Salim Abdool Karim | Transforming adversity into opportunity for the AIDS response

Salim Abdool Karim | Transforming adversity into opportunity for the AIDS response

As World AIDS Day 2025 swings by, CAPRISA Director Professor Salim Abdool Karim reflects on the frantic days following this year’s unprecedented cuts to health aid and research funding from the US, arguing that the deliberate disruptiveness was designed to be cruel. Nonetheless, he argues, our HIV response must now forge ahead on a path that is more affordable, sustainable and independent.

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TIMELINE | The journey of HIV through science, struggle, activism, and hope

TIMELINE | The journey of HIV through science, struggle, activism, and hope

From the first reported cases of HIV in 1981 to the latest breakthroughs in long-acting prevention, this Spotlight timeline traces key moments in the global and South African response to the virus. It highlights scientific milestones, political controversies, activism, and the human stories that shaped one of the most significant public health challenges of our time.

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In the Spotlight | Why government should provide more free HIV self-tests

In the Spotlight | Why government should provide more free HIV self-tests

It is estimated that around half a million people living with HIV in South Africa don’t know they are living with the virus. One way to help these people is by offering them the means to test themselves in the privacy of their own homes. As Catherine Tomlinson explains in this Spotlight special briefing, such self-screening tests are part of our HIV response on paper, but in reality, the tests are massively underutilised.

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Integrating health services for mom and baby could reduce clinic visits by half

Integrating health services for mom and baby could reduce clinic visits by half

In South Africa, many mothers and their babies have to visit the clinic more than 10 times in the first six months of the postnatal period. Early findings from an ongoing implementation science project suggests we can get this down to five. The hope is that the new approach will also help reduce HIV transmission from mothers to their babies. Elri Voigt reports.

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SA has relatively high anal cancer rates, but we rarely screen for it

SA has relatively high anal cancer rates, but we rarely screen for it

South Africa has the world’s largest population of people living with HIV, which both heightens the risk of anal cancers and their severity. However, neither the collection of data nor the efforts for prevention and screening are in line with the likely impact. Experts say significant change is needed, reports Elna Schütz.

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EDITORIAL | Spotlight launches new HIV dashboard

EDITORIAL | Spotlight launches new HIV dashboard

Spotlight has launched a new HIV dashboard and graph generator based on outputs from the Thembisa model. Our hope is that this dashboard will help the public and people working in healthcare to find important HIV numbers more easily. Please take a look and let us know what you think of it.

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Withdrawal of US aid has hurt South Africa’s HIV programme

Withdrawal of US aid has hurt South Africa’s HIV programme

The number of HIV viral load tests is significantly lower than expected, according to an analysis of data from the National Health Laboratory Service which Spotlight and GroundUp obtained through the Promotion of Access to Information Act.

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Breakthrough HIV prevention jab given green light in SA

Breakthrough HIV prevention jab given green light in SA

An HIV prevention jab that provides six months of protection at a time was given the green light by South Africa’s medicines regulator. The approval helps to clear the way for a limited public sector rollout of the “game-changing” shot set to start in April 2026.

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ARVs without a script: What next after major court ruling?

ARVs without a script: What next after major court ruling?

A landmark ruling from the Supreme Court of Appeal means specially trained pharmacists will soon be allowed to dispense antiretrovirals without a doctor’s script. Pharmacists with the required training will need special permits from the director general of health. While no pharmacists yet hold these permits, Catherine Tomlinson reports that they may be able to start applying for them as soon as next month.

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World’s biggest community-led health watchdog falters as US backs out

World’s biggest community-led health watchdog falters as US backs out

Ritshidze, South Africa’s powerhouse community-led healthcare monitor, is on the brink of shutting down. Experts warn its collapse could unravel years of progress in our clinics – just as worrying new data points to a decline in HIV services.

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Response to aid cuts and HIV prevention injections dominate discussions at SA AIDS conference

Response to aid cuts and HIV prevention injections dominate discussions at SA AIDS conference

A dire picture for HIV/Aids funding emerged at the 12th South African AIDS Conference, raising the call for resilience, adapting and also for government to raise its game, reports Ufrieda Ho.

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