Andrew Green
banner
theandrewgreen.bsky.social
Andrew Green
@theandrewgreen.bsky.social
Global health correspondent. Dispatches from the frontlines of the suddenly uncertain global AIDS response: https://theforsaken.substack.com/. 2025 Alicia Patterson Fellow.
Reposted by Andrew Green
Ramaphosa just told an EU-SA summit that the US has changed its mind and they're now discussing attending the G20 "in one shape, form or another". No mention of whether that includes Trump, but his tone didn't make it sound like the US representation would be at that level

x.com/CyrilRamapho...
November 20, 2025 at 4:13 PM
With negotiations over bilateral health agreements underway across Africa, what does it mean that organizations providing services for gay men, sex workers and other vulnerable communities weren't invited to the talks? theforsaken.substack.com/p/no-seat-at... @thelastmileusaid.bsky.social
No seat at the table
Washington has started talks with African countries about future health funding. In Botswana, most NGOs are not included.
theforsaken.substack.com
November 20, 2025 at 2:43 PM
I'm on the BBC's Health Check talking about the crisis caused by U.S. funding cuts for HIV programs in Botswana: www.bbc.com/audio/play/w...
BBC Audio | Health Check | The disappearing mid-life crisis
The trend in wellbeing over our lifespans is changing, driven by unhappier young people
www.bbc.com
November 20, 2025 at 7:07 AM
Reposted by Andrew Green
The breakthrough HIV prevention shot lenacapavir has arrived in Eswatini and Zambia just months after U.S. approval, marking what advocates call an unusually fast global deployment of a game-changing drug to LMICs that need it most.
Global Health NOW 11.19.25
Lenacapavir Rollout Reaches Africa; and The Perils of Migrating While Pregnant.
mailchi.mp
November 19, 2025 at 8:53 PM
Reposted by Andrew Green
A #DOGE leader who decimated the US health department is in charge of negotiating MOUs with African countries for new health grants.
@altusaid.altgov.info
@thelastmileusaid.bsky.social
@panaction.bsky.social
healthpolicy-watch.news/us-steams-ah...
DOGE Man Drives US Bilateral Health Agreements With African Countries - Health Policy Watch
Some commentators have described the terms of the bilateral MOUs as "extractive" as they fail to offer African countries access to the health products that
healthpolicy-watch.news
November 18, 2025 at 8:19 AM
Reposted by Andrew Green
My newsletter this week is a little different. While I tend to focus broadly on the impact of U.S. funding cuts on HIV programs, I zeroed in this week on on one woman, Mercy Mdoka. Her story is a window into the disruption and suffering these cuts have caused: theforsaken.substack.com/p/mercy-mdoka
Mercy Mdoka
Late on a Wednesday night in mid-August, Mercy Mdoka sat down to draft her will.
theforsaken.substack.com
November 13, 2025 at 7:20 PM
My newsletter this week is a little different. While I tend to focus broadly on the impact of U.S. funding cuts on HIV programs, I zeroed in this week on on one woman, Mercy Mdoka. Her story is a window into the disruption and suffering these cuts have caused: theforsaken.substack.com/p/mercy-mdoka
Mercy Mdoka
Late on a Wednesday night in mid-August, Mercy Mdoka sat down to draft her will.
theforsaken.substack.com
November 13, 2025 at 7:20 PM
U.S. officials confirmed yesterday the termination of support for Botswana's voluntary medical male circumcision program. Circumcision can reduce HIV transmission by up to 60%. But PEPFAR will drop its support amid sweeping cuts to prevention services in Botswana and across the continent.
November 12, 2025 at 2:09 PM
Reposted by Andrew Green
Countries can no longer rely on US supply chains for the provision of essential medicines.

www.theglobeandmail.com/business/eco...
U.S. pushes drugmakers to reveal confidential details of contracts with Canada, other countries
Washington turning up pressure on manufacturers to lower U.S. drug prices and raise them elsewhere
www.theglobeandmail.com
November 11, 2025 at 10:59 AM
Reposted by Andrew Green
Botswana had been at the forefront of the global AIDS response for decades, but recent economic troubles led to shortages of lifesaving treatment. This collided with U.S. cuts in support to Botswana's HIV programs. Suddenly the country is facing a crisis: theforsaken.substack.com/p/a-differen...
A different kind of crisis
Botswana's HIV response was already reeling when the Trump administration cut PEPFAR funding
theforsaken.substack.com
November 9, 2025 at 3:43 PM
The U.S. has kicked off bilateral negotiations to set up multi-year MOUs that will determine America's global health and security support. The process is already incredibly problematic, as @emilybass.bsky.social spells out: emilysbass.substack.com/p/usa-global...
USA Global Health Negotiations Kick Off Across Africa This Week
African countries can still ensure tight-turnaround meetings are meaningful.
emilysbass.substack.com
November 10, 2025 at 5:16 AM
Botswana had been at the forefront of the global AIDS response for decades, but recent economic troubles led to shortages of lifesaving treatment. This collided with U.S. cuts in support to Botswana's HIV programs. Suddenly the country is facing a crisis: theforsaken.substack.com/p/a-differen...
A different kind of crisis
Botswana's HIV response was already reeling when the Trump administration cut PEPFAR funding
theforsaken.substack.com
November 9, 2025 at 3:43 PM
Reposted by Andrew Green
Experts are raising concern around a template for bilateral agreements between the U.S. and partner governments that includes pathogen sharing and agreements on automatic approval for American products.
US template for bilateral health deals bypasses WHO pandemic negotiations
US template for bilateral health deals bypasses WHO pandemic negotiations
www.devex.com
November 8, 2025 at 6:33 AM
Reposted by Andrew Green
Trading PABS for PEPFAR:
"EXCLUSIVE: US Ties Global Health Aid to Data Sharing on Pathogens – Undermining WHO Talks" healthpolicy-watch.news/exclusive-us...
EXCLUSIVE: US Ties Global Health Aid To Data Sharing On Pathogens – Undermining WHO Talks - Health Policy Watch
The United States (US) aims to compel countries that receive its aid to fight HIV, tuberculosis and malaria to share all information about “pathogens with
healthpolicy-watch.news
November 7, 2025 at 8:28 AM
Reposted by Andrew Green
Botswana's health sector was already reeling as the country's economy unravels. Then the Trump administration cut crucial support to its HIV programs: theforsaken.substack.com/p/a-differen...
A different kind of crisis
Botswana's HIV response was already reeling when the Trump administration cut PEPFAR funding
theforsaken.substack.com
November 6, 2025 at 2:55 PM
Botswana's health sector was already reeling as the country's economy unravels. Then the Trump administration cut crucial support to its HIV programs: theforsaken.substack.com/p/a-differen...
A different kind of crisis
Botswana's HIV response was already reeling when the Trump administration cut PEPFAR funding
theforsaken.substack.com
November 6, 2025 at 2:55 PM
Reposted by Andrew Green
The new America First Global Health Strategy prioritizes support for community health workers. So why did the Trump administration just spend nine months firing so many of them: theforsaken.substack.com/p/whos-on-th...
Who's on the frontline?
The Trump administration spent months eliminating community health worker programs. Now officials recognize their importance
theforsaken.substack.com
October 31, 2025 at 12:25 PM
The new America First Global Health Strategy prioritizes support for community health workers. So why did the Trump administration just spend nine months firing so many of them: theforsaken.substack.com/p/whos-on-th...
Who's on the frontline?
The Trump administration spent months eliminating community health worker programs. Now officials recognize their importance
theforsaken.substack.com
October 31, 2025 at 12:25 PM
Reposted by Andrew Green
💔 Over 460 patients & companions were murdered in El Fasher’s Saudi Maternity Hospital after an #RSF takeover.

@who.int DG @drtedros.who.int: “Appalled & deeply shocked.”

❗Healthcare must never be a target.

✍️ @kerrycullinan.bsky.social
@unicef.org @icrc.org
WHO 'Appalled' By Murder Of 460 Patients In Sudanese Maternity Hospital - Health Policy Watch
Healthworkers said that the gunmen, from the rebel Rapid Support Forces (RSF), burst into the hospital and opened fire without warning, WION reports.  The RSF
healthpolicy-watch.news
October 30, 2025 at 3:19 PM
Reposted by Andrew Green
The Trump administration's new health strategy maintains a commitment to global AIDS targets, but experts warn it will undercut the program needed to achieve them.
How will America's new global health strategy change PEPFAR?
How will America's new global health strategy change PEPFAR?
www.devex.com
October 30, 2025 at 1:03 PM
"Kenyan politics remains plural in form but authoritarian in soul." A truly brilliant analysis of Raila Odinga's political legacy by @newhumanitarian.bsky.social's Patrick Gathara: www.thenewhumanitarian.org/opinion/2025...
Raila Odinga and the politics of power
Kenyan elites do not seek to build institutions to restrain power but rather movements to capture it.
www.thenewhumanitarian.org
October 30, 2025 at 8:49 AM
Reposted by Andrew Green
It looks like we are witnessing unprecedented levels of #inhumanity and lack of #compassion, as if #migrants were not #human:
" #Eswatini, hunger strike of #Cuban man deported from #USA exposes human cost of unlawful transfer arrangement".
Read here: share.google/zAOn5ZDDysPC...
Eswatini, hunger strike of Cuban man deported from US exposes human cost of unlawful transfer arrangement
- Eswatini, hunger strike of Cuban man deported from US exposes human cost of unlawful transfer arrangement - Responding to reports that Roberto Mosquera del Peral, a Cuban national who was deported f...
share.google
October 28, 2025 at 10:54 AM
For @genevahealthfiles.bsky.social, I had the opportunity to summarize six months of reporting on the threats to the global HIV response through the lens of the situation in three different countries: genevahealthfiles.substack.com/p/the-story-...
The Story of the Unfolding HIV Crises As Seen in Three Countries: Uganda, Thailand and Malawi [GROUND REPORT]
Newsletter Edition #309 [The Files In-Depth]
genevahealthfiles.substack.com
October 27, 2025 at 6:49 AM
Reposted by Andrew Green
The Story of the Unfolding HIV Crises As Seen in Three Countries: Uganda, Thailand and Malawi

A Ground Report by Andrew Green

genevahealthfiles.substack.com/p/the-story-...
October 21, 2025 at 8:34 AM