After US aid cuts, South Africa’s HIV response strains to hold the line

JOHANNESBURG — It’s mid-morning, and Lungani Sithole has already made dozens of phone calls.

Some numbers don’t ring, and others go straight to voicemail. A few connect, briefly, before the line drops. But when someone does answer, the peer educator moves carefully, trying to figure out whether the person whose number he called is still in treatment — and in some cases, whether they’re still alive.

“Any wrong move I do now, or any wrong attitude that I portray, could unleash the mental thread that’s keeping that person together,” said Sithole, who has been a peer educator at the South African HIV clinic OUT LGBT Well-Being since 2019. “These people are coming from a lot within their communities, within their houses, within themselves.”

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