Think Global Health  |  March 30, 2020

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I stood in my driveway as the sun began to set on the outskirts of Lusaka, leaning on my vehicle after a long day, my phone pressed to my ear. The donor executive on the other end was repeating herself. I had asked for clarity. “We have decided to rescind the grant,” she said for a second time. “The funding is being withdrawn.” I had just moved from my position as Chief Medical Officer for the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) during the Obama administration and taken over as CEO of large Zambian NGO supporting hundreds of thousands of people with HIV and providing other health services. Losing a major funder was hardly the start I’d imagined.

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