Trump’s aid freeze sparks mayhem around the world

In Ghana and Kenya, insecticide and mosquito nets sit in warehouses because US officials haven’t approved urgent anti-malaria campaigns.In Haiti, a group treating HIV patients awaits US permission to dispense medicines that prevent mothers from giving the disease to their children.In Myanmar, where famine looms and the US is the single largest aid donor, one humanitarian worker described the situation as “mayhem.”Nearly three weeks into US President Donald Trump&#039;s sweeping freeze on foreign aid, life-saving programmes across the globe remain shut as humanitarian workers struggle to secure US government waivers meant to keep them open, dozens of aid workers and UN staff told Reuters.After Trump announced the 90-day freeze on 20 January, US Secretary of State Marco Rubio issued waivers for what he called “life-saving humanitarian assistance,” which included “core life-saving medicine, medical services, food, shelter, and subsistence assistance.”But aid workers and UN officials said the waivers had sparked widespread confusion, along with fears that their US funding would never be restored.They said they couldn’t restart work without first confirming with their US counterparts whether specific programmes qualified for exemption. This was proving nearly impossible, they said, due to a communication breakdown with US officials, some of whom had been fired or barred from talking.By designThe breakdown appeared partly by design. On 31 January, staff at the United States Agency for International Development, once the main delivery mechanism for American largesse, were told not to communicate externally about the waiver and what it may or may not include, according to a previously unreported recording of the meeting reviewed by Reuters.The US State Department and White House did not respond to requests for comment.The spiralling consequences of the aid freeze in developing countries underline the real-world harms from Trump&#039;s upending of decades-old US initiatives designed to build global alliances by making America the world’s most generous superpower and largest single aid donor.Aid workers had a list of urgent questions going unanswered. Among them: Which programmes could continue? What qualifies as life-saving aid? Food? Shelter? Medicine? And how do they keep people from dying when almost every aid service has been shut at once?Shut outWith little guidance from US officials, aid workers said their organisations erred on the side of caution and closed programmes rather than incur expenses that the US government might not reimburse, the aid workers said. Some described how US partners – often people they had worked with for years – no longer answered their phones or emails.One Geneva-based aid official who reached US officials was stunned by their response. “We asked: Can you tell us exactly which programmes we need to stop? Then we got a message saying ‘no more guidance is forthcoming’. This leaves us in a situation where you have to make a choice of which programme is ‘life-saving’,” the official said. “We don’t have money to pay for it ourselves. We can’t spend money we don’t know if we have.”The turmoil was particularly acute at USAID, now in disarray and targeted for closure as a “criminal organisation” by Trump’s government efficiency tsar, the billionaire Elon Musk.In his executive order, Trump said the US “foreign aid industry and bureaucracy” were “in many cases antithetical to American values.” He ordered the 90-day pause pending a review on whether aid was consistent with his “America First” foreign policy.Most of those who spoke to Reuters requested anonymity, fearful of antagonising the Trump administration and jeopardising the possible restoration of aid.Two workers with aid organisations in Myanmar told Reuters they didn’t know whether US-funded food distribution in the country was covered by a waiver and would continue. One of the workers described the situation as “mayhem.” Myanmar faces a severe food crisis due to natural disasters and a spiralling civil war. An estimated two million people in the country are on the brink of famine, according to the UNRefugees also bore the brunt of the aid freeze in Bangladesh, where the US funds about 55% of assistance to more than a million Rohingya from Myanmar living in squalid camps. "Some essential and life-saving services” had been interrupted by the freeze, said the Inter Sector Coordination Group, an international relief organisation that oversees the camps, in a previously unreported draft statement to local aid groups. The group didn’t respond to a request for comment.A UN official in Bangladesh seeking clarity on which programmes could remain open said US counterparts were “not answering the phones.”On holdIn Africa, humanitarian workers were due to start anti-malaria spraying campaigns this month in Ghana and Kenya before mosquito populations explode during the rainy season, but insecticide and mosquito nets are stuck in warehouses, said a USAID contractor.A USAID memo, dated 4 February and seen by Reuters on Saturday, said “life-saving activities” to address malaria, tuberculosis and other diseases and conditions would be exempt from the freeze. But campaigns to protect millions of people appeared on hold as aid workers sought clarification on when funding would resume and specific malaria programmes in Africa could restart, the contractor said.Malaria, a preventable disease, is caused by parasites transmitted to people by the bites of infected mosquitoes. The vast majority of the world’s 597 000 malaria deaths in 2023 were African children aged under five years old, the World Health Organization said in December.“There is a small window to do those campaigns which is going to close rapidly,” said the USAID contractor.Millions of US taxpayer dollars already spent on supplies to fight malaria in Africa could go to waste, aid workers said. Malaria No More, a global nonprofit based in Washington, said the freeze could prevent the distribution of 15.6 million life-saving treatments, nine million nets and 48 million doses of preventative medicine.The US is the top donor in the global fight against malaria, mostly through the President&#039;s Malaria Initiative, known as PMI, set up under former President George W. Bush in 2005. PMI’s website – which included information on populations at risk of malaria – has been taken down and replaced with a brief statement: “In order to be consistent with the President&#039;s Executive Orders, this website is currently undergoing maintenance as we expeditiously and thoroughly review all of the content.”“It’s as if all the work . . . has just been erased,” said Anne Linn, a USAID staffer who worked remotely from Montana as a technical advisor and was fired on 28 January. “It’s so cruel and senseless,” she said. “The wastefulness of it is staggering to me.”Deadly consequencesIn Thailand, the aid freeze forced the International Rescue Committee, which funds health clinics with US support, to quickly shut down the hospital and clinics it ran in seven refugee camps on the Myanmar-Thai border. IRC was told by US officials they couldn’t reopen before receiving another notification, which hasn’t arrived, said an aid worker.Many were discharged from the IRC facilities, leaving people including pregnant women and children unable to access medication or medical equipment, said Francois Nosten, director of the Shoklo Malaria Research Unit, a field station in the border camps run by Bangkok&#039;s Mahidol University.An elderly woman, who had been hospitalised with lung problems and was dependent on oxygen, died four days after being discharged, according to her family. Reuters couldn’t independently confirm her cause of death.An IRC spokesperson said some refugees had "self-organised" to provide critical services for themselves until aid support was "transitioned" to Thai authorities.If “you cut all the activities then some people are going to die,” said Nosten.

Trump’s aid freeze sparks mayhem around the world

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Namibian Sun 2025-05-01

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Trump’s aid freeze sparks mayhem around the world

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Namibian Sun 2025-05-01

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