As international health aid to African countries faces unprecedented cuts, experts warn that the continent must urgently develop sustainable, homegrown healthcare funding solutions to avoid a looming public health crisis—especially in the fight against HIV/AIDS.

David Barnard, a leading coordinator of African NGOs, highlighted the growing vulnerability caused by the sudden suspension of foreign aid, particularly funding through PepFAR, which has been a lifeline for millions relying on antiretroviral therapy.

“The abrupt end of this crucial support threatens to unravel years of progress against HIV/AIDS,” Barnard said. “African governments currently lack the capacity to fill this void quickly, which makes the need for self-reliance more urgent than ever.”

This perspective gains weight in light of a recent _Lancet HIV_ study forecasting that prolonged donor funding cuts could lead to over 10 million new HIV infections and nearly 3 million deaths by 2030 across Africa.

Zimbabwe’s experience underscores the crisis: USAID, a major funder contributing hundreds of millions annually and supporting over a million people on ART, halted all assistance in January 2025. This forced abrupt closures of testing centers and layoffs of healthcare workers nationwide.

While philanthropic organizations such as the Gates Foundation are stepping in, Barnard stresses that relying on external charity is unsustainable. “We must build resilient, locally driven health systems that are less dependent on foreign aid,” he said.

Beloved Chiweshe from Accountability Lab Zimbabwe echoed this call for African governments to take decisive action. “The scale of potential health setbacks is enormous, and governments must urgently mobilize resources to protect vulnerable populations,” he warned.

Beyond HIV, the cuts threaten a wide range of community health programs, many run by grassroots organizations. As foreign funding dwindles, the continent faces a critical crossroads: embrace innovation and self-sufficiency in healthcare or risk reversing decades of health gains.

The message is clear—Africa’s future health security depends on bold leadership and sustainable financing within the continent itself.

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