The US has abruptly terminated USAID funding for HIV programmes in South Africa, impacting critical health services.
According to Bhekisisa Centre for Health Journalism, the President’s Emergency Plan for Aids (Pepfar)-funded organisations, including Anova Health Institute and TB programmes, received termination letters, forcing immediate shutdowns.
Pepfar, launched in 2003, is a US-funded initiative supporting HIV/Aids response in high-infection countries like South Africa.
The country has received approximately $8 billion (R145 billion) to date, including $439 million (R8.1 billion) for the 2024-2025 financial year.
USAID currently funds 44 health projects in South Africa.
‘This award is being terminated for convenience and the interests of the US Government pursuant to a directive from US Secretary of State Marco Rubio, in his capacity as the Acting Administrator for the US Agency for International Development (‘the Agency’ or ‘USAID’) and/or Peter W. Marocco, who is performing the duties and functions of both Deputy Administrators for USAID.
USAID: Thousands of organizations and PEPFAR groups received this letter overnight. The gutting of the poor by the richest country in the world difficult to fathom pic.twitter.com/egTeqEY521
— Monica Gandhi MD, MPH (@MonicaGandhi9) February 27, 2025
‘Secretary Rubio and PTDO Deputy Administrator Marocco have determined your award is not aligned with Agency priorities and made a determination that continuing this program is not in the national interest. The decision to terminate this individual award is a policy determination vested in the Acting Administrator and the person performing the duties and functions of the Deputy Administrator,’ read part of the letter.
The move follows a global aid freeze under the Trump administration.
Health experts warn of devastating consequences for HIV prevention, treatment, and vulnerable communities.
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Compiled by Betha Madhomu