South Africa reaffirms commitment to ending HIV/AIDS

Under the banner of renewing efforts and strengthening sustainable commitments to end AIDS, the country commemorated World AIDS Day by pledging to accelerate progress toward eliminating the virus.

Deputy President Paul Mashatile, along with key stakeholders, marked the day in Ga-Masemola, Limpopo.

During the programme at Masemola Stadium, various speakers reflected on the significant strides South Africa has made in curbing the HIV/AIDS pandemic.

- FUNDING CUTS IMPACT RESPONSE -

UNAIDS Country Director Eva Kiwango praised South Africa's determination to continue fighting the virus despite a difficult year marked by major funding cuts.

She noted that even with these challenges, the country has continued to provide essential support to those in need.

"Today, South Africa funds nearly 80% of its HIV response, a commitment unmatched in sub-Saharan Africa. Every rand invested in prevention and treatment yields returns through reduced health costs, increased productivity, and a healthier, more empowered young population. Ending AIDS is not only a moral imperative, but it is an economic necessity," she said.

This follows a decision by the US President Donald Trump's administration earlier this year to halt PEPFAR-funded treatment.

According to UNAIDS, reductions in USAID funding affected the work of approximately 8,493 staff members, resulting in the closure of several clinics and a decrease in key services.

Kiwango added: "South Africa stands at the centre of both these realities. Yes, it has the highest burden of HIV in the world. Yet, it is also leading with courage and innovation. During this tumultuous year, South Africa has refused to let disruptions halt progress."

-EFFORTS AGAINST HIV/AIDS-

South Africa has introduced several initiatives this year in the fight against HIV/AIDS.

In his keynote address, Mashatile highlighted that the country has made strong progress towards the UNAIDS 95-95-95 targets.

"Currently, South Africa’s statistics stand at 96-80-97, while global figures are at 95-85-92. To confront the stubborn second 95 target, we launched one of the most ambitious national recovery efforts on 25 February 2025, the 1.1 million 'Close the Gap' Treatment Acceleration Campaign,” he said.

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The 1.1 million acceleration campaign aims to close the country's treatment gap by the end of the year.

In addition, Minister of Health Aaron Motsoaledi launched the six-month multi-month dispensing programme for HIV treatment, which seeks to improve access, ease pressure on healthcare facilities, and boost patient retention.

-SHORTCOMINGS -

Despite notable improvements, several challenges persist.

Mashatile acknowledged ongoing issues in initiating and retaining diagnosed individuals in treatment programmes. Studies indicate that many men living with HIV are not adhering to antiretroviral therapy.

According to the Southern African Journal of HIV Medicine, low rates of testing among men contribute significantly to the high number of people living with the virus.

The journal also notes that gaps in HIV service provision for youth place them at heightened risk of new infections.

Mashatile emphasised that groups such as "women and girls, people who use drugs, sex workers, and the LGBTQIA+ community" require targeted support. "By prioritising equity and inclusion, we can create systems that protect and empower everyone," he said.

According to the latest Stats SA records, approximately 8.15 million people in South Africa are living with HIVabout 12.9% of the country’s population.

The deputy president concluded by stressing the need for improved policies that address the needs of the most vulnerable, as well as the urgent dismantling of stigma surrounding HIV/AIDS in South African society.