A new report says disruptions linked to the Trump administration have significantly hindered global efforts to prevent and treat HIV in dozens of countries. The report describes the impacts on the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), which supports HIV services through partner organizations. According to the accounts across outlets, organizations participating in PEPFAR-funded programs have been forced to close clinics, lay off staff, and cut services as disruptions spread. The report also says the situation affects specific groups, including young women and orphans and children, and that services have been impaired across a wide range of locations. One source contrasts the report’s findings with a more positive assessment presented by the administration about what has occurred since U.S. changes. The report frames PEPFAR as having a long-running impact, crediting it with saving at least 26 million lives since 2003, while arguing that last year’s disruptions contributed to reductions in HIV-related support. Outlets attribute part of the disruption to changes involving the dismantling of the U.S. Agency for International Development and cuts to thousands of global health grants.