Image Credit: PMashatile/X.com
Deputy President Paul Mashatile reassures the nation that the South African government is taking swift and decisive action to plug the funding shortfall caused by the withdrawal of USAID/PEPFAR support. He spoke at the 12th South African AIDS Conference in Kempton Park, reiterating that HIV, AIDS, and TB programmes remain fully funded for the current financial year.
Assessing the Fallout from Funding Cuts

South Africa is grappling with the withdrawal of USAID/PEPFAR funding, a significant contributor to the nation’s HIV/AIDS response. The cut worth an estimated R7.5 billion ($414 million) threatens critical services that include medication supply and support for marginalised communities.
Measures to Sustain Lives and Jobs
Mashatile details urgent measures being implemented:
- Treasury and Health Departments are reallocating resources to sustain service delivery, particularly across the 27 priority districts previously supported by PEPFAR.
- A working group, led by Minister Blade Nzimande, is reviewing funding to ensure continuity in health-related research and innovation projects.
- Funding diversification, tapping into entities like the National Lottery Commission (NLC) and private sector partners, has been initiated to secure alternative resources.
- South Africa aims to reduce external dependencies by exploring affordable antiretroviral (ARV) options and enhancing domestic production.

Mashatile stressed, “We must act now to protect lives. No patient will suffer. We intend to forge a path toward self-reliance.”
While Mashatile emphasizes progress, public health analysts remain concerned about service disruptions. Declines in testing, lower treatment initiation rates, and reduced support for key population groups including sex workers and LGBTQ+ communities are already being reported.