US Aid cuts force closure of health NGOs in Botswana

BOTSWANA—The Ministry of Health has provided updates and guidance to the public regarding the suspension of US aid, which directly affects multiple civil society organizations (CSOs) and non-governmental organizations (NGOs) working in the health sector.

These organizations, which have long played a crucial role in providing healthcare services, are now facing uncertainty following the abrupt halt in funding.

Botswana has benefited from the United States’ generous financial and technical support for many years, particularly in the health sector.

This assistance, largely channelled through programs like the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the U.S. Agency for International Development (USAID), and the Centers for Disease Control and Prevention (CDC), has significantly contributed to the country’s health achievements.

Since PEPFAR’s introduction in 2003, Botswana has received over one billion pula in aid, helping it become one of the first countries to exceed the UNAIDS 95-95-95 HIV/AIDS targets.

This success has enabled many people living with HIV/AIDS to access life-saving treatment and live healthier lives.

However, the recent decision by the US government to suspend foreign aid with immediate effect is expected to impact the health sector.

 Several US-funded CSOs and NGOs have already reported being instructed to shut down their operations.

Among them are organizations that focus on HIV/AIDS prevention and treatment, such as Tebelopele Voluntary Testing and Counseling Centers, which have now closed their doors across the country.

The Ministry of Health acknowledges that the duration of these closures remains unknown, raising concerns about access to essential health services.

Despite these challenges, the Ministry has assured the public that the availability of antiretroviral (ARV) medication will not be affected.

The government of Botswana directly procures ARVs, ensuring that treatment for people living with HIV/AIDS continues uninterrupted.

Additionally, the Ministry is working to ensure that essential preventive supplies, including condoms and lubricants, remain available at both public and private health facilities.

To mitigate the effects of the aid suspension, the Ministry advises individuals who previously relied on CSOs and NGOs for healthcare services to visit the nearest public health facilities.

It has also pledged to enhance service delivery in these facilities to accommodate the increased demand.

However, certain services, such as ARV distribution at post offices, have been temporarily halted, and the Ministry will provide further guidance on alternative arrangements soon.

Another area of concern is support for victims of gender-based violence (GBV).

The Ministry is currently consulting stakeholders on how to ensure continued access to these critical services, with further updates expected in due course.

As a way forward, the Ministry of Health will engage with all relevant stakeholders, including the US Embassy in Botswana, to explore possible solutions for maintaining essential health services.

The government remains committed to minimizing disruptions and will continue to update the public as more details emerge.

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