How a health clinic in South Africa is navigating Trump's cuts to HIV funding
Consider This from NPR
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4.2 • 6.2K Ratings
🗓️ 27 May 2026
⏱️ 9 minutes
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Summary
We recently visited one of those programs, called We Care, to learn more about the experiences of the few employees who still remain.
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Transcript
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| 0:00.0 | It's considered this where every day we go deep on one big news story. Today, a story about |
| 0:06.6 | changes in U.S. foreign aid and their impact, a story that begins in Soweto Township, South Africa. |
| 0:15.7 | Melda has a leaky roof. Every time it rains, water seeps in under the door of her house onto the dirt floor. |
| 0:23.4 | Melda asks that we refer to her only by her first name. She and one of her five children, |
| 0:28.9 | or HIV positive, which still comes with stigma where she lives. |
| 0:36.3 | She roots through a pile near a mattress on the floor and pulls out two cards that give her access to treatments. |
| 0:42.6 | So she's showing me her green TB clinic card as well as her ARV treatment card. |
| 0:47.8 | In South Africa, the country with the largest number of people with HIV, the AIDS epidemic is a lot more manageable than it once was. |
| 0:55.8 | That's thanks in part to advances like ARVs or anti-retroviral drugs that keep HIV suppressed. |
| 1:02.8 | Melda and her child take pills every day at 8 p.m. to keep the virus at bay. |
| 1:08.3 | When Melda contracted HIV, she struggled to even get help from a nearby clinic. |
| 1:15.6 | She went back four times, she says, but couldn't get help, until she met Marissa. |
| 1:22.6 | Marissa is Marissa Mutswalitsani, a community health care worker from an organization called Sia Nakekela. |
| 1:29.2 | It translates to we care. |
| 1:31.8 | Community health workers like Marissa help connect people to medical care, though they also |
| 1:36.7 | provide more holistic counsel for those who need it, like with hygiene or access to food. |
| 1:41.7 | That job has become much harder since early 2025. |
| 1:45.8 | Sometimes you come here, assist with cleaning. |
| 1:48.7 | But now because of the on and off, on and off, I hardly come. |
| 1:53.7 | We care was largely supported by the U.S. government |
| 1:56.6 | and specifically by the president's emergency plan for AIDS relief. |
| 2:01.4 | Pepfar is credited with saving 26 million lives since it launched in 2003, |
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