**US Funding Cuts Prompt Concern Over HIV Treatment in South Africa**

Sat Jul 12 2025 16:05:13 GMT+0300 (Eastern European Summer Time)
**US Funding Cuts Prompt Concern Over HIV Treatment in South Africa**

Reduced aid threatens access to essential medications, impacting vulnerable populations.


Experts in South Africa are raising alarm as funding cuts from the US, especially those affecting HIV treatment programs, threaten the health of millions. With heightened anxieties about potential new infections and a decline in HIV research, vulnerable groups like sex workers could face dire consequences.

In Johannesburg, Gugu, an HIV-positive project coordinator, remembers a time when she could easily collect her antiretrovirals (ARVs) from a USAID-supported clinic. However, following the aid cuts implemented under the Trump administration, that routine has dramatically changed. “I was one of the lucky ones to retrieve my medication before the clinic shut down,” she explains. With a nine-month supply in hand, she grapples with the reality of running out soon and considers the long wait at public hospitals for her next supply.

The public health concerns surrounding this situation are echoed through a recent UN report assessing HIV treatment statistics. The report highlights the significant progress made in reducing new HIV infections and AIDS-related deaths—achievements now at risk due to drastic donor cuts. UNAids has called attention to the possibility of a surge in new infections and deaths if the situation remains unaddressed.

South Africa accounts for 7.7 million people living with HIV, with about 5.9 million currently receiving treatment. The Trump administration's cuts raised fears that these hard-won victories in public health could gradually unravel. Gugu shares her worry that many like her may choose not to visit public hospitals, fearing both disrespect and long waits.

Academic authorities in South Africa express concern over halted research initiatives aimed at vaccine development due to the funding cancellation. Prof. Abdullah Ely from Wits University articulates the setbacks: “When funding was cut, our efforts to develop potential vaccines had to cease, deeply impairing our research.”

Despite some pledges of alternate funding from the South African government and organizations like the Gates Foundation, researchers remain far from the funds necessary for robust HIV programs. Dr. Phethiwe Matutu emphasized, “Support is critical as South Africa has been pivotal in global HIV research.”

In essence, as Gugu worries about her future and that of her community, she understands that backsliding on anti-HIV measures poses a significant threat not only to her personal health but also to the next generation's prospects against the epidemic. “This isn't just about the now; it’s about ensuring a healthier future for the youth,” she adds, reflecting the broader urgency felt throughout the affected communities.

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