The funding is from the President’s Emergency Plan for AIDS Relief — PEPFAR — of which South Africa has been a top beneficiary. The country has the highest number of people living with HIV in the world: around 7.8 million, according to the latest World Health Organization data.
South Africa received some $456 million in HIV/AIDS funding in 2024, according to U.S. government data. That dropped to $213 million in 2025, according to partial government data for that fiscal year. Trump abruptly cut billions of dollars in foreign aid after taking office last year.
So far this year, South Africa has been allocated $25 million to fight HIV, according to the partial U.S. government data.
In addition to cutting foreign aid to the country, the Trump administration has granted refugee status to Afrikaners who want to come to the United States.
The State Department has already excluded South Africa from a plan to supply 2 million doses of lenacapavir, a relatively new drug that helps prevent people at high risk of HIV from contracting the virus. It is less onerous than older preventive drugs for HIV because it only requires two injections a year. The State Department argued that South Africa could afford to pay for its own drugs. The country started rolling out the drug this month.
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