Health and Wellness
Hon Booysen.
(a) What are the implications of the cancelling of the US President’s Emergency Plan for Aids Relief (PEPFAR) funding for her Department and (b) what are the possible remedies to fill this void?
The impact of the PEPFAR funding suspension is still being assessed. The primary focus remains on evaluating affected programmes and identifying measures to mitigate any disruptions.
In January 2025, the administration of the United States of America announced a 90-day suspension of some foreign aid, including PEPFAR, to reassess its alignment with U.S. policies. While a waiver was issued to allow the continuation of life-saving services, uncertainty remains regarding the full scope and future of affected programmes. The Department is actively engaging to clarify the scope of the waiver and the future of PEPFAR funding.
The Department is currently assessing the full impact of any potential funding cuts. PEPFAR has supported certain technical services, assisted in strengthening the health system, and community-based support within the province. However, it is important to note that PEPFAR funding does not cover antiretroviral treatment (ART) or clinical staff salaries, which are funded primarily through our own budgets. Despite the temporary suspension of USAID/PEPFAR funds to some delivery and support partners, essential healthcare services, including ART provision, will continue. Adjustments in service delivery may be necessary, but the Western Cape Government is actively working with partners to minimise disruptions.
Efforts are being made to explore all available funding sources and non-financial measures to minimise any adverse effects on service delivery to residents.
