pepfarlatest news & developments
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 Relief cuts

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 people now closed

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

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

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.

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

US President Donald Trump’s suspension of foreign funding will adversely affect LGBTIQ+ people in Africa.

In wake of US cuts, SA must step up to protect LGBTIQ+ rights in Africa

The suspension and withdrawal of US support for people’s rights in Africa is a setback

US President Donald Trump said this week that the tariff is meant to address the trade imbalance between South Africa and the US. (Photo: Evan Vucci/AP/picture alliance)

MPs from around the world urge Trump to revoke order on SA

The group said the US president’s decision to suspend aid to South Africa was a regressive assault on the country’s sovereignty

Finance Minister Enoch Godongwana did not announce a budget allocation to plug the gap created by the termination of USAid funding to HIV/Aids organisations (Photo by Luke Dray/Getty Images)

No allocations for Pepfar in health budget

The recent termination of USAid to HIV/Aids and TB organisations in South Africa was a bone of contention in the 2025 budget

The US freeze in life-saving HIV and Aids programmes has detrimental effects on affected key populations. Reuters

Trump’s cuts show the need to democratise reproductive health funding

Sources that are unrestricted, aligned with South African law and human rights, and without political interference, must be found as an alternative to the US

HIV vaccine the only real answer

How the health department will deal with Pepfar’s near collapse

Until recently, the US President’s Emergency Plan for Aids Relief funded nonprofits in South Africa to help provincial health departments test people for HIV and put them on treatment

A volunteer demonstrates an HIV screening test. (File photo)

Trump’s funding cuts hit HIV, GBV services hard

The US president’s cutting of financial support has cut life-saving treatment for many in SA

File photo

People are suffering: That’s the rub of Trump’s funding freeze

People living with HIV and related ailments have been handed a practical death sentence because Trump is annoyed about the Expropriation Act and South Africa’s support for Palestine

The original grants of Pepfar-funded organisations who are funded through the Centres for Disease Control have been reinstated after a federal judge enforced a temporary restraining order blocking US President Donald Trump’s administration from freezing federal grants. (Shealah Craighead/Flickr)

Some Pepfar projects can now restart in full, without a waiver

A federal judge has enforced a temporary restraining order blocking Donald Trump from freezing federal grants

File photo

Trump’s budget cut: International Commodity Summit responds aggressively

In response to US President Donald Trump’s budget cuts, ICS2025 will provide an opportunity for dialogue between affected nations, economic leaders, and policymakers to address the foreign aid deficit

US President Donald Trump said this week that the tariff is meant to address the trade imbalance between South Africa and the US. (Photo: Evan Vucci/AP/picture alliance)

UPDATE | Embassy confirms Pepfar projects will restart, despite Trump aid ban

Such programmes still qualify for a limited waiver, which will expire towards the end of April, but only for approved activities

President Cyril Ramaphosa. (GCIS)

Ramaphosa’s office blames US fracas on misinformation campaign

The presidency said it remained in the dark as to the real cause for Donald Trump’s decision to cut aid and suggested proper communication can prevent a rift