Flag of Mozambique. / Credit: hyotographics/Shutterstock

CNA Staff, Jan 20, 2025 / 16:20 pm (CNA).

A major U.S. HIV/AIDS relief program is facing potential blowback amid reports that the program was used to fund abortions in southeast Africa.

Idaho Republican Sen. Jim Risch said in a statement last week that the U.S. Centers for Disease Control and Prevention (CDC) recently revealed that funds for the President’s Emergency Plan for AIDS Relief (PEPFAR) were spent on abortions in Mozambique.

PEPFAR was launched in 2003 during George W. Bush’s first term. The U.S. Department of State says the program is “the largest commitment by any nation to address a single disease in history.” It works to treat AIDS patients and prevent infections of HIV as well as supporting countries to achieve “HIV epidemic control.”

The program says it has saved more than 25 million lives since its inception. But it is also barred from using funds to help procure abortions. The 1973 Helms Amendment to the Foreign Assistance Act bars federal funds from being used to bankroll abortion in foreign countries. 

Reuters reported that “three U.S. officials” briefed Congress last week on reported violations of that rule in Mozambique. Specifically, “four nurses performed a total of 21 abortions since January 2021,” according to the news wire. 

Risch in his statement said the “future of the PEPFAR program is certainly in jeopardy” given the reported violations. 

“I will not support one dollar of American money going towards abortion anywhere in the world, and I will do all I can to ensure this never happens again,” Risch said. He called for the CDC to be investigated over the allegations. 

Risch was not the only congressional figure to call for an investigation. Florida Republican Rep. Brian Mast in a statement described the reported violation as “disgraceful and unacceptable.” 

“The State Department and CDC must investigate to ensure that not one penny of PEPFAR goes toward abortion,” Mast said. 

Democrats called for more oversight of the program while hailing its years of work in addressing the AIDS crisis. Reps. Rosa DeLauro and Lois Frankel said in a joint statement that the violation “appears to be an isolated incident in Mozambique” and that it should not “undermine the overwhelming success and integrity of PEPFAR’s mission.” 

“A commitment to compliance and transparency is an absolute requirement, and we have seen swift actions by program administrators to address this issue,” they said. “By strengthening oversight and reaffirming our commitment to PEPFAR, we can protect the global progress this program has achieved.”

In a statement last week, meanwhile, PEPFAR said it identified the reported violation and “took immediate corrective action with the partner” in Mozambique. 

The organization said it was “implementing new, additional preventive measures, including requiring an annual signed attestation by PEPFAR-funded clinical service providers to ensure compliance with U.S. funding restrictions.” 

The group said it would work with both the Mozambique government and “all PEPFAR partner countries” to ensure future compliance.

On its website, the U.S. Embassy in Mozambique says the country has the second-largest HIV epidemic in the world with upwards of 2.2 million Mozambicans infected with the human immunodeficiency virus. HIV is the “leading cause of mortality for Mozambicans over the age of 5,” the embassy says. 

PEPFAR has “managed to make significant progress towards the response to HIV/AIDS,” the organization says, with efforts including millions of HIV tests, the delivery of antiretroviral medication, and interventions with pregnant women to prevent mother-to-child HIV transmission, among other measures.