The Trump administration’s dismantling of USAID has had significant repercussions on South Africa’s national HIV program, leading to the loss of over 8,000 health workers and the closure of 12 specialized HIV clinics previously funded by the United States. Health Minister Aaron Motsoaledi highlighted the impact of U.S. funding cuts on the largest AIDS treatment project globally, affecting more than 60,000 patients who relied on these clinics for life-saving treatment. With nearly six million individuals on HIV medication, South Africa faces challenges in sustaining HIV treatment and prevention efforts following the termination of $436 million in annual funding by the Trump administration.

The reduction in funding has also resulted in a 21% decrease in viral load testing, essential for monitoring HIV patients’ treatment progress. The head of the United Nations AIDS agency warned of a potential surge in new HIV infections worldwide due to these cuts. Despite the challenges, Motsoaledi emphasized the country’s commitment to preventing the collapse of its national program and continuing the fight against AIDS.

The loss of health workers underscores the critical role that U.S. foreign aid played in supporting South Africa’s efforts to combat HIV/AIDS over the past two decades. While the country seeks additional funding sources, including lobbying other governments and aid agencies, the situation remains precarious. With millions of individuals living with HIV in South Africa, the need for sustained support and resources to expand treatment access remains a top priority in the ongoing battle against the epidemic.