Trump’s USAID freeze must serve as a wake-up call for Africa | Health

On January 20, President Donald Trump acknowledged a 90 -day stop on external aid, a decision that affected all the financial support distributed by the United States Agency for International Development (the United States Agency for International Development). This decision has had a profound impact and a widespread alarm around the world, and nothing more than Africa.
In 2023, the United States Agency for International Development allocated a total of $ 12.1 billion to countries in sub -Saharan Africa, with the aim of improving health care, providing food assistance and promoting security. It is important, the United States Agency for International Development is distributed to the US President’s Emergency Plan, PEPFAR, which is the World Fund for fighting AIDS.
The freezing of 90 -day financing has caused great distress across Africa, facing millions of people who depend on the services supported by the United States government are now a hard and uncertain future.
On February 6, at a comprehensive press conference of Parliament, South African Health Minister Aaron Motwalide identified the widespread impact of Labbarbar on the response of HIV in the country. He revealed that Pepfar contributes 17 percent of the total financing, which exceeds 7.5 billion Rand ($ 407 million), and supports various programs for 7.8 million South Africa with HIV/AIDS, the highest number in the world. He also pointed out that more than 15,000 health care employees, including nurses, pharmacists and directors, are renewed through PePfar.
The HIV/AIDS response in South Africa is definitely in an unstable country now, taking into account an eccentric, aggressive and revenge political agenda. However, the truth is that the “American Agency for Settlement” may have been avoided if the southern African country was responsible for its social and economic issues in the first place, rather than delegating it to a foreign country that is now hostile.
Since the most advanced, diversified and productive economy in Africa, South Africa should not have been excessively dependent on PePfar, especially to the extent that the US Agency for International Development Funding becomes an essential element in its health budget.
This dependence on the financing of the US International Development Agency is actually a more important problem within the health care system and the government as a whole: widespread mismanagement and corruption, on a large scale. Every year, due to the total mismanagement and unwanted corruption, South Africa loses billions of rands, which are necessary funds to meet the needs of vital services, including those related to health care in HIV/AIDS.
TIMBISA Hospital for Supreme Traiter (TPTH), a public facility under the auspices of the GATENG Ministry of Health, is a prominent example of the widespread deprivation caused by corrupt practices. In August 2024, the Special Investigation Unit (SIU), an independent agency in the South African government responsible for investigating poor violations in state -owned institutions (Soes), stated that corruption networks have caused financial losses exceeding 3 billion Rand in the institution, with evidence indicating the participation of senior hospital employees in these illegal operations.
For several years so far, he struggled with the hospital to meet the obligations of providing services and faced great restrictions on resources, including the decisive shortage of specialized employees and equipment, which in some cases led to preventive deaths.
Unfortunately, excessive spending, waste expenses, and fraud in TPth, is unfortunately, represents a large -scale direction.
Last year, South Africa’s general auditor (AGSA) found that the government of Gotting Province-only one of the nine regional authorities in South Africa-incurred 9.879 billion Rand in irregular spending in the fiscal year 2023-24. Moreover, irregular spending in 2024 amounted to 50.65 billion Rand through 38 government divisions, while 27 laboratory companies recorded a total of 69.35 billion Rand.
When these high figures show that these high figures show that 7.5 billion dollars in annual aid from the United States to South Africa is a minor compared to the large billions that were lost as a result of fraud, mismanagement and corruption.
By enhancing a culture of clean and accountable governance, South Africa can significantly reduce or remove its formed dependence from the United States in health care and beyond. There is a similar position in Kenya, where the United States has committed to providing $ 207 million to help for 2024.
In one case, the suspension of aid from Washington was presented to the health of orphans with HIV residing in the children’s home in Nairobi, Nairobi. Between 1999 and 2023, USAID and Pepfar contributed more than $ 16 million in the orphanage, allowing it to support nearly 50,000 children through his rescue center and two awareness initiatives, Lea Toto and the Nomani village.
Without the required financing, thousands of children who are seriously ill or die. Many young people of HIV/AIDS vital consulting services.
Kenya, like South Africa, has the opportunity to rid itself of the grip of the American aid industry and support the role of orphans such as the children’s home in Nilumbani through its own financing. However, this can only happen if the Kenyan government adopts a strong position against corruption, re -evaluating government expenditures, and focuses on enhancing effective governance
According to the results of the Ethics and Control Committee, corruption costs an estimated 608 billion Kenyan shillings annually ($ 4.7 billion) to Kenya, equivalent to 7.8 percent of its GDP (GDP).
Nairobi holds the responsibility of caring for its most deprived citizens. Children’s children should not have to rely on Washington for HIV/AIDS services. The main reason is that these orphans in such a difficult situation are the indifference of politicians who serve themselves in Kenya towards their welfare and general welfare of the nation.
About 37.5 percent of the Kenyan population is a multi -dimensional poor, indicating that they suffer from deprivation in multiple aspects of life, including health, education and living levels, as it was measured by the MPI (MPI). However, on March 16, 2023, Kenyan President William Roto appointed the most swollen administration in the history of the modern state in East Africa.
Roto, a veteran politician, ranked second in the first person in the year 2024 prizeAfter the former strong man in Syria, Bashar al -Assad. This award, embarrassingly, honors leaders who are believed to promote organized crime and global corruption.
Meanwhile, in West Africa, Nigeria is a more convincing case than Kenya.
On February 14, Nigeria agreed to allocate $ 200 million financing to alleviate an expected deficit in 2025, resulting from discounts in US health aid. In 2023, the United States provided more than $ 600 million of health support to Nigeria, which represents more than 21 percent of the annual health budget in the country, primarily towards prevention from malaria, eliminating HIV, and distributing vaccines.
However, many social and economic challenges in Nigeria are largely imposed on itself. You should strive for more self -sufficiency rather than relying on American assistance. The country has vast economic capabilities – a possibility that cannot be fulfilled due to, among other things, great corruption and waste. Nigeria loses about $ 18 billion every year for financial misconduct and corrupt purchases. Corruption, according to Ticket Collected by PRICEWATORHOSECOOPERS (PWC) in Nigeria in 2016, may reach 37 percent of the country’s GDP by 2030.
The report defined three main repercussions of corruption, especially a decrease in the effectiveness of governance, which is primarily attributed to a reduced tax base and ineffective distribution of government resources.
Nigeria – which witnessed a wave of … Protests in 2024 – Certainly resources and capabilities to free themselves from aid permanently. To achieve this, the country must give priority to implementing strong, progressive and initial judgment.
From Zimbabwe to Uganda and Tanzania, it must be seen in obtaining independence from the so -called West movement as a decisive element in success after colonialism in Africa.
The painful and insulting contradiction is often in western countries that provide billions in helping with uneven and subjective African governments, the base should not remain.
African countries must immediately take fully and unchasted responsibility for the ongoing challenges facing many of their disadvantaged societies.
The daily life of Africans should not be suspended on us and the whims of Western politicians. Africa can take care of its people.
The opinions expressed in this article are the author of the author and do not necessarily reflect the position of the editorial island.
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2025-03-13 08:37:00