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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