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Mail & Guardian
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After a year of US funding cuts across global public health, including South Africa’s hard-hit HIV programmes, new realities are settling in. We spoke to Mitchell Warren from the New York HIV advocacy organisation, Avac, to find out what that means for South Africa. Photo: Paul Botes

What will HIV funding look like in 2026?

After a year of US funding cuts across global public health, including South Africa’s hard-hit HIV programmes, new realities are settling in

According to a survey, 85% of managers reported that their clinics faced staffing shortages, though only one in five blamed these on the US President’s Emergency Plan For Aids Relief cuts

Clinics short-staffed after Pepfar funding cuts

According to a survey, 85% of managers reported that their clinics faced staffing shortages, though only one in five blamed these on the US President’s Emergency Plan For Aids…

Nompilo Mdluli — in brown jacket — and Simphiwe Matsebula — in black jersey are worried that the Pepfar pause on HIV services in eSwatini could negatively affect the lives of people living with HIV especially daily access to antiretroviral treatment which helps keep their virus under control.

People living with HIV in fear as impact of donor funding cuts begin to show in eSwatini

HIV prevention services have been heavily affected by the pause on the US President’s Emergency Plan for Aids in the country, with remote mobile clinics that served hard-to-reach…

ROOM WITH A VIEW: Ndiviwe Mphothulo at home in Glenvista, not far from where he grew up in Jabavu in Soweto. (Sean Christie)

At 16, he mediated a highjacking. Now he’s negotiating for the survival of HIV programmes

Ndiviwe Mphothulo, a medical doctor and president of the Southern African HIV Clinicians Society, is trying to make sure the Trump administration’s funding cuts don’t collapse…

How can data help the health department make the most of the R622 million extra it received for South Africa’s HIV treatment programme? (Flickr)

Most people on ARVs stay on them. Does our health system know that?

The health department has R622 million extra to prop up South Africa’s HIV treatment programme in the wake of foreign aid cuts, but it’s only about a fifth of the total gap

US President Donald Trump (Flickr)

Small win for activists, but SA’s HIV projects won’t reopen

The $400 million the United States congress removed from a list of funding programmes the Trump administration wants to cut doesn’t cancel the cuts to HIV and TB programmes made…

Research indicates the anti-HIV jab, lenacapavir, protects women completely and works almost as well for men, transgender and nonbinary people. Photo: Marko Milivojevic/Pixnio

SA gets R520 million to buy the twice-a-year anti-HIV jab – but there’s a snag

The country isn’t getting extra money from the Global Fund to Fight Aids, TB and Malaria; it has to use cash from a grant it has already been awarded and was cut by 16% in June

Dangerous fantasy: US ambassador Dybul said SA was ready to transition off Pepfar. It wasn’t

Weeks later, thousands of health workers are unemployed, HIV services are collapsing and the government hasn’t filled the gap. This isn’t transition, it’s unraveling in real time

How close is South Africa to meeting its HIV treatment goals? We look at the numbers. (NIAID/Wikimedia)

Motsoaledi’s big HIV treatment jump: Is it true?

Last month, the health minister said more than half a million previously diagnosed people with HIV have been started on treatment since the end of February

The pathological hatred Trump inspires on the left and the quasi-religious devotion he commands on the right reflect tensions within American democratic culture. File Photo

It’s the ‘Donald disease’ that’s making us sick

With the 12 specialised key population clinics in South Africa funded by the US government, and now shuttered, getting treatment at government clinics has been difficult, if not…

The impact of the Trump administration’s slashing of over half of South Africa’s HIV and TB projects funded by the US government, transcends reduced access to HIV testing and HIV prevention and treatment drugs. Treatment for diabetes, high blood pressure, cervical cancer, depression and anxiety will become harder to come by too. (Flickr)

Trump’s HIV funding cuts will also hit diabetes, cervical cancer and depression hard

As government clinics take on HIV patients who were previously treated by Pepfar-funded projects, the treatment of conditions like diabetes and heart disease will come under…

Foreign aid has been the backbone of Africa’s HIV/Aids response but now the continent must take control of its health future.

A letter to the African Union and the continent’s governments

Aid dependency in the fight against HIV/Aids is not sustainable; Africa must own its health future. With political will, nothing is impossible

Video

The case of the minister and the HIV activists: Are we entering denialism 2.0?

Activists say the health minister is in denial over the impact of US funding cuts and accusing them and the media of overblowing the crisis and spreading disinformation

If all of its National Institutes of Health funding falls away, the country could lose 70% of its medical research capacity

The US’s NIH funds R6.65 billion of research in South Africa

If all of its National Institutes of Health funding falls away, the country could lose 70% of its medical research capacity

Twenty years of hard lessons — with a dose of good luck and a lot of persistence — has helped Hlokomela Clinic to prepare for the US funding cuts crisis. (Zano Kunene)

How this Limpopo NGO prepared for Trump’s funding cuts

The Anova Health Institute, which received the lion’s share of the US President’s Emergency Plan for Aids funding in South Africa, had its support halted in February along with…

African health systems have long been undermined by debt and political neglect.

The cost of neglect: Debt’s toll on African health systems

The US withdrawal will reveal the underlying truth: African health systems have long been undermined by debt and political neglect.

Funding cuts will reverse the progress made and weaken health systems.

Africa wins when women’s health is a priority. Here’s why

It is women and girls who will suffer the most from the funding crisis caused by cuts to development aid.

Lenacapavir could end Aids in South Africa by 2032. How much should we pay for it? (Canva)

The six-monthly anti-HIV jab could end Aids in SA by 2032

A modelling study released in March gives a clue at which price the jab, lenacapavir, would be worth the health department’s while

Local pharmaceutical production would help insulation against external shocks, which hurts vulnerable people the most.

US aid cuts: Africa must make its own medicine

Donald Trump’s funding freeze underlines that South Africa needs to prioritise the development of its pharmaceutical manufacturing sector

Donald Trump criminalised Cuba’s medical brigade and shot down USAid – but Cuba’s biotechnology industry could step in regarding  HIV/Aids.

South African-Cuban link: Trump’s targets can help each other

There is an urgent need to build health sovereignty and sustainability to break dependence on donations