Nicholas Kristof argues that despite the Trump administration's attempts to recast its foreign aid record, the 71% cut in humanitarian aid from 2024 to 2025 remains the administration's most lethal policy. 

The Trump administration plans to redirect $2 billion in congressionally appropriated global health funding — earmarked for programs tackling malaria, tuberculosis, maternal and child health, HIV/AIDS, and more — to cover the legal costs, pending invoices, and logistics of shutting down USAID, CNN reports.

Ghana has rejected a proposed $109 million U.S. health deal after officials found the data-sharing provisions would have granted U.S. entities sweeping access to sensitive national health records without adequate safeguards, the AP reports.

The Trump administration has moved to systematically eliminate U.S. support for international family planning, once the world's largest, covering over 40% of global donor funding, shuttering clinics, firing health workers, and creating massive contraceptive shortages. The President’s proposed FY2027 budget explicitly targets birth control funding for elimination, NPR reports.

The dismantling of USAID and the elimination of U.S. family planning funding have shuttered clinics, fired health workers, and caused contraceptive shortages across 41 recipient countries driving a surge in unwanted pregnancies, unsafe abortions, and maternal deaths.

Robert Rotberg argues that the Trump administration's cuts to USAID and PEPFAR have been devastating for sub-Saharan Africa.

Writing in Foreign Policy, Rockefeller Foundation president Rajiv Shah warns that if the current trajectory holds, the cuts to Overseas Direct Assistance could result in more than 9 million preventable deaths by 2030.

The Trump administration's shuttering of USAID — which had injected roughly $200 million annually into Ethiopia's health care system — has left pregnant women paying out of pocket for ultrasounds, prenatal vitamins, and delivery room supplies that were once free, threatening to reverse decades of progress on maternal mortality, The Globe and Mail reports.

The Washington Post reports that the Trump administration has quietly negotiated 28 bilateral health agreements with mostly African nations as part of its "America First" global health strategy, but its refusal to disclose the full terms publicly has alarmed transparency advocates and partner governments who fear disease-fighting funds are being leveraged to extract unrelated political and economic concessions.

The Trump administration has been offering African countries bilateral health deals that critics say are exploitative — conditioning funding on access to sensitive health data, biological samples, and critical minerals. Al Jazeera reports that Zimbabwe walked away from negotiations and Zambia pushed back against "problematic" clauses, while countries like Kenya and Nigeria have signed undisclosed agreements.

The New York Times reports that millions of dollars worth of USAID-funded contraceptives destined for sub-Saharan Africa were deemed unusable after being improperly stored in a Belgian warehouse.

A new study finds that Republican presidencies are associated with a 10.5% increase in maternal deaths in countries with above-average reliance on U.S. family planning aid. According to The Guardian, over 90% of all USAID awards for reproductive health programs have been terminated since the start of 2025, deepening concerns that decades of progress are being rapidly undone.

Sierra Leone's Princess Christian Maternity Hospital is running short of basic surgical supplies, as U.S. and U.K. aid cuts threaten to reverse nearly 80% of the progress the country has made in reducing maternal mortality since 2000, according to the Daily Nation. The U.S. cuts represented a $45 million reduction in maternal, child, and adolescent health projects.

A new Lancet study examines how the dismantling of international aid by the U.S. and other countries could undo decades of health gains, projecting up to 9.4 million extra deaths by 2030 if current conditions persist. This projection provides an early picture of how funding reductions could undo decades of health gains, leading to upsurges in HIV/AIDS, malaria and hunger across the developing world, according to The Washington Post.

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.

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.