South Africa is facing a significant crisis in HIV care as funding cuts from the US government hit hard. Many clinics relied on USAID for antiretroviral medications, crucial for those living with HIV. Gugu, a 54-year-old project coordinator, felt the repercussions firsthand when her clinic closed its doors due to budget cuts earlier this year. She now awaits her inevitable run-out of meds in September and is unsure how she’ll continue her treatment.

The implications of these closures extend beyond just individual patients. According to UNAids, progress made in reducing new infections and Aids-related deaths is at risk of reversal. Despite past progress, with a decrease of 40% in new infections since 2010, the looming funding cuts threaten the lives of many individuals, particularly marginalized groups like sex workers who may avoid public hospitals due to negative past experiences and the hassle of long wait times.

Experts, including Professor Lynn Morris from Wits University, express concerns about potential increases in HIV cases as well as setbacks in finding future treatments and a vaccine. With South Africa being a leader in HIV research, many worry that these cuts will halt important studies and trials.

Some alternative funding has been secured, thanks to the Bill and Melinda Gates Foundation and other donors, but it still falls short of the needs identified by researchers. Gugu hopes for a brighter future, but her optimism fades as she contemplates the long-term impact these funding cuts will have on her and younger generations.