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  • USAID funding cuts end vital HIV programme for orphans

    South Africa’s public health system is in turmoil after the widespread cancellation of USAID funding agreements. Among others, a USAID-funded project that helped to keep orphaned children on their HIV medication was forced to close. HIV testing services are also severely impacted in some areas.

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  • US funding remains frozen for many life-saving services

    Despite a waiver on life-saving humanitarian aid, USAID funding for crucial medical services remains frozen. Services remain closed as organisations await approval of revised budgets limited to what is allowed under the waiver. A separate US agency – the Centers for Disease Control and Prevention – restored funding to its beneficiary organisations, allowing them to…

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  • HIV patients go weeks without medicines after US aid cut

    A US-funded health facility in Pretoria shut its doors for over two weeks after an executive order by President Trump paused funding. A beneficiary of the centre, who is HIV-positive, said that he hadn’t taken his ARVs in roughly two weeks due to the closure. Many were in the same predicament. The health centre reopened…

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  • Over 15 000 South African health workers’ jobs are at risk as US cuts aid

    A coalition of health service organisations has warned that patients will lose access to life-saving treatment if the US withdraws health funding to South Africa. Certain HIV and TB-related health services are continuing for now under a limited waiver. But the waiver has failed to cover organisations that provide services, including HIV care, specifically to…

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  • SA health research facing catastrophic financing cuts

    Cuts to United States funding of health research could have “catastrophic” consequences, says Professor Ntobeko Ntusi, who is at the helm of the country’s primary health research funder. He says the South African Medical Research Council is “heavily exposed” to the cuts, with around 28% of its budget coming from US federal agencies. Catherine Tomlinson…

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  • Stopping health funding in Africa weakens America

    Following President Donald Trump’s decision to suspend foreign aid, President Cyril Ramaphosa can display great leadership by meeting with leaders of wealthy countries and convincing them to increase spending to support the health systems of poorer countries, write Nathan Geffen and Marcus Low.

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  • Gauteng MEC threatens schoolgirls’ bodily autonomy with compulsory implant

    The bodily autonomy of young women and girls is under threat as Gauteng Health and Wellness MEC Nomantu Nkomo-Ralehoko intends to make the contraceptive implanon compulsory for learners as long as their parents consent. This approach to addressing teenage pregnancy is misguided and unlawful, argues Khuselwa Dyantyi. 

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  • Health in 2025 | Spotlight’s top 4 questions for the year ahead

    From the ongoing political and legal battles over NHI, to the far-reaching health impacts of political change in the United States, it is set to be another tumultuous year for healthcare in South Africa and around the globe. Here’s Spotlight’s top four healthcare questions for 2025.

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