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 traffic crossing a bridge
2. Wide of Johannesburg cityscape with people walking in a bustling urban area

ASSOCIATED PRESS
Johannesburg, South Africa – 08 July 2025
3. Mid of unidentified person looking out of a window
4. SOUNDBITE (English) Anonymous, sex worker forced to buy medication:
“I could buy meat for 400 (South African) rand that could last me the whole month. But for these past months, you know, I had to sacrifice and have lesser food in the house so that I could get the medication."
6. Mid of unidentified person looking off-camera in
7. SOUNDBITE (English): Anonymous, sex worker forced off ART treatment:
"Our lives matter, we are human. 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. Whenever I needed condoms or lubricant, the clinic was there to give me."
8. Various of a person opening black bag to pull out an orange container, showing a pill inside
9. Mid of Odwa Mbane sitting in office
10. 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 asking (or 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 be something. They must have like had some plan."

ASSOCIATED PRESS
Johannesburg, South Africa – 08 July 2025
11. Various of Yvette Raphael using her phone outdoors
12. 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 of 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
13. Mid of two people conversing outside a community center
14. Wide of sign indicating the temporary closure of Pop Inn Clinic

ASSOCIATED PRESS
Johannesburg, South Africa – 7 February 2025
15. Mid of a notice posted at Wits RHI Key Populations Clinics in Johannesburg announcing a pause in services.

ASSOCIATED PRESS
KwaZulu-Natal, South Africa – 11 February 2025
16. Wide of TB HIV Care entrance
17. Close up of a notice announcing the closure of the TB HIV Care clinic
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.

They described a new world of difficulty in obtaining HIV medication or the preventive medicine for people at risk of HIV.

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