US Aid Cuts Threaten HIV Progress in South Africa

Fri Jul 11 2025 04:18:39 GMT+0300 (Eastern European Summer Time)
US Aid Cuts Threaten HIV Progress in South Africa

South Africans express growing concerns over rising HIV infections as USAID funding cuts severely impact access to vital antiretrovirals.


With the closure of numerous clinics funded by USAID following significant aid cuts, HIV-positive individuals, particularly vulnerable populations like sex workers in South Africa, face dire challenges in accessing life-saving treatments, sparking fears of a resurgence in infections and setbacks in research advancements.

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Gugu used to retrieve her antiretrovirals from a USAID-supported clinic in Johannesburg, but recent funding cuts have left her and countless others with an uncertain future.

Thanks to her clinic’s early warning, Gugu received a nine-month medication supply instead of the usual three, but she anxiously anticipates running out in September. She now intends to seek treatment at a public hospital, despite worries about long wait times and potential stigma.

As a former sex worker, Gugu learned of her HIV status accidentally after seeking care for a chest infection. Now 54 and working with an NGO to assist other HIV-positive women, including pregnant sex workers, she highlights how the reduction in clinics affects many in the community.

Previously, private clinics funded by USAID provided essential services. However, with funding drastically cut by the Trump administration, many of these facilities have closed, pushing HIV-positive individuals towards public hospitals that can be less accommodating.

Reports from UNAids indicate a risk of reversing substantial progress made against HIV/AIDs globally. The agency warns that without intervention, the number of new infections could surge, with potential rejuvenation of the epidemic that had seen a significant decline since 2010.

South Africa, home to 7.7 million people living with HIV, benefitted significantly from the funding, which supported initiatives like mobile clinics. Gugu worries that time-intensive public hospital visits could lead to many sex workers shirking their essential medication.

Moreover, the cutting funds jeopardizes vital HIV research. Findings from Wits University indicate that funding cuts hamper critical programs, including the development of potential vaccines against the virus, with implications for scientific advancements in South Africa.

Prof. Lynn Morris from Wits University warns that rising infections brought on by dwindling access to treatments could mirror threats across other infectious diseases as well.

As universities in South Africa seek emergency funding to cover losses from USAID cuts, recent grants from the Bill and Melinda Gates Foundation provide some respite, yet remain insufficient compared to the needed support.

For Gugu, envisioning a future where a cure for HIV/AIDs exists feels increasingly bleak. Concerned about her health and the wellbeing of those she supports, she emphasizes the long-term effects these funding cuts could have on future generations struggling with the disease.

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