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US cut to South Africa's HIV response could cost lives, UNAids chief warns

June 23, 2026

The United States has withdrawn approximately $400 million in annual HIV and AIDS funding from South Africa through the President's Emergency Fund for Aids Relief (Pepfar), a decision that UNAids chief Winnie Byanyima warns will cost lives. While South Africa funds its own HIV medications, the US contribution supported vital prevention programs in a country with over eight million people living with HIV—the world's highest number. US officials justified the funding cut by citing South Africa's alleged failure to protect the white Afrikaner minority, claims that the South African government disputes and ties to disagreements over Black Economic Empowerment policies and Trump administration allegations about treatment of white South Africans.

Who is affected

  • Eight million people living with HIV in South Africa
  • Vulnerable populations relying on HIV prevention programs
  • The South African health ministry and government
  • UNAids and other international organizations working on HIV response
  • White-minority Afrikaner community (cited by US officials)

What action is being taken

  • The US is conducting a "phased drawdown" of Pepfar funding to South Africa
  • South Africa's health ministry is working on a self-reliance plan

Why it matters

  • This matters because South Africa has the highest number of people living with HIV in the world, and the loss of 17% of HIV response funding (approximately $400 million annually) threatens to reverse progress made in preventing virus transmission. The withdrawal of US support removes life-saving assistance from the most vulnerable populations and could result in increased HIV transmission and deaths.

What's next

  • No explicit next steps stated in the article

Read full article from source: BBC