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Former USAID administrator Samantha Power hugs a person after workers cleared out their desks in Washington, DC, February 27 2025. Picture: REUTERS/NATHAN HOWARD
Former USAID administrator Samantha Power hugs a person after workers cleared out their desks in Washington, DC, February 27 2025. Picture: REUTERS/NATHAN HOWARD
  • Chaos and devastation is the position that South African USAID-funded health projects find themselves in after the Trump administration closed them down overnight on February 26.
  • But it wasn’t only them. There were 5,800 such projects around the world.
  • The bigger question now is: what will happen to the US government’s Aids fund, Pepfar, where most of the money for these projects came from? Will that, too, close down?
  • On March 25, the US Congress will vote to reauthorise Pepfar — or not. How will it vote?
  • And will the US pull out of the Global Fund for HIV, TB and malaria?
  • Mia Malan puts these questions to the 2022/2023 Pepfar head of staff, Jirair Ratevosian. He’s now a Hock infectious disease fellow at Duke University’s Global Health Institute and also the chief author of a report that explains how to lower Pepfar’s costs by 20% over five years.

This story was produced by the Bhekisisa Centre for Health Journalism. Sign up for the newsletter.

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