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Promising New HIV-Prevention Drug Is Hard to Find Where It's Most Needed, in Places Like Uganda

The generic could widen access to a twice-yearly HIV prevention shot as clinics in Uganda report doses running out within days.

  • On Monday, the U.S. Food and Drug Administration tentatively approved a generic version of lenacapavir, aiming to lower costs in 120 low-income countries to roughly $40 annually, far below the $28,218 U.S. list price.
  • Shortages persist in Uganda, particularly in Mbarara, where the HIV rate is 10%, double the national average, driven largely by transactional sexual encounters.
  • Patients like Lisa Mutoni and Julius Bampe face frequent supply gaps, with Mutoni reporting "it's not available. They tell me that it is finished" when seeking treatment at local facilities.
  • The Global Fund aims to reach 3 million people by the end of 2028, though expert Andrew Hill, a senior visiting research fellow at the University of Liverpool, warns that "we need to be getting to the millions pretty soon."
  • Doctors Without Borders urges Gilead Sciences to expand direct access, arguing that the company's claim to end the HIV epidemic "for everyone, everywhere" contradicts its current actions.
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Promising new HIV-prevention drug is hard to find where it's most needed, in places like Uganda

Experts say that a promising drug that offers complete protection against HIV and requires only two shots a year isn't getting to enough people.

·Orlando, United States
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Owensboro Messenger-Inquirer broke the news on Tuesday, November 3, 2026.
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