U.S. funding halted Africa’s HIV crisis. Trump’s cuts have forced a reckoning.

“That is not something we can easily lose.”In Eswatini, the Miracle Campus is at the center of that reckoning. In early February, with U.S. funding withdrawn, the Miracle Campus installed an entrance gate with a sign asking most patients to go elsewhere. The employees were accruing back pay, but Echo worried that as the uncertainty dragged on, the entire Miracle Campus could come unglued. Eventually, they sketched out a vision of a smaller Miracle Campus, about one-sixth of its size at its peak, that relies more on private donations. They’d built the most advanced medical campus in Eswatini, but now it was just idled equipment and pretty landscaping.