The financial cuts by the Trump administration have led to the closure of many USAID-funded clinics that provided essential healthcare services to HIV-positive patients. Gugu, who previously received her medication from one of these clinics in Johannesburg, was fortunate enough to receive a bulk supply before its closing but faces uncertainty as she plans to seek treatment from a public hospital, where long wait times and stigma against sex workers like herself complicate the process.

The consequences of these cuts extend beyond immediate treatment accessibility; the UN reports that historical progress in reducing new HIV infections is at risk of being reversed. UNAids highlights that funding reductions could lead to millions more infections, with South Africa, home to about 7.7 million people living with HIV, feeling the impact acutely.

Despite significant advancements in antiretroviral therapy and a decrease in AIDS-related deaths in recent years, health experts warn that the sharp reduction in funding could trigger a resurgence of infections and negatively impact ongoing research for vaccines and prevention methods.

In response to this funding shortfall, South African health officials are seeking alternative resources, including support from foundations, to sustain crucial research and treatment initiatives. However, with a government pledge of only a fraction of the needed funds, many remain anxious about the future of HIV care in a country that stands at the forefront of the fight against the epidemic. As Gugu reflects on her journey, her hopes for a cure and a healthier future for the next generation are now overshadowed by uncertainty amidst these perilous funding cuts.