South Africa’s most vulnerable struggle to find HIV medication after US aid cuts

(24 Aug 2025)
RESTRICTION SUMMARY:

ASSOCIATED PRESS
Johannesburg, South Africa – 01 August 2025
1. Wide of Johannesburg cityscape with people walking

ASSOCIATED PRESS
Johannesburg, South Africa – 08 July 2025
2. Mid of unidentified person looking off-camera
++PARTIALLY COVERED++
3. SOUNDBITE (English) Anonymous, sex worker forced off antiretroviral therapy treatment:
"The funding played a significant role in our lives. The clinic would come to my apartment, give me services there. They would come test me in my home every 3 months, give me my refill. I would only go to the clinic for my prescription."

ASSOCIATED PRESS
Johannesburg, South Africa – 01 August 2025
4. Wide of pedestrians passing by the "Jozi City of Gold" sign

ASSOCIATED PRESS
Johannesburg, South Africa – 08 July 2025
5. Mid of Odwa Mbane sitting in office
6. Various of Odwa Mbane opening black bag to pull out an orange container, showing a pill
++PARTIALLY COVERED BY SHOT 5 AND 6++
7. SOUNDBITE (English) Odwa Mbane, transgender woman forced off U.S-funded medication:
"It was their money, so if they wanted it back, they can take it back. If they think that we are misusing it here in South Africa and South Africa should have been standing alone from the start. They couldn’t tell, you can’t tell me that South Africa has been depending. There was no big plan… which there should have been something. They must have like had some plan ."
8. Various of a woman in Johannesburg, South Africa, using her phone outdoors.
++PARTIALLY COVERED BY SHOT 8++
9. SOUNDBITE (English): Yvette Raphael, Advocacy for Prevention of HIV and AIDS 
"We are scared. We are scared that we are going to see high numbers of people living with HIV rising. We are scared that we are going to see people dying again. We are worried about the number of infants that are going to be born with HIV because the lack of services. What the reality is, the funds that we used to get from USAid was covering a gap that our government couldn’t fix."

ASSOCIATED PRESS
KwaZulu-Natal, South Africa – 11 February 2025
10. Close up of sign at TB HIV Care entrance in KwaZulu-Natal, South Africa.
STORYLINE:
On a warm evening in Johannesburg, the news spread like wildfire among sex workers: Within 24 hours, several nonprofit clinics providing free HIV services would be closing as President Donald Trump announced the United States was slashing foreign aid.

Some South Africans living with, or at risk of, HIV secured supplies of life-saving drugs just in time. Others did not.

Half a year later, the country with more people living with HIV than any other is struggling to treat its most vulnerable. Over 63,000 people were being treated in the 12 clinics across the nation that shut down. Up to 220,000 people have faced disruption to their daily HIV medication.

South Africa’s government has vowed it won’t let the U.S. withdrawal of about $427 million in support collapse its HIV program, the largest in the world.

Sex workers, among the most vulnerable South Africans as their work is illegal, and transgender people spoke to The Associated Press on condition of anonymity for fear of retaliation from families or communities. They described a new world of difficulty in obtaining HIV medication or the preventive medicine for people at risk of HIV.

One HIV-positive sex worker and mother of three said she was off medication for almost four months after being turned away from public hospitals, which the government’s health department says should not be happening.

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