美国宣布将分阶段削减对纳米比亚HIV应对工作的资金投入。1美国将在2027财年为该项目提供4500万美元，之后停止财政支持，仅维持技术协助。1纳米比亚近年来每年通过美国总统艾滋病救济紧急计划获得约4500万美元。1自2003年以来，美国已向纳米比亚HIV项目贡献超过11亿美元。1
此次撤资源于数据共享条款的分歧。1美国提议纳米比亚共享健康数据和生物样本，但纳米比亚政府以侵犯宪法隐私保护和"不符合纳米比亚国家法律"为由予以拒绝。1这一决定反映了特朗普政府"America First"外交政策在南部非洲地区的影响，已有约30个国家（主要在非洲）签署了类似协议。1加纳、津巴布韦、肯尼亚、赞比亚等国也因类似的数据共享关切而拒绝或延缓美国协议。1美国最近还宣布停止向南非HIV项目每年提供超过4亿美元的支持。1
尽管面临资金削减，纳米比亚的HIV应对工作取得显著成效。1该国96%的感染者知晓自身状态，98%的诊断患者接受治疗，98%的治疗患者实现病毒抑制。1
The United States has announced plans to end financial support for Namibia's HIV response program after the 2027 fiscal year, transitioning to technical assistance only.1 The decision marks a significant shift in American aid, as Namibia has received approximately $45 million annually through the President's Emergency Plan for AIDS Relief (PEPFAR) in recent years, with cumulative U.S. contributions to the country's HIV efforts exceeding $1.1 billion since 2003.1
The funding withdrawal follows Namibia's rejection of proposed terms requiring the sharing of health data and biological samples.1 Namibian officials stated the original agreement provisions conflicted with national law and violated constitutional privacy protections.1 This move aligns with the Trump administration's broader "America First" foreign policy approach, under which the U.S. has negotiated similar data-sharing agreements with approximately 30 countries, primarily in Africa.1
Other southern African nations have likewise resisted comparable conditions, with Ghana, Zimbabwe, Kenya, and Zambia either refusing or delaying American agreements over data-sharing concerns.1 The U.S. separately announced the discontinuation of over $400 million in annual support for South Africa's HIV program.1 Despite these policy shifts, Namibia has demonstrated significant progress in its HIV response, with 96 percent of infected individuals aware of their status, 98 percent of those diagnosed receiving treatment, and 98 percent of those treated achieving viral suppression.1
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