The past week has seen major changes in international grant funding, especially in the public health sector. US President Donald Trump has a signed an executive order that has halted their existing and new foreign aid projects over the next 90 days around the world. President Trump has also signed an executive order to withdraw from the World Health Organization in the next 12 months. The US is the largest contributor to the international health organization.
In South Africa, one of the biggest ways we have benefitted from foreign aid from the US is through public health initiatives such as PEPFAR. The PEPFAR initiatives have contributed to 17% of National Department of Health's budget of R44 billion towards HIV & TB programming. Let us listen to Minister of Health, Dr. Aaron Motsoaledi addressing the media on the freeze of funding.
The PEPFAR intiatives helps fund some of the staff at some ARV programmes. It also funds much of the prevention and information effort, including ARV user clubs, medical circumcision and public messaging. This halt will also affect public health research in HIV. This order affects how these organizations operate for the next 90 days. Further, this halt could have a huge impact on patients and their access to treatment for 5,6 million South Africans. In a 2024 medical study, an interruption of ARV treatment could lead to a greater risk of death. In this hour, we talk about how grant funding impacts our health system and if we can withstand a crisis on this magnitude. To help us navigate this discussion, we are joined by….
Guest: Fatima Hassen - Founder of the Health Justice Initiative
Guest: Anele Yawa - the General Secretary of the Treatment Action Campaign (TAC)
Guest: Russell Rensburg is the executive director of the Rural Health Advocacy Project