KOLWEZI, LUALABA PROVINCE, DRC, 9 June 2025 — On Friday, June 13, during the closing session of the Governors’ Conference in Kolwezi, Lualaba Province, His Excellency President Félix Tshisekedi will launch the Presidential Initiative to End Pediatric AIDS in the Democratic Republic of the Congo (DRC).

The launch of this bold initiative marks a renewed national commitment to addressing one of the most persistent and heartbreaking inequities in the country’s HIV response: children’s limited access to life-saving HIV treatment and prevention services.

Over recent decades, the DRC has made remarkable strides in rolling out HIV testing and treatment services nationwide. Today, an estimated 91% of adults living with HIV in the DRC are on antiretroviral therapy, thanks to strong collaboration between the government, civil society, affected communities, and key partners including PEPFAR, the Global Fund to Fight AIDS, Tuberculosis and Malaria, UNAIDS and its 11 co-sponsoring agencies, the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF), the private sector, and others.

But progress for children has lagged behind. Only 44% of children living with HIV in the DRC currently receive treatment. This proportion has remained tragically low for a decade, with thousands of children still newly infected each year. These infections are mostly due to missed opportunities to test pregnant women, which would enable timely interventions to prevent mother-to-child transmission and keep mothers alive.

This gap underscores persistent challenges in the health system, including:

• Insufficient access to quality sexual and reproductive health services for women;
• Poor integration of HIV services within platforms for maternal, newborn, child, and adolescent health;
• A fragile supply chain for essential medical commodities;
• Weak community systems and limited coordination between community actors and public services.

The Presidential Initiative to End Pediatric AIDS is a call for urgent and sustained action. It demands greater political leadership and accountability from Governors and provincial authorities, emphasizing the need for local solutions to local challenges. The initiative aims to:

1. Improve early HIV screening and quality of treatment for children, adolescents, and pregnant and breastfeeding women;
2. Prevent new HIV infections among children and mothers;
3. Ensure timely initiation of antiretroviral therapy for HIV-positive adolescents, pregnant and breastfeeding women;
4. Eliminate structural barriers that limit access to HIV screening and services for adolescents.

The five-year initiative, backed by at least USD 18 million in domestic funding, will complement existing national programs and investments, mobilizing localized efforts and innovations to close the pediatric HIV treatment gap in every province.

“At a time when global development financing is shifting and placing pressure on the systems that support our most vulnerable, the leadership of President Félix Tshisekedi in launching this initiative is a beacon of hope. UNAIDS salutes the President’s leadership and stands in full support of this bold and inspirational agenda,” said Dr Susan Kasedde, UNAIDS Country Director in RDC. 

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

UNAIDS and the Akbaraly Foundation have signed a landmark partnership agreement to reshape how HIV and women’s health are addressed across Madagascar and the Indian Ocean region.

Over the past 15 years, new HIV infections in Madagascar have surged by 151%, and AIDS-related deaths have risen by 279%. Of the estimated 70 000 people living with HIV in the country, only 20% are receiving treatment. These statistics reflect lives and families in jeopardy and communities in need.

This new alliance brings together two organizations with shared goals and complementary strengths. UNAIDS brings decades of global leadership in the HIV response., while the Akbaraly Foundation offers deep community trust and a proven ability to deliver results.

“This agreement goes well beyond organizational cooperation,” said UNAIDS Country Director, Jude Padayachy, “it represents a collective commitment to innovation, equity and results that matter.”

Since its founding in 2008, the Akbaraly Foundation, which also operates in India, Italy and Rwanda, has become a pillar of healthcare delivery in Madagascar, especially in underserved regions. Its mobile unit, LUISA, has travelled more than 25 000 kilometres to provide medical services in remote villages. Over 340 000 women have been screened for cancer and 480 000 people have received life-changing education on cancer prevention.

The partnership will focus on incorporating HIV services into the fixed and mobile Akbaraly medical infrastructure to extend their reach as well as training programmes for health professionals in Comoros to strengthen the region’s response capabilities.

In addition, UNAIDS and the Akbaraly Foundation will coordinate advocacy efforts during global campaigns  such as World AIDS Day and World Cancer Day to strengthen public awareness and reduce stigma. This strategic alliance is a promise to deliver health with dignity, from city centres to the most isolated islands.

UNAIDS has supported eight countries including Mali, Angola, Madagascar, South Sudan, Indonesia, Pakistan, Philippines and Thailand to assess the strengths and weaknesses of their HIV care service delivery systems.

If countries are to succeed in reaching the 95-95-95 HIV targets, their health systems must adopt rights-based, gender-sensitive, and people-centered models to reach the underserved populations and improve service quality.

One such model is the differentiated service delivery (DSD) approach, which is designed to provide HIV services that are adapted to reflect the preferences and needs of people living with and vulnerable to HIV, while reducing unnecessary burdens on the health system.

UNAIDS mobilized Technical Assistance Demand Generation (TADG) funding support from USAID, to bring together national program stakeholders and community groups for a data-driven consensus building process. In each country, participants used a structured health system assessment and strengthening tool, developed by the HIV Coverage, Quality, and Impact Network (CQUIN), of the Columbia University, to make informed decisions on enhancing quality HIV testing, treatment, and care services.

According to participating country teams, the exercise facilitated a breakdown of national program landscapes into clear, actionable focus areas, and improved their understanding of differentiated delivery of HIV care services. Program teams were able to prioritize areas for focus and to streamline decision-making, which will ultimately lead to practical and sustainable enhancement of HIV service provision.

“Considering South Sudan is lagging behind in treatment coverage, this was a very timely technical support exercise, that will strengthen the HIV care response to achieve 95-95-95 targets through collective action, advocacy and investment” said Dr Agai Akec, Director, HIV Programme, Ministry of Health, South Sudan.

The participating countries recognised the value of adopting differentiated service delivery approach to HIV testing, HIV treatment and the management of advanced HIV disease; establishing linkages with related services such as maternal and child health, Tuberculosis and non-communicable disease care, and promoting collaboration between health facilities and the community.

UNAIDS role has been instrumental in using US catalytic resources to mobilize partners including WHO, The Global Fund, and technical support agencies to support national government and community groups to promote a critical area of work for HIV testing and treatment.

"The TADG catalytic funding helped the country beneficiaries to demystify Differentiated Service Delivery and to identify concrete areas for improvement within national programs. I would encourage countries to undertake more of these exercises to make services available and accessible by all, particularly those who have been left behind." said Fodé SIMAGA, UNAIDS Director, Science Systems and Service for All.

For further details and guidance on using the tool, visit:

• CQUIN Capability Maturity Models
• UNAIDS differentiated Service Delivery country profiles
• Technical assistance to accelerate the implementation of WHO recommendations on HIV testing and treatment delivery: insights and lessons learned in 18 countries