Services to millions of people collapse as USAID cuts contracts worldwide

US-funded projects worldwide, including those providing lifesaving care for millions of people in countries such as Sudan and South Africa, received termination notices on Thursday sending shockwaves across the global aid community.

The latest cancellations come as US President Donald Trump’s administration nears completion of a review to ensure that grants are aligned with his “America First” agenda after ordering a 90-day pause on all foreign aid in January to assess whether projects were consistent with his policy aims.

US Secretary of State Marco Rubio had dismissed concerns that Washington was ending foreign aid, saying waivers had been provided to life-saving services.

Only weeks later, the Trump administration decided to terminate more than 90% of the US Agency for International Development programmes, according to a February 25 court document. Those included many that were initially covered by waivers such as work addressing HIV as well as wider health programmes. It is unclear whether the projects can be reinstated.

Major United Nations health programmes were among those to get termination notices, including UNAIDS, the Stop TB Partnership and Scaling Up Nutrition as well as projects helping millions of forcibly displaced people.

“We are hit, but we will continue to be there,” Lucica Ditiu, Stop TB’s executive director, said.

Ditiu said that the group has different sources of funding it would use for procuring TB tests and treatments, but that it would have to terminate contracts with 140 partners around the world, many of which provide services including helping TB patients get diagnosed and stay on treatment.

‘EGREGIOUS BREACHES’

Charlotte Slente, secretary general of the Danish Refugee Council, said she was appalled after receiving more than 20 termination notices for projects across a range of countries including Sudan, Yemen and Colombia.

“Not only are these terminations egregious breaches of contracts, but they endanger the lives of millions of the world’s most vulnerable people,” Slente said, adding that the decision would hit forcibly displaced people in conflict zones.

“While it is understood that incoming governments want to review their overseas development assistance, the decisions from the US government over the last month are abrupt and unilateral, and the rationale for these are unfathomable,” Slente added.

A global non-profit with projects on malaria and newborn health, among other areas, said the majority of its contracts had been cancelled. Smaller organisations were also hit, such as Khana in Cambodia, a TB and HIV organisation, and many organisations working on HIV and AIDS in South Africa.

UNAIDS on its website called the termination of its relationship with USAID a “serious development” that would affect lifesaving services, and said it had asked the US government for more information.

Reuters was not immediately able to determine how many organisations worldwide were affected. Trump’s administration also eliminated nearly 30% of State Department foreign assistance grants, worth $4.4 billion.

The State Department did not respond to a question on why life-saving aid programs were terminated.

“Secretary Rubio and (USAID) Deputy Administrator (Peter) Marocco have determined your award is not aligned with Agency priorities and made a determination that continuing this program is not in the national interest,” said the notice received by organisations, which was seen by Reuters.

For some groups, USAID represents the majority of their funding, and they will struggle to survive, while for others it is only one of many donors.

‘DEVASTATING BLOW’

International AIDS Society President Beatriz Grinsztejn, referring to cuts worldwide, said: “The US funding cuts are dismantling the system. HIV treatment is crumbling. TB services are collapsing.”

In South Africa, which has the world’s largest number of people living with HIV at around 8 million, health experts said the cuts could roll back years of progress on the epidemic.

“We will see lives lost. We are going to see this epidemic walk back as a result of this,” said Linda-Gail Bekker, chief operating officer of the Desmond Tutu HIV Foundation, which works with many organisations that were affected.

Bekker said she expected a funding cut for programmes targeting specific groups such as LGBT+ people and sex workers, but in fact the cuts are far-reaching and include HIV/AIDS prevention and treatment programmes for women and children.

The United States provides about 17% of South Africa’s HIV/AIDS budget, and health experts said this funding was crucial for providing testing and getting new patients on treatment.

“The programmes who received their termination letters this morning were among the most efficient, effective health delivery programmes in the country,” said Francois Venter, executive director of the Ezintsha Research Centre in Johannesburg, which is not funded by USAID, calling it a “devastating blow” for South Africa’s HIV response.

Nonprofit Humanity & Inclusion had more than 30 contracts with the US government to provide services to hundreds of thousands of people with disabilities in multiple countries. Over the past 36 hours, the organisation received notice that about half of those contracts had been cancelled, said its US executive director Hannah Guedenet.

“If you want to cut funding,” Guedenet said “… there’s a way to responsibly do that. And that is not what’s being done. This is complete disregard for human life.”

AM Live

AM Live is NTV's morning current affairs show that sets the agenda for the day with insightful panels every weekday.

BNX

Business Redefined

Business Redefined is Kenya’s premier thought leadership platform for unpacking matters regarding economic and finance policy as well demystifying complex developments in the region’s capital markets.

Comedies

A collection of our premium content. Diam curabitur vehicula A collection of our premium content. Diam curabitur vehicula

Creatives & Coins Podcast

A podcast that dives deep into the vibrant and rapidly evolving digital creative economy in Kenya. This show explores the lives, challenges, and triumphs of individuals who are successfully navigating the gig and creative economies. From digital artists and content creators to freelance writers and tech entrepreneurs, we spotlight the voices that are shaping the future of work in Kenya.

Documentaries

A collection of our premium content. Diam curabitur vehicula A collection of our premium content. Diam curabitur vehicula

Entertainment

A collection of our premium content. Diam curabitur vehicula A collection of our premium content. Diam curabitur vehicula

Fixing The Nation

Fixing the Nation is a bold and groundbreaking show that will take an unflinching look at challenges facing the Kenyan society and the solutions that can move us forward. It is anchored by respected journalists Eric Lattif, Janet Mbugua, and Mariam Bishar. Podcast created by: Nation FM

Full Episodes

A collection of our premium content. Diam curabitur vehicula A collection of our premium content. Diam curabitur vehicula

Gumzo La Sato

Gumzo La Sato is a live social issues show that aims to create awareness about issues affecting the larger society. The discussions range from Parenting, Marital bliss and struggles, Oppression, violence, and all matters of the Heart.

Health Diary

Health Diary is a weekly show that highlights different types of diseases/conditions and seeks ways to prevent, treat/manage them. The show debunks this through real life stories and also feature specialists in different fields, to offer medical advice on the same.

Letter To My Younger Self

Letter To My Younger Self is a podcast where guests get to write a letter to their younger self, from which Maxine formulates questions to ask them during the hour-long show.

Mazao Talks

Mazao looks at agriculture and agribusiness

Nation Reports

Nation Reports is a weekly podcast offers an opportunity for listeners to interact with various reporters and journey with them as they unravel the biggest most emotive stories.

Noma

NOMA is a gripping family drama that delves into the complexities of sibling rivalry, parental expectations, and the struggle for identity within a powerful business family In the heart of Nairobi, the Mwamba family stands as a beacon of success, with a thriving business empire built by the patriarch, MZEE AMAON MWAMBA. However, beneath the surface, the family is fractured by jealousy, unspoken desires, and the weight of expectations.

One Health Lens Podcast

Discussing health matters and human stories from Kenya and across Africa. We talk big picture from people to policy, ecosystems, and everything in between. Follow us on LinkedIn: https://www.linkedin.com/company/onehealthlens

Paradise Lost

Paradise Lost peeks through the story of Louis Otieno, the times, and everything in between.

Podcasts

Podcasts

Primetime

A collection of our premium content. Diam curabitur vehicula A collection of our premium content. Diam curabitur vehicula

Speaking of GEN Z

Speaking of Gen Z brings you entertaining but meaningful conversations about a generation that is trying to navigate through adulthood. Join hosts Michelle, Jackie and Esther as they unravel all things Gen Z.

Sport On

Sport-On is a 30-minute sports magazine show on NTV and 3 hours on NATION FM. The show seeks to give the sports “fanatics” and “funatics” comprehensive and in-depth coverage of sports both locally and internationally.

Tech-over

The extent of technological growth is beyond mere acknowledgment; it has seamlessly integrated into our daily existence. A few years ago, the notion of paying electricity bills through mobile money or recharging with 'tokens' in Kenya seemed inconceivable. Online product sales were considered distant, and artificial intelligence is rapidly reshaping various facets of our lives. Amidst these technological leaps, those with a solid understanding of tech can navigate challenges, seize opportunities, and build a sustainable livelihood. Tech over Show aims to be the platform facilitating discussions among thought leaders, innovators, tech companies, and the government, addressing challenges and opportunities in Kenya's thriving tech industry.

Thamani

Thamani is a business show which is dedicated to emerging issues regarding micro, small and medium size businesses.

The Politalk podcast

This is The Politalk podcast. Here we look into the ins and outs of everything Kenyan politics. We pull no punches and have no reason to sugarcoat anything that matters to Kenyans.

The Trend

A two-hour-long live show that airs on Fridays. The show focuses on what is current in the entertainment industry, controversial and popular across all media platforms targeting those aged between 25 and 35 years.

The trend podcast

The trend podcast highlights and captures the best of banter from #TTTT segment that airs every Friday on NTV. It's the TTTT EXTRA

The Wicked Edition

The Wicked Edition with Dr. King’ori seeks to address serious issues through humour and relatable wit. It is a two-part half hour show filmed in front of a live audience

Trending

A collection of our premium content. Diam curabitur vehicula A collection of our premium content. Diam curabitur vehicula

Twende

Twende is a travel show that highlights beautiful, unique, diverse locations, people, and cultures. The show offers fresh perspectives on familiar locations and memorable experiences in new ones.

Unscripted

This Saturday evening lifestyle show lets viewers share their stories and life experiences as openly & honestly for the purpose of shifting the culture of silence.

VIP Access

VIP ACCESS is Anyiko Owoko’s YouTube and podcast show on Music and Culture dedicated to promoting Africa’s most promising talent and creatives. This podcast grants you VIP access into timeless interviews while providing a platform for rising as well as established artists across the continent. Since launching in 2018, Anyiko has interviewed over 70 African music stars.

WADR

This weekly news show aims to have all sides of debate but not be constrained by it, listen to main voices in the contest but not allow them to hold the viewers hostage, entertain debate but allow push back with all due respect.

When death do us part

In this podcast, three widowers openly speak about the process of grief, how they found themselves exposed to the emotional turmoil of losing their wives, and how society still does not know how to deal with them.

Your World

Your World is a health, wellness and variety show. It provides a platform for audiences and experts to share their experiences on how to improve or manage health issues, across Kenya and the Africa region.