The US is upending the way it delivers medical supplies for diseases such as HIV and malaria to lower-income countries, according to seven sources and an internal e-mail, risking a second dislocation of life-saving services in just over a year. The US has until now managed its medical donations through the Global Health Supply Chain Program ? Procurement and Supply Management ? run by the private contractor Chemonics. From its establishment in 2016 to 2024, it delivered a total of more than $5bn (R84.86bn) of HIV and malaria products to 90 countries, mostly in sub-Saharan Africa and Asia. That programme was halted when President Donald Trump froze international aid on the first day of his...