A South African community health worker described how funding disruptions have undermined mobile clinic services to connect people to PrEP: “Those that are interested, you know, to get PrEP, we tell them where to get PrEP, and then those are ANOVA trucks would stand, you know, in those communities, you know, with their trucks, with fridges, with everything, where they would like give medication [...]. So basically, that is no more. There’s no more ANOVA trucks.”
Date: 4/26
Region: Africa
Country: South Africa
Topic: Health
Policy Lens: Global Health Security
Entry Type: Field Observation
Additional Context: This quote was collected in September 2025 by a global health expert associated with Physicians for Human Rights, or PHR, documenting the lived experiences of individuals impacted by the transitions in foreign aid, particularly U.S. government funding for HIV/AIDS services. All narrators were recontacted in March 2026 to validate quotes and provide updates. The quote was anonymized by the source.
While the U.S. only accounted for 17% of HIV response funds prior to 2025, PHR highlights the important role of the U.S. government in supporting community-based outreach, awareness, and targeted actions for key populations in tandem with the government response. The South African government has, as of April 2026, not replaced many of the community-based prevention services that PEPFAR, the U.S. flagship HIV program, almost uniquely funded.
Devex Researcher Note: ANOVA Health Institute is a South African NGO and was the largest individual PEPFAR recipient in the country before its funding was withdrawn in 2025. In 2024 alone, they had provided HIV-related services to 990,000 of people living with HIV in the country. Service delivery through mobile clinics was one of their main activities — for example, PrEP was provided by them to 166,000 people — along with contraceptives, medication, and testing in communities.
Source: Physicians for Human Rights