DfID has, in the years of its existence, been key to offering development assistance to countries with high numbers of people living in poverty in the areas of primary education; access to reproductive health care; and the tackling of infant, child, and maternal deaths, and this role substantially aided many developing countries towards the achievement of the erstwhile Millennium Development Goals (MDGs).

This announcement, which came barely a month after President Trump threatened to end the United States' relationship with the World Health Organisation (WHO), signals a de-prioritisation of foreign aid by the governments of the U.K. and the U.S., and with current global economic realities, this could appear to be the beginning of a trend.

Since World War II, the U.S has been a major source of foreign aid across the world, especially to sub-Saharan Africa, with aid from the U.S. and other high-income countries to Africa averaging $49 billion annually and Africa alone accounting for 20 per cent of U.S. aid.

Across Africa, deaths from HIV have reduced by about 50 per cent, however, if African governments do not start to think strategically about how to domestically raise finances in a climate with fast-dwindling foreign aid, much of the gains of the last decade could be wiped out.

The efficient running of these 30,000 primary healthcare clinics, many of which are decrepit and abandoned, cannot be borne by government alone, and this highlights the urgent need for well-structured public-private partnerships with keen regulatory oversight, to ensure the delivery of quality, accessible and affordable health services, including HIV care and treatment, to the majority of the population.

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