
USAID: The End of a Lifeline in Africa
In 2014, I documented HIV, tuberculosis, and malaria treatment programs, as well as nurse and doctor training initiatives across Africa, focusing on how investments in health had significantly improved well-being across the continent. What I witnessed was remarkable—unlike anything I had seen in my many years working there. Investments in equipment and infrastructure had transformed entire hospitals, equipping them with modern technology and hygienic facilities. My work reflected not just a continent in need but one progressing toward prosperity, even as challenges remained.
These photos capture that progress—many of those pictured were living with HIV yet leading healthy, fulfilling lives, a testament to the impact of sustained investment in public health. The majority, if not all of these locations received funding from USAID and no longer do.
A decade earlier, at the height of the HIV pandemic, I had seen entire villages devastated and was deeply critical of my own nation’s inaction. Yet, under a president with whom I profoundly disagreed, a transformation in global public health took shape. Through the President’s Emergency Plan for AIDS Relief (PEPFAR), launched by George W. Bush, along with USAID, I saw firsthand the immense return on investment—lives saved, medical infrastructure built, and goodwill toward the United States heightened. Beyond being sound public policy, these efforts were also a strategic move at a time when multiple global actors sought to diminish the U.S.




















































































































































































































































































































