In this third episode, we explore how the 2005 Constitution revolutionised service delivery by embedding human rights into health frameworks and empowering the Ministry of Health to prioritise equitable access and community involvement. Yet, two decades later, amid celebrations of constitutionalism, U.S. aid cuts to PEPFAR and USAID in 2025 threaten to dismantle these gains, sparking drug shortages, service suspensions, and a potential surge in infections.