HIV Crisis in Tigray: Consequences of War and Aid Cuts

Ethiopia’s Tigray region, once successful in managing HIV, faces a crisis as the prevalence rate has doubled to 3% following a devastating conflict. Systematic destruction of healthcare services and cessation of external funding have impeded recovery efforts, leading to a surge in HIV and other infectious diseases. Political instability complicates rebuilding efforts, emphasizing the urgent need for humanitarian support.

Ethiopia’s Tigray region, once a model for HIV combat with a prevalence rate of 1.4%, has seen this figure double to 3% post-conflict. The war beginning in 2020 severely disrupted health services, leaving only 17% of health centers functional and 90% of sexual violence survivors lacking timely care. The conflict also resulted in widespread sexual violence, with reports suggesting that up to 10% of women aged 15 to 49 experienced sexual abuse during the war.

The humanitarian crisis has been exacerbated by the destruction of Tigray’s healthcare infrastructure and the withdrawal of support from organizations due to funding cuts. The Trump administration’s reduction of USAID programs has contributed to the hemorrhage of resources, resulting in the layoff of 5,000 health workers and the cessation of critical aid services for HIV patients.

The repercussions of the war extend beyond HIV, with rising malaria, measles, and other infectious diseases reported. Only 50% of essential medications are available at Tigray’s Ayder Referral Hospital, which struggles to offer adequate care amidst pressing budget cuts. The implications of malnutrition and lack of humanitarian aid further complicate the public health crisis.

Despite efforts to recover post-war, recent political instability and power struggles stand as barriers to rebuilding health services and regaining donor trust. The local health authorities prioritize reinstating the community-based health insurance program, vital for restoring sustainable health care in Tigray. However, the future of this initiative remains uncertain amid the political turmoil and continued humanitarian challenges.

The situation in Tigray highlights the dire consequences of war on public health, particularly in terms of rising HIV rates and deteriorating healthcare services. The compounded effects of political instability and aid cuts threaten the recovery efforts for a region once considered a leader in HIV prevention. Immediate and sustained support is essential to address not only the HIV crisis but also the broader health challenges facing Tigray’s population. Rebuilding the healthcare system and addressing the humanitarian needs are urgent priorities as the region continues to grapple with the aftermath of conflict.

Original Source: apnews.com