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Sudden withdrawals of US funding and a reduction in Global Fund allocations have sharply disrupted harm‑reduction and key‑population HIV prevention services across South Africa. The rapid assessment found dozens of USAID‑funded projects terminated, thousands of frontline posts affected, and interruptions to opioid substitution therapy (OST), needle‑and‑syringe programmes (NSP), HIV testing, ART and PrEP in several high‑burden districts. These service losses, documented in the report, coincide with increased overdose risk and greater barriers to care for people who inject drugs, sex workers and men who have sex with men.
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The 4th Biennial Summit on Substance Use and Illicit Trafficking, held on 26–27 November 2025 at the Birchwood Hotel and OR Tambo Conference Centre under the theme From NDMP Policy to Practice: Strengthening Community Voices for Effective Implementation, heard a clear and urgent call from Klaas Mtshweni.
The SANPUD Annual Report 2024 is more than a snapshot of one year — it is a testament to the long road travelled by the South African Network of People Who Use Drugs and its partners. Your browser does not support viewing this document. Click here to download the document. The SANPUD Strategic Plan 2026–2030: Freedom, Dignity & Voice sets out a bold roadmap for advancing the rights of people who use drugs in South Africa. Your browser does not support viewing this document. Click here to download the document. |
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