDS.

The Trump administration has decided to stop sending medicines for HIV, malaria, and tuberculosis and medical supplies for newborns to USAID-supported countries, according to a memo seen by Reuters.

On Tuesday, USAID contractors and partners were told to stop work immediately, sources said. This is part of a freeze on U.S. aid, which started when Trump took office on January 20, while officials review programs.

The U.S. has also stopped all financial aid, including funds for roads, energy projects, diversity programs, and foreign aid. This has raised global concern. Many African countries, which rely on USAID for healthcare, especially HIV/AIDS treatment and vaccines, will suffer the most.

Here are the top 10 African countries that get the most HIV/AIDS support from the U.S. in 2024:

1. South Africa – $250 million

South Africa has the highest number of people living with HIV in the world. About 8 million people have the virus, which is 13.1% of the total population. Among adults aged 15 to 49, the infection rate is even higher at 19%. In 2017, over 126,000 deaths were caused by HIV/AIDS. The U.S. gives the most funding to South Africa for HIV treatment and prevention.

2. Mozambique – $239 million

Mozambique has one of the highest HIV rates in Africa. 11.5% of adults aged 15 to 49 have the virus. Over 1.6 million people are affected, including 990,000 women and children. In 2018, about 34,000 people died from AIDS-related illnesses. The U.S. helps provide antiretroviral treatment (ART) for over 800,000 people in the country.

3. Nigeria – $220 million

Nigeria has the third-highest number of people living with HIV. In 2018, the HIV rate among adults aged 15 to 64 was 1.5%. The South-South region of Nigeria has the highest rate at 3.1%. The Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS), funded by the U.S., helps track and control the disease.

4. Zambia – $215 million

HIV/AIDS is common in Zambia, with 11.3% of adults aged 15 to 49 having the virus. In 2000, about 1 million people were affected, and 60% were women. The epidemic has left 600,000 children without one or both parents. The Copperbelt and Lusaka provinces have the highest infection rates.

5. Uganda – $194 million

Between 2005 and 2013, new HIV infections in Uganda increased by 10%. Every week, about 570 young women (aged 15 to 24) get infected. Uganda has the second-highest number of new HIV infections in Africa, after South Africa.

6. Kenya – $187 million

In 2017, about 53,000 new HIV infections were recorded in Kenya. These included 8,000 children, 27,000 women, and 18,000 men. About 65% of new infections happen in just 9 out of 47 counties.

7. Tanzania – $166 million

In 2019, about 1.7 million people in Tanzania were living with HIV. The overall infection rate was 4.6%. About 50% of new cases were in people aged 15 to 29. More women (6.2%) were infected than men (3.1%).

8. Zimbabwe – $115 million

Zimbabwe has reduced AIDS-related deaths by 60% since 2010. However, HIV and tuberculosis (TB) together still cause many deaths. The U.S. funds ART, education, and TB treatment programs to help people with HIV.

9. Malawi – $102 million

In 2012, about 1.1 million people in Malawi had HIV. This was 10.8% of the population. The U.S. provides free HIV treatment, prevention education, and care programs.

10. Democratic Republic of Congo (DRC) – $70 million

The DRC was one of the first African countries to find HIV cases in the early 1980s. The U.S. funds treatment, testing, and prevention programs for people at risk.