After PEPFAR withdrawal, patients across multiple districts experienced service disruptions and a decline in service quality. Patients experienced increased waiting times due to staff shortages and disorganized filing systems.

Date: 10/25

Region: Africa

Country: South Africa

Topic: Health

Policy Lens: Global Health Security

Additional Context: In October 2025, Ritshidze released a report on the national state of health in 2025. Ritshidze is a community-led monitoring system implemented by the Treatment Action Campaign (TAC). Since 2018, Ritshidze has been consistently collecting data across sites in 26 PEPFAR priority districts. Following the PEPFAR funding cuts, monitoring is now continuing in 17 districts. As part of this reporting, a new tool was deployed to survey patients as they exit the clinic in order to gather evidence for the state of service provision on that exact day.

All Ritshidze data collection tools and data dashboard are available on their website.

Source: Ritshidze