Why is the US ending AIDS funding for South Africa?

为什么美国要停止对南非的艾滋病资金支持?

The Global Story

2026-06-26

27 分钟
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For two decades, PEPFAR, the US program to curb AIDS/HIV, enjoyed support and financial backing from both Republicans and Democrats, saving an estimated 26 million lives in what is described as the largest ever commitment by any nation to address a single disease. Previous presidents - including Donald Trump in his first term - continued to praise and support the effort. But last week, the State Department announced that it would be ending its support for PEPFAR in South Africa. The UN has warned the decision could end up costing lives. US officials told the BBC that the funding cut was in part a response to South Africa's alleged failure to protect the white-minority Afrikaner community, an accusation Pretoria rejects. Asma speaks to the BBC’s Senior Africa Producer Ed Habershon about what drove this decision and what the impact could be. Producers: Cat Farnsworth, Valerio Esposito and Aron Keller Executive producer: Bridget Harney Sound engineer: Travis Evans Digital producer: Richard Kenny Senior news editor: China Collins Photo: Bottles of antiretroviral ARV drugs used to prevent HIV. Credit: Thomas Mukoya/Reuters
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  • This BBC podcast is supported by ads outside the UK.

  • Learn more at aramco.com.

  • While there is not a whole lot in Washington that people agree on, somehow,

  • for the last two decades, a massive program to curb HIV and AIDS has continued to have support

  • and financial backing from Republicans and Democrats alike.

  • It was such a big deal to George W. Bush when it was started

  • that he announced this program, known as PEPFAR, in his State of the Union address

  • in 2003. Today on the continent of Africa, nearly 30 million people have the AIDS virus.

  • It's been described as the largest commitment by any nation to address a single disease in the world.

  • And to meet a severe and urgent crisis abroad tonight, I proposed the Emergency Plan for Age Relief,

  • a work of mercy beyond all current international efforts to help the people of Africa.

  • Over the years, PEPFAR reports that it has saved an estimated 26 million lives.

  • I had some disagreements with my predecessor,

  • but one of the outstanding things that President Bush did was to initiate the PEPFAR program.

  • Even President Trump was praising the program in his first term.

  • We have invested in better health and opportunity all over the world through programs like PEPFAR,

  • which funds AIDS relief.

  • But last Friday, the State Department announced that it would be ending its support for the program to South Africa.

  • The United Nations warned that this move could cost lives.

  • Please do not take money away because you're taking lives away.