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US aid cuts push Zimbabwe’s sex workers into dangerous choices

In Harare’s crumbling outskirts, sex worker Sharon Mukakanhanga clutched a pair of baby socks — the desperate substitute she once used when condoms ran out. “These little socks served as condoms when I became so desperate after the American government withdrew its support,” the 43-year-old said, recalling how US aid cuts gutted her trusted health clinic. Mukakanhanga is one of thousands of sex workers left scrambling for protection since US President Donald Trump cut foreign health aid earlier this year. The move crippled HIV prevention programmes in Zimbabwe that had relied heavily on PEPFAR, Washington’s flagship HIV initiative. Rising deaths, shrinking support Official figures show 5,932 AIDS-related deaths in the first half of 2025, up from 5,712 a year earlier. Clinics once stocked with free condoms and antiretrovirals are now shuttered or overwhelmed. “It was a very difficult period. I […]

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Botswana Declares Health Emergency Amid Drug Shortages

Botswana has declared a public health emergency after President Duma Boko announced that the country’s medical supply chain had collapsed due to depleted government funds and sharp cuts in aid from the United States. The announcement followed warnings from the Ministry of Health and Wellness earlier this month that the system was under severe strain, with $75m owed to private health facilities and suppliers. Authorities reported acute shortages of medicines for conditions such as hypertension, cancer, diabetes, tuberculosis, asthma, mental health, and sexual health. Elective surgeries have also been postponed because of the crisis. In addition, the Health Ministry confirmed shortages of essential medical items including sutures and dressings. “The medical supply chain, as run by central medical stores, has failed,” President Boko said in a televised national address. “This failure has led to a severe disruption to health supplies […]

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