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Report reveals decline in South African clinic services after Pepfar cuts

Thandiwe Zulu

A community-led monitoring report has exposed a 'system-wide slide' in basic health services at South African clinics following US Pepfar funding disruptions in early 2025. Surveys of 326 facilities showed staff shortages, longer waits and disrupted ARV supplies affecting HIV care. Activists urge urgent government action to address the gaps.

Ritshidze report highlights healthcare staff shortages after Pepfar cuts

Thandiwe Zulu

Community monitoring group Ritshidze has uncovered severe staff shortages and service declines at public health facilities in Gauteng, KwaZulu-Natal, and the Eastern Cape following US Pepfar funding cuts earlier in 2025. Data from April to June shows over 90% of clinics in some areas lacking sufficient personnel, leading to longer waits and poorer record-keeping. The group urges national and provincial health departments to act urgently.

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