‘My wife is afraid of sex, I fear death’

Mike Elvis Tusubira, a motorcycle taxi protest in Uganda, has repented since the President Donald Trump suspended the external help last month.

It is not only 35 years of awe of his survival while taking drugs save anti-retroviral (ARV) life – but he will have to separate from his woman as they can no longer have safe sex.

His partner is HIV negative and relying on PrEP, a medicine that reduces the risk of HIV.

“It means that even my marriage will end, because it is actually without preventative measures, they will never stay,” he told BBC.

“No Condoms, No [anti-HIV] Lubrics, No Prep, Nothing. We cannot stay in marriage without a meeting. It means I should stay single. “

All the couple’s medications and controlling methods were supplied due to funding from Aid Guide Aid Encaid Center.

Since a sudden closure, you hear about social media, they could not restore their belongings. His wife is completely out of preparation now and both are afraid of depending on condoms only – four left – very dangerous.

Trump had temporarily rejected the outer help with the outward help in his first day back to the office, after the order of the quitrators began to provide services to USAID.

Wavers released after that time The HIV-HIV Programa was part of Marpi Clinic in the north of the capital, Kampala – was closed.

You called his Mealth Center III III III in the city to find out what’s going on.

“My counselor was in the valley. He told me she was at the clinic.”

The father of One, who tested that he had HIV in 2022, since he had missed the test of how the virus was in his or her blood soldiers.

“I walk in the dark, in the dark. I don’t know if my viral load is pressed. I’m attacked.”

He does not think his work is driving a taxi taxi – known in the area as “Boda” – will be able to help his family get on the obstacles they face now.

“Some people say that drugs will be in private pharmacists … As a Boda-Boda passenger I don’t know if I can raise money to support my treatment.”

They were also affected by the loss of services provided by non-governmental services (NGOs) who received funding from USAID, said.

His wife found his PrEP with MOGI and his five-year-old son for benefiting from that who had given the school and the food of vulnerable children.

“My baby is no longer at school now,” he said.

The Uganda Health Sector relies heavily on funding for donors, which supports 70% of its AIDS measures.

The East African nation is among 10 senior USAID WINS receivers in Africa. According to US Government details, the country has received $ 295m (£ 234m) for funding on the agency in 2023 – the third position after Nigeria receives $ 337m.

USAID also supports its malaria, tuberculosis and leprosy programs – and the support of maternal and child support.

Thousands of health workers affected by the US money.

Dr Shamirah Nakitto, a Course of Faith-based public organization that provides medical support and mental support for people living with HIV in Uganda IV, working very slowly in Kampala.

On average, he went to 200 HIV / AIDS patients and Tuberculosis. But after the appointment order, all health workers supported in Romans were considered.

Its tubercategage is now silent and orphans and orphans and children and are closed in Kisenge.

“We’re waiting for 90 days. So, this compulsory element, I didn’t prepare,” told BBC.

“They were suddenly. We didn’t have the right job at the center. We just stopped working.”

The Ugandan Department of Health states that the interruption measures.

Dr Diana Atwune, a higher passenger in the ministry, urged workers “determined to continue working with the world’s love as volunteers” to connect with them.

In southernmost in Malawi, financing sponsored services has also established.

The country received $ 154m from the USAID health budget in 2023, which made it the greatest recipient in Africa.

In the northern city, the gates closed at the clinic for HIV services in the region. The cars are always doing nothing; No sign of work at Macro Clinic. The workers locked the doors, and they turned off and went home in the past 18 days.

Despite the US National State Department of Department on 28 January allows the delivery of drugs such as ARVs, many clinics are closed as sensitive employees who link USAID activities, transporting medications is a challenge.

Even when services are allowed for technology to restart, many contracts are always on the. Health workers are sure of what they can and can do.

Trump Administrations plans to reduce USAID employees in 90%.

Atul Gawande, a helper to the USAID WALEL WORK HEALTRATOR Administrator, who was sent to X that workers working with a 14,000 to 294 – and only 12 were assigned to Africa.

More than 30 NGOs in Malawi are also very affected by money in the fridge.

Eddah Silwa banda, a 32-year-old farmer has been receiving ARVs since 2017 from a Macro clinic, where various members provide HIV programs.

He is concerned about his own conclusion – and his sister-in-law, he also trusts in medicine sponsored by donors – and he says they choose an option but to pray.

“We should pray, just as in the water. Those who believe it depends on God who opens doors when a person closes.

The mother of three children, who removes ARVs left ARVs, says that the formal failure had to suspect: “Like Malawi, we are very dependent on receiving help.

“Let this be a lesson to be independent,” he said.

But this is difficult for one of the poorest countries and help the world most. According to the World Bank, Malawi of External shock – including a long dramatic, storms and undesirable rain.

The disruption of these views in its health system reflects a major challenge.

For decades, the US has been the most important of African public health.

Especially through its land breakfast to fight HIV spreads worldwide, established in 2003.

According to the head of African disease management centers and diseases (CDC of Africa), USAID offered $ 8Bn assistance in Africa last year.

Jean Kaysa told the health care “for seventy-three percent of the BBC Newsday last month.

Health experts warn that replacing money will be very difficult.

African governments have made strikes reducing relief. Now Kenya now supports about 60% of its HIV response. South Africa includes approximately 80%.

But in many tribal leaders, debt responsibilities, weather disasters and economic shocks make it possible.

Amref Health Africa, one of the lead in Ngos in NGOs, warns that without an emergency, the global health security is at stake.

“This will require African governments and CDC’s CDC to raise their money, which is impossible under debt conditions,” Dr Githinji Gitahi told the BBC.

“By accelerating the climax of climate change and conflict of human environment, this will leave the earth weakened and unsafe – not only in Africa but for everyone.”

Around 2023, 630,000 deaths and 1.5 new AIDS diseases.

While the values ​​of a predestinated, the impact of the sale of USAID can change these benefits.

“If you delete this large offer by the United States Government, we expect that there will be a 63 million deaths in the next five years,” Winnie Byanima. told Africa of the African BBC for African this week.

“There will be new diseases 8.7 million 8.4 million or billing ornaments. I do not want to sound like a Doom prophet, but I have a job to give facts.”

Medical Medical Médecins Sans Frontières (MSF) also warned the risks to interfere with HIV.

“HIV medicines should be taken daily or people to use the risk of developing against deadly health,” Tom Emmsf South Africa, said in a statement.

Back in Uganda, Mr Tusubira feels a wish for the future.

You have 30 days left for her ARV trees – and may choose to leave Kampala and return home to her village after that.

“At least it will be a little easier. When I die, they just bury me there, instead of interrupting my people here in Kampala.

“Because I don’t have the way I can live here without ARV services.”