20/08/2025
"HIV activists have raised the alarm, saying there is a problem, and the government is once again in a state of denial."
As Trump's funding cuts have shattered South Africa's HIV programmes, Ndiviwe Mphothulo, the president of the Southern African HIV Clinicians Society, is watching a familiar pattern unfold.
Government officials are pointing to stocked clinic shelves, but missing the bigger picture. It's not about pills, he says, it's about reaching vulnerable populations, continuing cutting-edge research and maintaining the momentum toward ending HIV as a public health threat by 2030.
"In the mid-80s, lone voices were written off as lunatics," Mphothulo says about HIV activists. "In the 90s, even politicians like Chris Hani raised concerns, but government kept its ears closed. The same in the early 2000s, despite so many deaths."
Ndiviwe Mphothulo started in politics at the age of 12 in Soweto, where he was born with activism in his bloodline. Now, a medical doctor and the president of the Southern African HIV Clinicians Society, he’s trying to make sure the Trump administration’s funding cuts don’t collapse South Afri...