HIV: Housing Works presses Fils-Aimé to create the national fund, in the works since 2010

About 150,000 people live with HIV in Haiti, according to 2024 figures from the national HIV/AIDS program (PNLS). Their care depends largely on foreign money, and that money is shrinking. Housing Works Haiti is asking Prime Minister Alix Didier Fils-Aimé to speed up the creation of the National Fund to Fight HIV (FNL-VIH), so the country can pay for part of that care itself.

The organization made the request in an open letter published on November 10 and signed with several Haitian rights and prevention groups. "Continuity of care cannot wait," they write. In their view, "the health of people living with HIV cannot depend solely on outside funding."

U.S. funding falls sharply

According to Housing Works Haiti, U.S. funding for the HIV response in the country has dropped by more than 80%. The letter points to uncertainty around PEPFAR, the U.S. plan to fight the disease, and USAID, which carry a large share of Haiti's response.

The national fund would secure the purchase of antiretrovirals, the drugs that keep the virus under control, as well as medical supplies and support for patients in their communities.

A file open since 2010

The first steps toward the fund date back to 2010. Work carried out from July to September 2025 revived the revision of the decree that would create it. On May 19, 2025, people living with HIV and civil society members held a sit-in outside the Prime Minister's office. In May 2026, a letter to the Prime Minister's office went unanswered, according to Housing Works.

The signatories ask the government to give the file special attention, to quickly adopt the revised decree and to open a dialogue with civil society.

On the air

The day after the letter, Dr. Eva Marly Steide, country director of Housing Works Haiti, and Dr. Fritz Moïse, president of the Civil Society Forum, repeated the call on Radio Mega 103.7 FM. The Prime Minister's office had not responded publicly at the time of publication.