UNAIDS chief urges US to reconsider SA funding cut

  • The US has decided to initiate a 'phased drawdown' of PEPFAR
  • The decision is allegedly a response to SA's failure to meet US demands
  • Head of UN/Aids concerned recent funding cuts could lead to a rebound in infections.

The head of UN/AIDS said on Monday she was saddened by the United States (US) plans to withdraw HIV/AIDS funding for South Africa and urged Washington to reconsider. She warned the move could cost lives in the country with the largest number of people infected with the virus.

Winnie Byanyima also told a United Nations (UN) news briefing ahead of a high-level UN conference on HIV/AIDS that broader global aid cuts risked reversing decades of progress against the disease.

‘Phased drawdown’

In an emailed statement, the US State Department said the US has “decided to initiate a phased drawdown” of the President’s Emergency Plan for AIDS Relief (PEPFAR) in South Africa “following South Africa’s failure to make demonstrable progress on policy requests by the administration.”


It said PEPFAR was never intended to be permanent and that South Africa “is a middle-income country and is more than capable of supporting its own health programs.”

SA’s failure to meet US demands

Semafor last week cited a State Department official and two congressional aides as saying that the decision was a response to South Africa’s failure to meet US demands. These demands included that Pretoria reduce its partnership with Iran, end Black Economic Empowerment policies, and address “Kill the Boer” anti-apartheid chants.

“I’m sad about that,” Byanyima said, when asked about the US move. “Taking it away is taking away life-saving support from the most vulnerable people. So, that is sad. And I would ask the United States to reconsider their position.”

U.S. President Donald Trump froze many foreign aid programmes early in his presidency, before reinstating some lifesaving assistance, including parts of PEPFAR.

South Africa does not rely on US funding for its HIV drugs. However, PEPFAR previously provided the country with over $400 million a year and paid about 15,000 health workers’ salaries.

Byanyima said South Africa has about eight million people living with HIV, the most in the world, and the US programme had been providing up to 17% of its HIV funding.

Steep drop in global assistance

She pointed to a steep drop in overall global development assistance from traditional donors in Europe and North America.


“Please do not take money away because you are taking lives away. Have a planned transition,” she said.

She noted a target to end AIDS as a public health threat by 2030 and said the global response had achieved major gains, with 32.1 million of roughly 40 million people living with the virus that causes AIDS receiving treatment. But she cautioned that progress was uneven and fragile.

Concern about rebound in infections

UNAIDS data show nine million people still lack treatment and 1.2 million people were newly infected last year. Byanyima warned that recent funding cuts were already disrupting services and could lead to a rebound in infections.

She said HIV testing in countries with high infection rates had fallen by 22%. In some countries, there had been a 90% drop in condom distribution.

“We are seeing early signs of serious reversals in our progress… the trend that has been going down may now reverse and start rising,” she said.

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  • The head of UN/AIDS said on Monday she was saddened by the United States (US) plans to withdraw HIV/AIDS funding for South Africa and urged Washington to reconsider.
  • She warned the move could cost lives in the country with the largest number of people infected with the virus.
  • Winnie Byanyima also told a United Nations (UN) news briefing ahead of a high-level UN conference on HIV/AIDS that broader global aid cuts risked reversing decades of progress against the disease.
  • ‘Phased drawdown’ In an emailed statement, the US State Department said the US has “decided to initiate a phased drawdown” of the President’s Emergency Plan for AIDS Relief (PEPFAR) in South Africa “following South Africa’s failure to make demonstrable progress on policy requests by the administration.” It said PEPFAR was never intended to be permanent and that South Africa “is a middle-income country and is more than capable of supporting its own health programs.” SA’s failure to meet US demands Semafor last week cited a State Department official and two congressional aides as saying that the decision was a response to South Africa’s failure to meet US demands.
  • These demands included that Pretoria reduce its partnership with Iran, end Black Economic Empowerment policies, and address “Kill the Boer” anti-apartheid chants.
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The head of UN/AIDS said on Monday she was saddened by the United States (US) plans to withdraw HIV/AIDS funding for South Africa and urged Washington to reconsider. She warned the move could cost lives in the country with the largest number of people infected with the virus.

Winnie Byanyima also told a United Nations (UN) news briefing ahead of a high-level UN conference on HIV/AIDS that broader global aid cuts risked reversing decades of progress against the disease.

In an emailed statement, the US State Department said the US has "decided to initiate a phased drawdown" of the President’s Emergency Plan for AIDS Relief (PEPFAR) in South Africa "following South Africa's failure to make demonstrable progress on policy requests by the administration."

It said PEPFAR was never intended to be permanent and that South Africa "is a middle-income country and is more than capable of supporting its own health programs."

Semafor last week cited a State Department official and two congressional aides as saying that the decision was a response to South Africa's failure to meet US demands. These demands included that Pretoria reduce its partnership with Iran, end Black Economic Empowerment policies, and address "Kill the Boer" anti-apartheid chants.

"I'm sad about that," Byanyima said, when asked about the US move. "Taking it away is taking away life-saving support from the most vulnerable people. So, that is sad. And I would ask the United States to reconsider their position."

U.S. President Donald Trump froze many foreign aid programmes early in his presidency, before reinstating some lifesaving assistance, including parts of PEPFAR.

South Africa does not rely on US funding for its HIV drugs. However, PEPFAR previously provided the country with over $400 million a year and paid about 15,000 health workers' salaries.

Byanyima said South Africa has about eight million people living with HIV, the most in the world, and the US programme had been providing up to 17% of its HIV funding.

She pointed to a steep drop in overall global development assistance from traditional donors in Europe and North America.

"Please do not take money away because you are taking lives away. Have a planned transition," she said.

She noted a target to end AIDS as a public health threat by 2030 and said the global response had achieved major gains, with 32.1 million of roughly 40 million people living with the virus that causes AIDS receiving treatment. But she cautioned that progress was uneven and fragile.

UNAIDS data show nine million people still lack treatment and 1.2 million people were newly infected last year. Byanyima warned that recent funding cuts were already disrupting services and could lead to a rebound in infections.

She said HIV testing in countries with high infection rates had fallen by 22%. In some countries, there had been a 90% drop in condom distribution.

"We are seeing early signs of serious reversals in our progress... the trend that has been going down may now reverse and start rising," she said.

Visit SW YouTube Channel for our video content

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