The fight against HIV and AIDS in Africa has been ongoing for decades, supported by funding that has provided essential resources for those affected. Over the years, financial support has contributed to improvements in ARV treatment, allowing newly infected individuals to live longer, healthier lives. Research published in the Journal of Acquired Immune Deficiency Syndrome indicates that a 20-year-old who tests positive today can expect to live into their 70s with proper treatment.
Recent funding cuts, following the implementation of a new policy on 1 February 2025, have caused a major setback for non-governmental organisations (NGOs) working in the sector. Many organisations that relied on these funds have been forced to downsize, leading to widespread job losses. Despite the crisis, some NGOs are desperately searching for alternative funding sources to sustain operations, pay employees, and continue critical research, but the financial drought persists.
Xoli, a community health worker, expressed deep concern about the consequences of the funding withdrawal:
“Since funding for HIV medication has been stopped, it has become a serious issue for underdeveloped areas, especially in rural communities. Many people living in poverty now struggle to access life-saving treatment,” she explained.
Xoli further highlighted the broader impact:
“It’s not just about the patients. Many organisations relied on that money to pay healthcare workers. Without funding, staff lose their jobs, creating even more economic instability. Meanwhile, pharmaceutical companies might see this as an opportunity to develop treatments, but instead of distributing them widely, they’ll sell them at high prices. Poor communities will suffer the most, unable to afford medication. The gap between the rich and the poor will grow even wider.”
Emelda, an NGO worker, echoed similar concerns, noting that many employees have been left without income since the announcement in February.
“Since the withdrawal of funds, NGOs have been forced to let go of staff. These are people who needed their salaries to provide for their families, pay rent, and simply survive. Many of them are now struggling with depression, not knowing how they will make ends meet,” she shared.
With funding shortages threatening lives and livelihoods, activists and healthcare workers are urging governments, corporations, and philanthropic organisations to step in and support HIV-related programs. The hope is that those in positions of power will recognise the urgency of the situation, step in, and help restore the financial support needed to protect vulnerable communities.
Despite the challenges, some workers remain hopeful that funding will be restored, allowing NGOs to continue their vital work in HIV prevention, treatment, and support services.
This article is an opinion piece submitted on 5 April 2025. The views expressed by the author do not necessarily reflect those of Karibu! Online or Khanya College. You may republish this article, so long as you credit the authors and Karibu! Online (www.Karibu.org.za), and do not change the text. Please include a link back to the original article.

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