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Picture: 123RF.COM
Picture: 123RF.COM

In the realm of global health and humanitarian efforts, few programmes have had as profound an impact as the US President’s Emergency Plan For Aids Relief (Pepfar).

For two decades Pepfar has been a beacon of hope for millions of people living with HIV/Aids, particularly in Africa, offering life-saving treatment and support.

However, the recent failure of the US Congress to authorise the renewal of Pepfar has cast a shadow of uncertainty over its future. This predicament underscores the critical need for SA, and indeed the entire African continent, to prioritise the expansion of pharmaceutical manufacturing. It is a defining moment, one that necessitates a bold and decisive response.

Pepfar’s impact is undeniable, with estimates suggesting that it has saved the lives of about 25-million people since its inception two decades ago. It has been instrumental in driving down new HIV infections by nearly 60% compared with the peak in 1995.

Aids-related deaths dropped almost 70% since their highest point in 2004, a testament to the programme’s effectiveness. Pepfar’s immense contribution to these remarkable achievements cannot be overstated. It has been a cornerstone in the global effort to combat the HIV/Aids epidemic, particularly in Africa.

The the recent failure of the US Congress to reauthorise Pepfar also leaves a profound funding challenge. Pepfar’s future hangs in the balance, and African nations that have come to rely on its support face an uncertain road ahead. SA, in particular, has been a significant beneficiary of Pepfar’s funding. The programme has been a lifeline for millions of South Africans living with HIV, offering critical support for testing, treatment and care.

With the programme's future uncertain, SA finds itself at a crossroad and confronting a stark reality: it must take control of its healthcare sector and prioritise the expansion of its pharmaceutical manufacturing industry without delay.

Michael Mynhardt
Manufacturing & Investment in Africa

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