Cyril Ramaphosa

President of South Africa

About the author

Cyril Ramaphosa is president of South Africa.

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Aid cuts, debt and conflict are pushing maternal and child health to breaking point.

GHAZNI, AFGHANISTAN - AUGUST 27: Midwife Samonah, 33, holds a newborn after a delivery at the provincial hospital's maternity unit on August 27, 2025, in Ghazni, Afghanistan. The hospital has seen its caseload increase with the closures of health facilities across the province due to US funding cuts, with women coming from far away and arriving in critical states. According to August data from the World Health Organization, 422 health facilities have been suspended or closed in Afghanistan since U.S. President Donald Trump issued an executive order to terminate USAID funding in February. Thirty of the closures have taken place in the Ghazni region, affecting more than 226,000 people. The humanitarian situation in Afghanistan has deteriorated in the wake of cuts by the US and other foreign aid sources, as vulnerable populations are left without access to life-saving medical care, including maternal and child health services. A recent study in the The Lancet medical journal has forecast that USAID funding cuts could result in the preventable deaths of more than 14 million people worldwide by 2030, including 4.5 million children under the age of five. (Photo by Elise Blanchard/Getty Images)

The world must reinforce multilateral action to tackle global threats, such as climate change and inequality.

Argentina's President Javier Milei, Australia's Prime Minister Anthony Albanese, Brazil's President Luiz Inacio Lula da Silva, China's President Xi Jinping, French President Emmanuel Macron, Spanish Prime Minister Pedro Sanchez, German Chancellor Olaf Scholz, India's Prime Minister Narendra Modi, Indonesia's President Prabowo Subianto, Japan's Prime Minister Shigeru Ishiba, Mexico's President Claudia Sheinbaum, South Korea's President Yoon Suk Yeol, Russia's Foreign Minister Sergei Lavrov, Saudi Foreign Minister Prince Faisal bin Farhan Al-Saud, South Africa's President Cyril Ramaphosa, Bolivian President Luis Arce, Turkish President Tayyip Erdogan, Britain's Prime Minister Keir Starmer, European Commission President Ursula von der Leyen, European Council President Charles Michel, World Bank President Ajay Banga, Chair of the African Union and President of Mauritania Mohamed Ould Ghazou as they pose for a group photo at the G20 summit, in Rio de Janeiro, Brazil, November 18, 2024. REUTERS/Ricardo Moraes

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