Foreign Relations

Eswatini’s HIV Prevention Breakthrough Exposes Fragile U.S. Aid Priorities

By Economics Desk | November 18, 2025

While Eswatini pioneers access to a revolutionary twice-yearly HIV prevention shot, the deeper story is the fragile state of U.S. health aid under shifting priorities—raising crucial questions about America’s commitment to global security and freedom from disease.

In a landmark moment for African public health, Eswatini has become the first continent nation to receive lenacapavir, an innovative twice-yearly injection that promises near-total protection against HIV. Developed by Gilead Sciences and approved in the United States only months ago, this drug arrives as a beacon of hope for millions living with or at risk of HIV across sub-Saharan Africa.What Does This Mean for American Leadership and National Security?At first glance, this breakthrough seems like a win for global health. But beneath the surface lies a troubling reality: The rollout is part of PEPFAR, an initiative whose funding has...

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