Namibia's health sector remains cautiously optimistic following U.S. President Donald Trump’s decision to halt foreign aid for 90 days.
The Minister of Health and Social Services, Dr. Kalumbi Shangula, says all U.S. funds allocated to local health programs, including HIV/AIDS initiatives, are accounted for.
Namibia is a recipient of U.S. foreign aid, primarily through Pepfar and USAID. With the pause aimed at reviewing aid allocations in line with U.S. foreign policy, Namibia is not exempt. However, the Health Ministry assures that program rollouts remain unaffected for now.
"Funds were advanced before the order took effect, meaning work will continue. We anticipate a positive review, and there is nothing suggesting Namibia is non-compliant with U.S. expectations. We are cautiously optimistic that operations will continue as usual," Shangula said.
In 2023, Pepfar allocated over US$45 million to health and social services for vulnerable children, adolescents, and youth in Namibia.
Trump’s move follows calls from the U.S. electorate for greater transparency in foreign aid spending. Minister Shangula reaffirms Namibia's accountability, stating that U.S. funds are managed by American agencies, not the Health Ministry.
"The funds are not handled by the Ministry but by U.S.-established agencies. There is no indication of mismanagement on Namibia’s part."
The aid suspension raises concerns over recipient countries' reliance on donor funding, particularly in Africa. However, Shangula is confident Namibia’s programs remain sustainable.
"When we launched malaria, TB, and HIV/AIDS programs, they were government-led initiatives. They receive annual parliamentary appropriations, ensuring sustainability. Unlike some countries where donor funding covers 90% of costs, Namibia is not in that position."
The aid suspension is among several executive orders Trump has signed in recent days, including withdrawing the U.S. from the World Health Organization.