On Monday, minister of health Dr Aaron Motsoaledi met to discuss bilateral health cooperation and new US policy for assistance with US charge d'affaires for South Africa, Dana Brown.
A woman walks up to the security guards outside a shuttered USAID-funded sexual health clinic in Johannesburg's inner-city district.
The letter states that close to a million patients living with HIV have been directly impacted by stop-work orders and that a recent waiver by US Secretary of State Marco Rubio continuing life-saving assistance explicitly excludes "activities that involve abortions, family planning, gender or diversity, equality and inclusion ideology programmes, transgender surgeries or other non-life saving assistance".
The programme has now been halted by President Trump's foreign aid funding freeze - plunging those who survived South Africa's HIV epidemic and AIDS denialism in the early 2000s back to a time of scarcity and fear.
South African civil society organisations have written a joint open letter calling for their government to provide a coordinated response to address the healthcare emergency created by the US foreign aid freeze.