A sudden decision to freeze funding for PEPFAR has resulted in clinic closures, leaving patients like Sibusiso without vital medication, as fears of a resurgence in H.I.V. cases grow among healthcare professionals.
Trump’s Foreign Aid Freeze Sparks Fears of H.I.V. Resurgence in Africa

Trump’s Foreign Aid Freeze Sparks Fears of H.I.V. Resurgence in Africa
The Trump administration's abrupt halt of U.S. funding for critical H.I.V. programs has left patients and health advocates anxious about a potential health crisis.
As he does every three months, Sibusiso traveled to a clinic in Eswatini this past Wednesday, only to find the doors locked and a crowd of confused patients outside. They were dismayed to learn of the Trump administration's directive halting U.S. funding for the President’s Emergency Plan for AIDS Relief (PEPFAR). This critical $6.5 billion program, initiated by former President George W. Bush, has been vital for treating millions living with H.I.V. across the continent.
The immediate impact of this suspension caused panic among patients, clinicians, and public health advocates, many fearing a return to the bleak days when H.I.V. was rapidly spreading and used to carry a death sentence. Sibusiso, who has been relying on antiretroviral medication for his survival, faced the chilling reality of possibly running out of his life-saving drugs.
Having consumed his last doses that very morning, he felt lost in the uncertainty that surrounded the abrupt funding freeze. Despite the administration’s announcement a day later that distribution of lifesaving treatments would resume, confusion reigned, and the clinic remained shut.
"I'm now thinking of dying,” Sibusiso said, concerned about his access to treatment. The administration announced a three-month review process for foreign assistance programs, raising concerns that the complete termination of PEPFAR could mean catastrophic consequences, including an estimated 600,000 deaths in South Africa over the next decade according to studies.
As the situation unfolds, patients and healthcare professionals alike are left grappling with the future of H.I.V. treatment in a climate of uncertainty, and the potential resurgence of a disease that has long been under control is suddenly looming darkly on the horizon.
The immediate impact of this suspension caused panic among patients, clinicians, and public health advocates, many fearing a return to the bleak days when H.I.V. was rapidly spreading and used to carry a death sentence. Sibusiso, who has been relying on antiretroviral medication for his survival, faced the chilling reality of possibly running out of his life-saving drugs.
Having consumed his last doses that very morning, he felt lost in the uncertainty that surrounded the abrupt funding freeze. Despite the administration’s announcement a day later that distribution of lifesaving treatments would resume, confusion reigned, and the clinic remained shut.
"I'm now thinking of dying,” Sibusiso said, concerned about his access to treatment. The administration announced a three-month review process for foreign assistance programs, raising concerns that the complete termination of PEPFAR could mean catastrophic consequences, including an estimated 600,000 deaths in South Africa over the next decade according to studies.
As the situation unfolds, patients and healthcare professionals alike are left grappling with the future of H.I.V. treatment in a climate of uncertainty, and the potential resurgence of a disease that has long been under control is suddenly looming darkly on the horizon.