Life after DREAMS: Kenya’s girls navigate HIV risk without US support
The end of the PEPFAR-funded DREAMS program cut off HIV-prevention support for millions of girls across sub-Saharan Africa. In Kenya, health experts warn the consequences are already visible.
Photo Credit: Solomon Onyata/USAID
Malawi struggles to fill development gaps after US aid cuts
Malawi is scrambling to keep critical health, education, and development programs afloat after deep cuts to U.S. foreign aid exposed the country’s heavy reliance on donor funding.
Photo credit: Benny Khanyizira/UNICEF via Reuters Connect
India's tuberculosis patients, one year after USAID's dismantling [Think Global Health] ↳
Loss of U.S. aid has caused community care interruptions that have increased the risk of drug-resistant tuberculosis in India, according to Think Global Health. Without donor-funded community programs, patients are far more likely to fall through the cracks, even when medicines are technically free, putting years of progress in reducing stigma and improving treatment completion at risk.
After USAID and WHO: global health without the U.S. [Forbes] ↳
According to Forbes, the dismantling of USAID and the U.S. exit from the World Health Organization have left a significant leadership and funding gap in global health initiatives. Without renewed American engagement or alternative governance models, weakened health systems and unmet needs in vulnerable countries could widen, forcing a rethinking of how global health priorities are funded and led.
One year later: the effect of US ‘chainsaw’ on global health [Health Policy Watch] ↳
Health Policy Watch reports that one year after the U.S. government paused foreign aid and cut global health projects, gaps continue to emerge in services such as HIV treatment. These changes were a major shock to global health financing and governance, with models estimating significant deaths and disease spread associated with the funding interruptions.
The near death — and last-minute reprieve — of a trial for an HIV vaccine [NPR] ↳
A pan-African HIV vaccine trial originally set to begin with substantial U.S. funding was thrown into jeopardy last year when foreign aid was abruptly cut. According to NPR, even amid those setbacks and a reduced scope, the downsized trial has now started enrolling participants, offering cautious hope that advancing vaccine research.
One year post-USAID, global health funding stuck in limbo [Think Global Health] ↳
Essential health efforts have been hobbled in many low- and middle-income nations, leaving care gaps and forcing governments to explore new funding strategies, reports Think Global Health.
How Cameroon fought to save its malaria program after the U.S. cut critical funding [NYT] ↳
After U.S. aid cuts disrupted malaria treatment in northern Cameroon, clinics ran short of lifesaving drugs and unpaid health workers struggled to fill the gaps. The New York Times investigates how quickly progress against malaria can unravel when supply chains and frontline care are broken.
The fight to beat neglected tropical diseases was going well. 2025 could change that [NPR] ↳
NPR reports that years of progress against neglected tropical diseases — driven largely by U.S.-backed mass drug distribution and surveillance programs — are now at risk as funding cuts disrupt treatment campaigns.
Inside the Trump administration’s man-made hunger crisis ↳
ProPublica traces how abrupt U.S. policy decisions, including aid freezes and program terminations, triggered food shortages across fragile regions, compounding conflict and displacement. Internal documents and interviews show the crisis was widely anticipated but allowed to unfold anyway.
Trump officials celebrated with cake after slashing aid. Then people died of cholera. ↳
ProPublica reveals how U.S. officials marked major aid cuts even as warnings mounted about disease outbreaks. In the weeks that followed, cholera spread in vulnerable communities, underscoring the deadly consequences of dismantling public health systems mid-crisis.
US retreat stalls Botswana’s HIV prevention outreach
A simple, one-time procedure that sharply lowers HIV risk has long been a quiet success story in Botswana — until U.S. funding cuts halted the community outreach behind it.
Photo Credit: Ricardo Franco / CDC / CC BY
Aid cuts have shaken HIV/AIDS care to its core — with millions more infections projected ↳
The Guardian reports that U.S. funding cuts have shuttered HIV clinics, disrupted PrEP and ART supply chains, and ended community-led outreach across multiple countries. Health workers warn that prevention gains made over two decades are collapsing, with global agencies now projecting a surge in new infections and treatment interruptions that could undo years of progress toward epidemic control.
US and European aid cuts could result in 22.6 million deaths worldwide, study finds [Reuters] ↳
New modeling suggests that simultaneous U.S. and European aid drawdowns would erase decades of gains against infectious disease. The findings point to a geopolitical vacuum, with no major donor prepared to offset the scale of withdrawn support.
Study: U.S. funding cuts could result in nearly 9 million child tuberculosis cases, 1.5 million child deaths [Harvard] ↳
The research warns that reductions in U.S. TB funding could trigger major spikes in pediatric infections. The projections underscore how cuts undermine global outbreak control and shift long-term treatment costs back onto lower-income countries.
Three countries boost family planning funding in ‘powerful shift from dependency’ in Africa after aid cuts [The Guardian] ↳
New domestic spending in Kenya, Rwanda, and Ethiopia signals resilience, but the move also exposes how heavily the region relied on U.S. support, reports The Guardian. Governments are now filling emergency gaps rather than following planned transition timelines, raising questions about sustainability and equity.
When Trump’s aid cuts robbed them of HIV drugs, these people died. Now the UK is poised to slash funding further [The Independent] ↳
U.S. cuts disrupted HIV treatment continuity, leaving patients vulnerable. Now the U.K.’s proposed reductions threaten to deepen those losses, underscoring how global health systems built over decades can unravel quickly when major donors step back simultaneously.
The Shutdown of U.S.A.I.D. Has Already Killed Hundreds of Thousands [The New Yorker] ↳
The investigation links the U.S. retreat to failures across disease surveillance, supply chains, and basic health services. The estimated death toll highlights how dismantling USAID’s global health infrastructure weakens pandemic preparedness and undercuts long-standing U.S. commitments abroad, The New Yorker reports.
Aid cuts are devastating health services in Africa [The Economist] ↳
In Madagascar, the loss of a USAID-funded health program has left remote communities without care, driving up maternal deaths, malaria, and disease outbreaks.
America’s retreat from aid is devastating Somalia’s health system [NYT] ↳
Somalia’s health system is collapsing under the weight of U.S. withdrawal. Clinics once supported by American aid are now turning away malnourished children.

