NAIROBI — Decades of advances in the global fight to stop the spread of HIV/AIDS are in peril amid wide-scale cuts to prevention programs, according to a United Nations report.

The number of people who received pre-exposure prophylaxis (PrEP) medication, used to prevent those at risk from contracting HIV, declined by a drastic 38 percent between 2024 and 2025, per initial data from 62 countries — which means more than a million fewer people took the drug. Funding for condoms has been cut in some cases by more than 90 percent, according to the report.