Multibillion-rand funding to SA from the US government’s flagship HIV/AIDS programme hangs in the balance as Washington prepares to usher in a new administration. SA has been one of the biggest beneficiaries of the US President’s Emergency Plan For Aids Relief (Pepfar) programme, through which successive US administrations have pumped $5bn into the country since 2004, when the pandemic was at its height. SA has a high HIV/AIDS burden, with an estimated 3.6-million South Africans on antiretroviral treatment. US embassy spokeswoman Cynthia Harvey on Monday said: "In 2016, Pepfar contributed $410m towards combating HIV/AIDS and tuberculosis (TB) in SA." Since 2004, the US has committed more than $5bn through Pepfar to South African health programmes. In 2015 the US started the Dreams (Determined, Resilient, Empowered, AIDS-free, Mentored and Safe women) programme in SA. The programme is a two-year, $66m commitment that focuses on alleviating the social drivers that contribute to more t...

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