The head of UNAIDS Winnie Byanyima said on Monday she was saddened by US plans to withdraw HIV/AIDS funding for South Africa and urged Washington to reconsider, warning the move could cost lives in the country with the largest number of people infected with the virus.
Ms Byanyima also told a UN news briefing ahead of a high-level UN conference on HIV/AIDS that broader global aid cuts risked reversing decades of progress against the disease.
In an emailed statement, the US State Department said the United States has "decided to initiate a phased drawdown" of the President’s Emergency Plan for AIDS Relief (PEPFAR) in South Africa "following South Africa's failure to make demonstrable progress on policy requests by the administration."
It said PEPFAR was never intended to be permanent and that South Africa "is a middle-income country and is more than capable of supporting its own health programs."
Semafor last week cited a State Department official and two congressional aides as saying that the decision was a response to South Africa's failure to meet US demands that Pretoria reduce its partnership with Iran, end Black Economic Empowerment policies, and address "Kill the Boer" anti-apartheid chants.
"I'm sad about that," Byanyima said, when asked about the US move. "Taking it away is taking away life-saving support from the most vulnerable people. So, that is sad. And I would ask the United States to reconsider their position."
US President Donald Trump froze many foreign aid programs early in his presidency, before reinstating some lifesaving assistance, including parts of PEPFAR.
South Africa does not rely on US funding for its HIV drugs, but PEPFAR previously provided the country with over $400 million a year and paid about 15,000 health workers' salaries.
Byanyima said South Africa has about 8 million people living with HIV, the most in the world, and the US program had been providing up to 17 percent of its HIV funding.
She pointed to a steep drop in overall global development assistance from traditional donors in Europe and North America.
"Please do not take money away because you are taking lives away. Have a planned transition," she said.
She noted a target to end AIDS as a public health threat by 2030 and said the global response had achieved major gains, with 32.1 million of roughly 40 million people living with the virus that causes AIDS receiving treatment. But she cautioned that progress was uneven and fragile.
UNAIDS data show 9 million people still lack treatment and 1.2 million people were newly infected last year. Byanyima warned that recent funding cuts were already disrupting services and could lead to a rebound in infections.
She said HIV testing in countries with high infection rates had fallen by 22 percent, and in some countries there had been a 90 percent drop in condom distribution.
"We are seeing early signs of serious reversals in our progress... the trend that has been going down may now reverse and start rising," she said.
