Dmytro Sherembey, a prominent advocate for HIV-positive individuals in Ukraine, credits the United States Agency for International Development (USAID) with saving his life amid the ongoing health crisis exacerbated by the war in Ukraine. Living with HIV for 24 years, Sherembey emphasizes the critical role USAID has played in managing and preventing the spread of the virus in his country.
Sherembey, who leads 100% Life, Ukraine’s largest patient-led organization, highlights that nearly half of all HIV-positive individuals in Ukraine were identified through USAID-supported initiatives. However, the future of this vital agency hangs in the balance due to recent political developments in the United States.
In a controversial move shortly after returning to office, former President Donald Trump signed an executive order that temporarily halted almost all foreign assistance for 90 days, citing a need for review. Trump has publicly criticized USAID, describing it as a mismanaged entity rife with fraud, although he has not provided evidence to support his claims. This uncertainty comes at a precarious time; as the war escalated in Ukraine, Sherembey recalls the destruction of warehouses containing essential HIV medications, which were bombed during the conflict. USAID’s quick response enabled the procurement and distribution of replacement medications across the country, a lifeline for many like Sherembey.
Sherembey expresses concern that the aid he relies on could be abruptly cut off by a single decision from the U.S. government. "USAID’s slogan is that this is assistance from the American people," he notes, "but it turns out that this aid could be stopped by the decision of one person."
Established in 1961 by President John F. Kennedy, USAID has a budget of nearly $40 billion and operates in over 60 countries, addressing a wide range of humanitarian needs from food security to health services. Its work is crucial in regions like Afghanistan, where the agency is a key donor to health projects that provide essential services to mothers and children. The potential cessation of funding could lead to dire consequences, including increased mortality rates among vulnerable populations.
In addition to health initiatives, USAID also supports cybersecurity efforts, particularly in oppressive regimes. An Iranian activist, whose organization receives USAID funding, warns that a funding freeze would severely hinder their ability to protect individuals from government reprisals.
The political climate surrounding USAID has drawn sharp criticism from influential figures, including Elon Musk, who labeled the agency a "criminal organization" without substantiating his claims. As discussions continue about the future of foreign aid, the implications for millions who depend on USAID’s support are dire.
Sherembey’s situation is emblematic of the broader stakes involved. "My life is now at risk," he states, emphasizing the limited options available for HIV-positive individuals in Ukraine. "You cannot simply go to a pharmacy and buy these drugs. There are no alternatives." With the specter of aid cuts looming, Sherembey’s plea for continued support underscores the urgent need for a stable and reliable response to health crises in conflict zones.