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HIV Crisis Looms in South Africa as US Aid Cuts Bite

Kehinde Giwa by Kehinde Giwa
July 10, 2025
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HIV Crisis Looms in South Africa as US Aid Cuts Bite
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South Africa is bracing itself for a potential HIV crisis after the US government cut funding for HIV/AIDS programs, leaving thousands of patients facing an uncertain future. Gugu, a 54-year-old HIV-positive former sex worker, is one of the lucky ones.

She received a nine-month supply of antiretrovirals before her clinic closed due to lack of funding. However, she will soon run out of medication and plans to visit her local public hospital.

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The cuts have affected many HIV-positive individuals, particularly sex workers, who relied on private clinics funded by the US government’s aid agency, USAID. These clinics provided essential services, including HIV testing, treatment, and prevention programs.

Without these services, many patients may struggle to access life-saving medication.

The impact of the funding cuts is far-reaching, with experts warning of a potential spike in HIV infections and AIDS-related deaths.

According to UNAIDS, the progress made in tackling HIV/AIDS is at risk of being reversed, with an additional six million new infections and four million AIDS-related deaths possible by 2029.

Prof. Lynn Morris, Deputy Vice-Chancellor of Johannesburg’s Wits University, warns that the cuts will lead to an increase in HIV infections, TB cases, and other infectious diseases. “We’re going to start seeing a reversal of what was essentially a real success story,” she says.

Researchers are also feeling the pinch, with projects aimed at finding an HIV vaccine and cure for AIDS being put on hold. Prof. Abdullah Ely, an Associate Professor at Wits University, expresses concern that the lack of funding will set back research by months or even years.

The South African government has pledged to maintain treatment programs, but activists warn that immediate action is needed to prevent a health catastrophe. With 7.7 million people living with HIV in South Africa, the stakes are high.

The government has secured some alternative funding, but it’s a fraction of what’s needed to fill the gap left by the US aid cuts.

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